Dealing with risks in patient care

Quality management

Andrea Schütt

Leitung Qualitätsmanagement

Emil-Kraepelin-Straße 6
39576 Hansestadt Stendal

Phone: 0391 -60753-391
Mail: ed.asl-sulas@tteuhcs.a

Krankenhausleitung

Conference frequency: monatlich

Risk management

Michaela Poley

Ärztliche Direktorin

Emil-Kraepelin-Straße 6
39576 Hansestadt Stendal

Phone: 039325 -70-2101
Fax: 039325-70-2102
Mail: ed.asl-sulas@yelop.m

Krankenhausleitung

Conference frequency: monatlich

Risk management instruments and measures

No. Explanation
RM01

Comprehensive quality and/or risk management documentation (QM/RM documentation) is available

Jahresbericht Qualitätsmanagement, Jahresbericht Risikomanagement (24.01.2023)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Jahresbericht Qualitätsmanagement, Jahresbericht Risikomanagement (24.01.2023)

RM05

Pain management

Expertenstandard Schmerzmanagement in der Pflege (01.06.2020)

RM06

Fall prophylaxis

U ArA 2019/13 Sturzprophylaxe, U VA 2019/14 Verfahrensregel zur Sturzprophylaxe - Erläuterungen (26.07.2022)

RM07

Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”)

U VA 2018/27 Dekubitusprophylaxe (25.02.2022)

RM08

Regulated handling of custodial measures

U DA 2018/36 Anordnung und Durchführung freiheitsentziehender Maßnahmen (12.10.2023)

RM09

Regulated handling of occurring malfunctions of devices

Jahresbericht Qualitätsmanagement, Jahresbericht Risikomanagement (24.01.2023)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Mortalitäts- und Morbiditätskonferenzen
RM12

Use of standardised information sheets

RM18

Discharge management

U VA 2017/14 Komplexes Entlassmanagement (12.04.2023)

Fault reporting systems

Conference committee

Conference frequency: monatlich

Measures

Maßnahmen und Ableitungen im SAMS (internes Meldesystem)

No. Explanation
IF01

Documentation and procedural instructions for handling the error reporting system are available

As of: 09.10.2023

IF02

Internal evaluation of the received reports

taken jährlich

IF03

Training of employees in handling the error reporting system and in implementing the findings from the error reporting system

taken bei Bedarf

Conference committee

Conference frequency: