Dealing with risks in patient care

Quality management

Gudrun Gatz

Qualitätsmanagerin

Hans-Lufft-Straße 5
06886 Lutherstadt Wittenberg

Phone: 0340 -5569-220
Mail: ed.renaixela@ztag.g

Leitungsmitarbeiter

Conference frequency: quartalsweise

Risk management

Petra Stein

Geschäftsführerin


06871 Lutherstadt Wittenberg

Phone: 03491 -476-301
Fax: 03491-476-300
Mail: ed.renaixela@niets.p

QM

Conference frequency: quartalsweise

Risk management instruments and measures

No. Explanation
RM01

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

WiMa (11.05.2020)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

WiMa (19.03.2019)

RM06

Fall prophylaxis

Pflegerichtlinie Sturz (02.04.2020)

RM07

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

Pflegerichtlinie Dekubitus (12.09.2019)

RM08

Regulated handling of custodial measures

Verfahrensanweisung Patientenfixierung (28.08.2018)

RM09

Regulated handling of occurring malfunctions of devices

VA MPG (30.06.2020)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
  • interdisziplinäre Fallbesprechungen
  • wöchentlich
RM12

Use of standardised information sheets

RM18

Discharge management

Entlassmanagement orientiert sich an der Experteneinschätzung und wird interdisziplinär durchgeführt (28.09.2017)

Fault reporting systems

Conference committee

Conference frequency: bei Bedarf

Measures

CIRS-Schulungen

No. Explanation
IF01

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

As of: 18.08.2020

IF02

Internal evaluation of the received reports

taken bei Bedarf

IF03

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

taken jährlich

Conference committee

Conference frequency: bei Bedarf

No. Explanation

Other