Klinikum Altenburger Land GmbH
Dealing with risks in patient care
Quality management
Frau Sabrina Malitz
Stabsstelle Qualitätsmanagement
Am Waldessaum 10
04600 Altenburg
Phone: 03447-52-1066
Mail: ed.dnalregrubnetla-mukinilk@ztilam.anirbas
Conference frequency:
Risk management
Stabsstelle Qualitätsmanagement
Sabrina Malitz
Am Waldessaum 10
04600 Altenburg
Phone: 03447-52-1066
Mail: ed.dnalregrubnetla-mukinilk@ztilam.anirbas
Conference frequency:
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Inworks (31.12.2017) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Inworks (31.12.2017) |
| RM05 |
Pain management Inworks (31.12.2017) |
| RM06 |
Fall prophylaxis Inworks (31.12.2017) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Inworks (31.12.2017) |
| RM08 |
Regulated handling of custodial measures Inworks (31.12.2017) |
| RM09 |
Regulated handling of occurring malfunctions of devices Inworks (31.12.2017) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM14 |
Preoperative summary of predictable critical surgical steps, surgical time and expected blood loss Inworks (31.12.2017) |
| RM15 |
Preoperative, complete presentation of necessary findings Inworks (31.12.2017) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Inworks (31.12.2017) |
| RM17 |
Standards for recovery and postoperative care Inworks (31.12.2017) |
| RM18 |
Discharge management Inworks (31.12.2017) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Einsatz von Patientenidentifikationsarmbändern Einsatz von Checklisten im gesamten Haus (Bsp: OP-Checkliste) Durchführung regelmäßiger Audits mit Fokus Patientensicherheit Einsatz eines Patientensicherheits-Films (klinikeigener Kanal) Durchführung von Morbiditäts- und Mortalitätskonferenzen strukturiertes Beschwerdemanagement Patientenbefragungen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 31.12.2017 |
| 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 bei Bedarf |
Conference committee
Conference frequency: quartalsweise
| No. | Explanation |
|---|---|
| EF02 |
CIRS Berlin (Medical Association Berlin, German Medical Association, National Association of Statutory Health Insurance Doctors) |