Fachkrankenhaus Bethanien Hochweitzschen
Dealing with risks in patient care
Quality management
Olga Madeckt
Qualitätsmanagementbeauftragte
Dr. Christian-Beßler-Str. 1
04720 Döbeln
Phone: 03431-656-0
Mail: ed.nocaide@tkcedam.aglo
KHD, QMB
Conference frequency: quartalsweise
Risk management
Qualitätsmanagementbeauftragte
Olga Madeckt
04713 Döbeln
Phone: 03431-656-0
Fax: 03431-656-202
Mail: ed.nocaide@tkcedam.aglo
KHD, QMB
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Risikomanagementhandbuch (06.01.2020) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management VA Medizinische Notfälle (22.11.2019) |
| RM06 |
Fall prophylaxis VA Sturzmanagement (18.03.2019) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Verfahrensanweisung Dekubitusmanagement in der Pflege (11.05.2020) |
| RM08 |
Regulated handling of custodial measures Durchführungsrichtlinien zu freiheitseinschränkenden Maßnahmen (13.07.2020) |
| RM09 |
Regulated handling of occurring malfunctions of devices VA Kiss Ausfall, Ärztliche Verlaufsdokumentation/(Nicht-) Medizinische Leistungsanforderung/ Telefonverzenis bei Ausfall von Kiss Medico (06.01.2020) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM16 |
Procedure to avoid procedural and patient mix-ups Informationsblatt Patientenarmbänder (06.01.2020) |
| RM18 |
Discharge management Verfahrensanweisung Entlassmanagement (09.11.2020) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Einsatz von Patientenarmbändern, CIRS, Umsetzung von Hygienerichtlinie edia.con, Kommunikation wurde verbessert, Standards und Verfahrensanweisungen wurden aktualisiert, Schullungen zu verschiedenen Themen wurden durchgeführt (z. B. Hygiene, Arbeitsschutz, Arzneimittel, Deeskalation).
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 11.05.2020 |
| IF02 |
Internal evaluation of the received reports taken quartalsweise |
| 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 |
|---|---|
|
Other |