Dealing with risks in patient care
Quality management
Anne Schmähling
Qualitäts- und Risikomanagementbeauftragte
Reinhardsbrunner Straße 17
99894 Friedrichroda
Phone:
03623
-350-366
Mail:
ed.hrs.fwk@bmq
Geschäftsführung, Ärztlicher Direktor, Pflegedienstleitung, Qualitätsmanagement, Leitung Patientenverwaltung, Betriebsrat
Conference frequency: quartalsweise
Risk management
Anne Schmähling
Qualitäts- und Risikomanagementbeauftragte
Phone:
03623
-350-366
Fax: 03623-350-630
Mail:
ed.hrs.fwk@bmq
Geschäftsführung, Ärztlicher Direktor, Pflegedienstleitung, Qualitätsmanagement, Leitung Patientenverwaltung, Betriebsrat
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Qualitäts- und klinisches Risikomanagement der SRH Kliniken (02.03.2021) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management VA Umgang mit medizinischen Notfällen (13.01.2023) |
| RM05 |
Pain management VA Schmerzmanagement bei akuten Schmerzen (29.08.2022) |
| RM06 |
Fall prophylaxis VA Sturzprophylaxe (25.04.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) VA Dekubitusmanagement in der Pflege (30.08.2022) |
| RM08 |
Regulated handling of custodial measures VA Fixierung von Patienten (18.09.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices VA Umgang mit Medizinprodukten (16.05.2022) |
| 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 VA Sicherheit im OP (18.01.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings VA Sicherheit im OP (18.01.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups VA Sicherheit im OP (18.01.2022) |
| RM17 |
Standards for recovery and postoperative care VA Sicherheit im OP (18.01.2022) |
| RM18 |
Discharge management Strukturiertes Entlassmanagement (11.08.2022) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Es wurden vielfältige Maßnahmen umgesetzt, um das Gefährdungspotential für Patienten und Mitarbeiter zu reduzieren.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 21.10.2022 |
| IF02 |
Internal evaluation of the received reports taken monatlich |
| 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: monatlich
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors) |