Heinrich-Braun-Klinikum gemeinnützige GmbH, Standort Zwickau

Dealing with risks in patient care

Quality management

M.Sc. Martina Münnich

Qualitätsmanagementbeauftragte

Karl-Keil-Straße 35
08060 Zwickau

Phone: 0375-51-3371
Mail: ed.uakciwz-kbh@hcinneum.anitram

Sebastian Junge

Qualitätsmanagementbeauftragter

Karl-Keil-Straße 35
08060 Zwickau

Phone: 0375-51-2325
Mail: ed.uakciwz-kbh@egnuj.naitsabes

standortübergreifende Vertreter des Pflegedienstes, des Ärztlichen Dienstes, der Verwaltung

Conference frequency: andere Frequenz

Risk management

Leiter IT-Sicherheit, Projektmanagement, Risikomanagement

Sebastian Junge


08060 Zwickau

Phone: 0375-51-2325
Fax: 0375-51-1502
Mail: ed.uakciwz-kbh@egnuj.naitsabes

standortübergreifende Vertreter des Pflegedienstes, der Verwaltung und des Ärztlichen Dienstes

Conference frequency: quartalsweise

Risk management instruments and measures

No. Explanation
RM01

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

Risikohandbuch (in Überarbeitung) (02.05.2014)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Risikohandbuch (in Überarbeitung) (02.05.2014)

RM05

Pain management

Empfehlungen perioperative Schmerztherapie (19.07.2019)

RM06

Fall prophylaxis

Handzettel Sturzprophylaxe - Patienteninformation (22.08.2017)

RM07

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

Dekubitusprophylaxe (14.01.2020)

RM08

Regulated handling of custodial measures

Pflegestandard - Fixierung (11.11.2021)

RM12

Use of standardised information sheets

RM13

Application of standardised surgical check lists

RM16

Procedure to avoid procedural and patient mix-ups

Handlungsanweisung Patientenverwechslung (28.02.2014)

RM17

Standards for recovery and postoperative care

Behandlungsrichtlinie -ANÄ-SOP Aufwachraum (07.02.2019)

RM18

Discharge management

Standard Entlassmanagement (02.10.2019)

Fault reporting systems

Conference committee

Conference frequency: bei Bedarf

Measures

Hygienebegehungen, Begehungen durch Abteilung Apotheke, Erregerstatistiken, statistische Untersuchung des Händedesinfektionsmittelverbrauches, Checkliste Patientensicherheit, Patientenarmbänder, Sturz-und Dekubitusprophylaxe, AG Risiko- und Chancenmanagement, etc.


No. Explanation
IF01

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

As of: 19.08.2014

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 jährlich

Conference committee

Conference frequency: bei Bedarf


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)

EF13

DokuPIK (Documentation of Pharmaceutical Interventions in Hospitals at the Federal Association of German Hospital Pharmacists (ADKA)