Klinik für Psychiatrie, Psychotherapie und Psychosomatik Altenburg
Dealing with risks in patient care
Quality management
Jan Westphal
stellv. Verwaltungsdirektor
Zeitzer Str. 28
04600 Altenburg
Phone: 03447-562-115
Mail: ed.grubnetla-gnutfitssakul@lahptsew
Aus allen Bereichen / Abteilungen sind Mitarbeiter im Qualitätsmanagementausschuss (QMA) vertreten. Ebenso ist die Krankenhausleitung ständiges Mitglied des QMA. Der Informationstransfer erfolgt über die Mitglieder als Multiplikatoren.
Conference frequency: monatlich
Risk management
Chefarzt
Christian Schäfer
Zeitzer Str. 28
04600 Altenburg
Phone: 03447-562-401
Mail: ed.grubnetla-eirtaihcysp@tairaterkestzrafehc
Krankenhausleitung
Conference frequency: wöchentlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available OA Risikomanagement (03.09.2019) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management VA Medizinisches Notfallmanagement (15.02.2021) |
| RM06 |
Fall prophylaxis Pflegestandard Sturzprophylaxe (09.11.2020) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Expertenstandard Dekubitusprophylaxe (15.05.2020) |
| RM08 |
Regulated handling of custodial measures VA Freiheitseinschränkende Maßnahmen (10.07.2020) |
| RM09 |
Regulated handling of occurring malfunctions of devices durch Med.Produkte Beauftragte (17.02.2020) |
| 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 Patientenarmbänder Station Gerontopsychiatrie (29.10.2019) |
| RM18 |
Discharge management VA Entlassmanagement (08.05.2019) |
Fault reporting systems
Conference committee
Conference frequency: halbjährlich
Measures
CIRS Fehlermeldesystem/London Protokoll
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 03.03.2021 |
| IF02 |
Internal evaluation of the received reports taken halbjährlich |
| 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: bei Bedarf
| No. | Explanation |
|---|---|
|
Other |