Dealing with risks in patient care

Quality management

B.A. Steffi Schlötzer

Leitung Qualitätmanagement

Gerhart-Hauptmann-Straße 35
39108 Magdeburg

Phone: 0391 -67-21882
Mail: ed.ugvo.dem@tnemegnamsteatilauq

Klinikumsvorstand, Qualitätsmanagement, Geschäftsbereichsleiter bei Bedarf

Conference frequency: bei Bedarf

Risk management

Freia Rebohm

Abteilungsleitung Risikomanagement

Phone: 0391 -67-25159
Mail: ed.ugvo.dem@mhober.aierf

Freia Rebohm

Abteilungsleitung Risikomanagement

Phone: 0391 -67-25159
Mail: ed.ugvo.dem@mhober.aierf

Conference frequency:

Risk management instruments and measures

No. Explanation
RM01

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

Qualitätsmanagementhandbuch des Universitätsklinikums Magdeburg (12.07.2017)

RM02

Regular further education and training measures

RM03

Employee surveys

RM05

Pain management

Standard Schmerzmanagement (01.07.2022)

RM06

Fall prophylaxis

Standard zur Sturzprophylaxe (04.05.2020)

RM07

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

Standard Dekubitusprohylaxe (01.03.2022)

RM09

Regulated handling of occurring malfunctions of devices

Dienstanweisung zum Umgang mit Vorkommnissen bei Medizinprodukten (14.09.2020)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
  • Qualitätszirkel
  • Pathologiebesprechungen
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

Teil der zentralen OP-Sicherheits-Checkliste (18.06.2021)

RM15

Preoperative, complete presentation of necessary findings

Teil der zentralen OP-Sicherheitscheckliste (18.06.2021)

RM16

Procedure to avoid procedural and patient mix-ups

Teil der zentralen OP-Sicherheitscheckliste (18.06.2021)

RM18

Discharge management

Entlassmanagement (01.03.2022)

Fault reporting systems

Conference committee

Conference frequency: monatlich

Measures

Zentral geleitetes CIRS-Verfahren zur Erfassung aller Fehler und Beinahefehler

No. Explanation
IF01

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

As of: 29.07.2022

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: