Dealing with risks in patient care
Quality management
Anke Drechsler
Qualitätsmanagementbeauftragte
Wittgensteiner Straße 1
01896 Pulsnitz
Phone:
035955
-51454-
Mail:
ed.tiehdnuseg-aertiv@relshcerd.ekna
Klinikleitung, QM-Beauftragte
Conference frequency: monatlich
Risk management
Anke Drechsler
Qualitätsmanagementbeauftragte
Phone:
035955
-51454-
Mail:
ed.tiehdnuseg-aertiv@relshcerd.ekna
Klinikleitung, QM-Beauftragte
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM-Handbuch (30.09.2025) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management S01.13_Notfallmanagement (10.09.2025) |
| RM05 |
Pain management Handlungsempfehlung Schmerzmanagement in der Pflege bei akuten und chronischen Schmerzen - https://md-bund.de/themen/pflegequalitaet/expertenstandards-in-der-pflege.html (01.11.2024) |
| RM06 |
Fall prophylaxis Expertenstandard Sturzprophylaxe des Deutsches Netzwerk für Qualitätsentwicklung in der Pflege - https://www.dnqp.de/fileadmin/HSOS/Homepages/DNQP/Dateien/Expertenstandards/Sturzprophylaxe_in_der_Pflege/Sturz_2Akt_Auszug.pdf (01.11.2024) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Beschluss der FG Pflege Dekubitusprophylaxe - https://www.dnqp.de/expertenstandards-und-auditinstrumente/ (01.11.2024) |
| RM08 |
Regulated handling of custodial measures Konzernregelung und Checkliste Freiheitsentziehende Maßnahmen (12.03.2024) |
| RM09 |
Regulated handling of occurring malfunctions of devices Verfahrensstandard Umgang mit Produktproblemen (01.06.2023) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM18 |
Discharge management PB01.12_Entlassung, Verlegung, Überleitung (26.05.2025) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
weitere Optimierung der Sturzprävention, Optimierung der Dokumentation u. v. m.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 31.01.2023 |
| IF02 |
Internal evaluation of the received reports taken bei Bedarf |
| 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 |