Dealing with risks in patient care

Quality management

Dipl.Betriebswirt (FH) Martin Kühn

Leiter Stabsabteilung Arbeitsschutz- und Qualitätsmanagement

Krankenhausstraße 10
01968 Senftenberg

Phone: +49 3573 -75-1408
Mail: ed.anas@nheuk.nitram

Qualitätsmanagement, Ärztliches Direktorat, Pflegedirektorat, Kaufmännisches Direktorat

Conference frequency: monatlich

Risk management

Martin Kühn

Leiter Stabsabteilung Arbeitsschutz- und Qualitätsmanagement

Phone: +49 3573 -75-1408
Fax: +49 3573-75-1409
Mail: ed.anas@nheuk.nitram

Qualitätsmanagement, Ärztliches Direktorat, Pflegedirektorat, Kaufmännisches Direktorat

Conference frequency: monatlich

Risk management instruments and measures

No. Explanation
RM01

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

Qualitäts- und Klinisches Risikomanagement (01.07.2022)

RM02

Regular further education and training measures

RM04

Clinical emergency management

Reanimationsteam (01.07.2022)

RM05

Pain management

Schmerzmanagement (01.07.2022)

RM06

Fall prophylaxis

Sturzprophylaxe (01.07.2022)

RM07

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

Dekubitusprophylaxe (01.07.2022)

RM08

Regulated handling of custodial measures

Freiheitsentziehende Maßnahmen (01.07.2022)

RM09

Regulated handling of occurring malfunctions of devices

Auftragsverwaltung/Hotline/Rufbereitschaft (01.07.2022)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
  • Pathologiebesprechungen
  • Palliativbesprechungen
RM12

Use of standardised information sheets

RM13

Application of standardised surgical check lists

RM15

Preoperative, complete presentation of necessary findings

Präoperative Befunde (01.07.2022)

RM16

Procedure to avoid procedural and patient mix-ups

WHO-Checkliste (01.07.2022)

RM17

Standards for recovery and postoperative care

OP-Managementsystem (01.07.2022)

RM18

Discharge management

Entlassmanagement (01.07.2022)

Fault reporting systems

Conference committee

Conference frequency: bei Bedarf

Measures

No. Explanation
IF01

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

As of: 01.07.2022

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 jährlich

Conference committee

Conference frequency: