Dealing with risks in patient care
Quality management
Dipl.Betriebswirt (FH) Martin Kühn
Bereichsleiter QM/QS/kRM
Krankenhausstraße 10
01968 Senftenberg
Phone:
03573
-75-1408
Mail:
ed.anas@nheuK.nitraM
Geschäftsführer, Ärztlicher Direktor, Pflegedirektorin, Kaufmännischer Direktor, QMB
Conference frequency: quartalsweise
Risk management
Martin Kühn
Bereichsleiter QM/QS/kRM
Phone:
03573
-75-1408
Fax: 03573-75-1409
Mail:
ed.anas@nheuK.nitraM
Geschäftsführer, Ärztlicher Direktor, Pflegedirektorin, Kaufmännischer Direktor, QMB
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Qualitäts- und Klinisches Risikomanagement (30.09.2024) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Qualitäts- und Klinisches Risikomanagement (30.09.2024) |
| RM05 |
Pain management Qualitäts- und Klinisches Risikomanagement (30.09.2024) |
| RM06 |
Fall prophylaxis Qualitäts- und Klinisches Risikomanagement (30.09.2024) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Qualitäts- und Klinisches Risikomanagement (30.09.2024) |
| RM08 |
Regulated handling of custodial measures Qualitäts- und Klinisches Risikomanagement (30.09.2024) |
| RM09 |
Regulated handling of occurring malfunctions of devices Auftragsverwaltung/Hotline/Rufbereitschaft (30.09.2024) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| 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 Qualitäts- und Klinisches Risikomanagement (30.09.2024) |
| RM15 |
Preoperative, complete presentation of necessary findings Präoperative Befunde (30.09.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Qualitäts- und Klinisches Risikomanagement (30.09.2024) |
| RM17 |
Standards for recovery and postoperative care Qualitäts- und Klinisches Risikomanagement (30.09.2024) |
| RM18 |
Discharge management Qualitäts- und Klinisches Risikomanagement (30.09.2024) |
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: 30.09.2024 |
| 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: