Marienstift Arnstadt -Fachklinik für Orthopädie
Dealing with risks in patient care
Quality management
Frau Melanie Wiese
QMB/Risikomanager
Wachsenburgallee 12
99310 Arnstadt
Phone: 03628-720-792
Mail: ed.nra-sm@mq
Klinikleitungssitzung - Kaufm. Vorstand, Med. Vorstand/ CA Orthopädie, CÄ Kinderorthopädie, CÄ Anästhesie, Pflegedienstleitung, Controlling, je nach Bedarf weiteres Personal
Conference frequency: monatlich
Risk management
QMB/Risikomanager
Melanie Wiese
Wachsenburgallee 12
99310 Arnstadt
Phone: 03628-720-792
Fax: 03628-720-266
Mail: ed.nra-sm@mq
Klinikleitungssitzung - Kaufm. Vorstand, Med. Vorstand/ CA Orthopädie, CÄ Kinderorthopädie, CÄ Anästhesie, Pflegedienstleitung, Controlling, je nach Bedarf weiteres Personal
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available DIN EN ISO 9001:2015 (31.10.2021) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Notfallmanagement (14.10.2022) |
| RM05 |
Pain management Schmerzkonzept (30.06.2021) |
| RM06 |
Fall prophylaxis DIN EN ISO 9001:2015 (31.10.2021) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) DIN EN ISO 9001:2015 (31.10.2021) |
| RM08 |
Regulated handling of custodial measures Rechtliche Grundlagen und Verfahren bei Fixierung (16.08.2018) |
| 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 Präoperative Patientenaufnahme Standard (09.11.2021) |
| RM15 |
Preoperative, complete presentation of necessary findings Präop. Fallbesprechung (10.02.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Patientensicherheit (22.10.2020) |
| RM17 |
Standards for recovery and postoperative care Operative Therapie – Postoperative Überwachung (08.07.2021) |
| RM18 |
Discharge management Entlassungsmanagement (09.11.2021) |
Fault reporting systems
Conference committee
Conference frequency: halbjährlich
Measures
- der Medikamenten Verabreichung - gesamter Behandlungsprozess - der postoperativen Anordnungen - Einarbeitung - Transport und Logistik - Schnittstellen Versorgung
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 15.07.2021 |
| 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 jährlich |
Conference committee
Conference frequency: halbjährlich
| No. | Explanation |
|---|---|
| EF02 |
CIRS Berlin (Medical Association Berlin, German Medical Association, National Association of Statutory Health Insurance Doctors) |