Dealing with risks in patient care

Quality management

Anika Ehlers

Stellv. Leiterin Patientenverwaltung/Qualitätsmanagement

Meyenburger Chaussee 23
16909 Wittstock

Phone: 03394 -427-6101
Mail: ed.nekinilk-gmk@srelhe.a

Klinikleitung

Conference frequency: monatlich

Risk management

Anika Ehlers

Stellv. Leiterin Patientenverwaltung/Qualitätsmanagement

Phone: 03394 -427-6101
Fax: 03394-427-1002
Mail: ed.nekinilk-gmk@srelhe.a

Klinikleitung

Conference frequency: monatlich

Risk management instruments and measures

No. Explanation
RM01

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

Einführung eines softwarebasierten Dokumentenlenkungssystems (VA_Dokumentenlenkung) (29.09.2022)

RM02

Regular further education and training measures

RM04

Clinical emergency management

Einführung eines softwarebasierten Dokumentenlenkungssystems (VA_Dokumentenlenkung) (29.09.2022)

RM06

Fall prophylaxis

Einführung eines softwarebasierten Dokumentenlenkungssystems (VA_Dokumentenlenkung) (29.09.2022)

RM07

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

Einführung eines softwarebasierten Dokumentenlenkungssystems (VA_Dokumentenlenkung) (29.09.2022)

RM08

Regulated handling of custodial measures

Einführung eines softwarebasierten Dokumentenlenkungssystems (VA_Dokumentenlenkung) (29.09.2022)

RM09

Regulated handling of occurring malfunctions of devices

VA_Ausfall_Medizintechnik (01.09.2023)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
  • Qualitätszirkel
RM12

Use of standardised information sheets

RM13

Application of standardised surgical check lists

RM15

Preoperative, complete presentation of necessary findings

Einführung eines softwarebasierten Dokumentenlenkungssystems (VA_Dokumentenlenkung) (29.09.2022)

RM18

Discharge management

Einführung eines softwarebasierten Dokumentenlenkungssystems (VA_Dokumentenlenkung) (29.09.2022)

Fault reporting systems

Conference committee

Conference frequency: quartalsweise

Measures

Einführung Qualitätsmanagement Prozessanpassung Einführung Fehlermeldesystem

No. Explanation
IF01

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

As of: 20.09.2022

IF02

Internal evaluation of the received reports

taken quartalsweise

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: quartalsweise

No. Explanation
EF03

KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors)