Muldentalkliniken GmbH, Gemeinnützige Gesellschaft Standort Grimma
Dealing with risks in patient care
Quality management
Rodin Kanitz
Qualitätsbeauftragter
Kleiststraße 5
04668 Grimma
Phone: 03437-9378-1061
Mail: ed.latnedlum-suahneknark@ztinak.nidor
Nicole Denechaud
Qualitätsbeauftragte
Kleiststraße 5
04668 Grimma
Phone: 03437-9378-1061
Mail: ed.latnedlum-suahneknark@duahcened.elocin
Geschäftsleitung
Conference frequency: quartalsweise
Risk management
Geschäftsleitung
Conference frequency: jährlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Qualitätsmanagement (10.10.2019) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Notfall auf Station (09.07.2019) |
| RM05 |
Pain management Schmerzmanagement (24.08.2018) |
| RM06 |
Fall prophylaxis Sturzrisikoeinschätzung und Maßnahmen (01.03.2018) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Dekubitusprophylaxe (25.08.2020) |
| RM08 |
Regulated handling of custodial measures Freiheitsentziehende Maßnahmen (20.05.2019) |
| RM09 |
Regulated handling of occurring malfunctions of devices Qualitätsmanagement (01.09.2017) |
| 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 Qualitätsmanagement (20.03.2019) |
| RM15 |
Preoperative, complete presentation of necessary findings Checkliste (23.04.2019) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Checkliste (23.04.2019) |
| RM17 |
Standards for recovery and postoperative care Qualitätsmanagement (01.09.2017) |
| RM18 |
Discharge management Pflegeüberleitung (01.08.2017) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Regelmäßige Auswertung im Zuge der Teambesprechungen. Maßnahmen werden bei Notwendigkeit festgelegt.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 14.05.2017 |
| 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 |
|---|---|
| EF02 |
CIRS Berlin (Medical Association Berlin, German Medical Association, National Association of Statutory Health Insurance Doctors) |