Dealing with risks in patient care
Quality management
Tina Thomas
Qualitätsmanagementbeauftragte
Breite Straße 46/47
13187 Berlin
Phone:
030
-47517-220
Mail:
ed.woknap-kinilk-satirac@bmq
Janine Landt
Qualitätsmanagementbeauftragte
Breite Straße 46/47
13187 Berlin
Phone:
030
-47517-220
Mail:
ed.woknap-kinilk-satirac@bmq
Heike Dragowsky
Qualitätsmanagementbeauftragte
Breite Straße 46/47
13187 Berlin
Phone:
030
-47517-220
Mail:
ed.woknap-kinilk-satirac@bmq
Mitglieder der Steuerungsgruppe Krankenhausleitung, Mitarbeitervertretung, QMB sowie Qualitätsbeauftragten-Gruppe mit Vertretern aus allen Abteilungen/Bereichen
Conference frequency: andere Frequenz
Risk management
Tina Thomas
Qualitätsmanagementbeauftragte
Breite Str. 46/47
13187 Berlin
Phone:
030
-47517-220
Fax: 030-47517-272
Mail:
ed.woknap-kinilk-satirac@bmq
Janine Landt
Qualitätsmanagementbeauftragte
Breite Str. 46/47
13187 Berlin
Phone:
030
-47517-220
Fax: 030-47517-202
Mail:
ed.woknap-kinilk-satirac@bmq
Heike Dragowsky
Qualitätsmanagementbeauftragte
Breite Str. 46/47
13187 Berlin
Phone:
030
-47517-220
Fax: 030-47517-202
Mail:
ed.woknap-kinilk-satirac@bmq
Vertreter aus allen Abteilungen / Bereichen
Conference frequency: andere Frequenz
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available VA 08.01 (01.11.2021) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management VA 07.14 (15.05.2021) |
| RM05 |
Pain management VA Schmerzkonzept Caritas-Kliniken Berlin-Brandenburg (25.01.2022) |
| RM06 |
Fall prophylaxis VA 08.08 (25.11.2020) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) VA 07.11 (08.11.2023) |
| RM08 |
Regulated handling of custodial measures VA 08.09 (05.12.2019) |
| RM09 |
Regulated handling of occurring malfunctions of devices VA 09.01 (21.05.2022) |
| 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 OP-Organisationsstatut, OP-Sicherheitscheckliste (18.10.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings VA 08.01 (01.11.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups VA 07.19 (01.04.2022) |
| RM17 |
Standards for recovery and postoperative care AA AN 07 (01.04.2022) |
| RM18 |
Discharge management VA 07.03 (01.11.2023) |
Fault reporting systems
Conference committee
Conference frequency: andere Frequenz
Measures
Lernbotschaften zu bestehenden Regelungen, klare Zuständigkeitsregelungen ( Patientenidentifikation, Kommunikation, Prozessabläufe, Sorgfaltspflicht, Notaufnahme, Medikamentenmanagement, MRSA, Sicherstellung von Prüfverfahren, IT Lösungsansätze, Übergabe, externe Fallberichte aus dem Netzwerk CIRS)
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 28.06.2023 |
| 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: halbjährlich
| No. | Explanation |
|---|---|
| EF02 |
CIRS Berlin (Medical Association Berlin, German Medical Association, National Association of Statutory Health Insurance Doctors) |