Dealing with risks in patient care
Quality management
Thomas Rudolph
Qualitäts- und Risikomanager
Heinz-Galinski-Straße 1
13347 Berlin
Phone:
030
-4994-2510
Mail:
ed.enilno-bkj@hplodur.samoht
Kaufmännische Direktion, Ärztliche Direktion/Dienst, Pflegerische Direktion/Dienst, Qualitäts- u. Risikomanagement, Klinikmanagement, Medizincontrolling, Medizintechnik, Personalabteilung, Fachkraft für Arbeitssicherheit, ZNA, ITS
Conference frequency: monatlich
Risk management
Andreas Greissinger
Oberarzt Klinik für Innere Medizin - Kardiologie, Angiologie und Intensivmedizin
Heinz-Galinski-Straße 1
13347 Berlin
Phone:
030
-4994-2724
Mail:
ed.enilno-bkj@regnissierg.saerdna
Kaufmännische Direktion, Qualitäts- und Risikomanager, klinischer Risikomanager, Pflegerische Direktion, Finanz- und Liquiditätsmanagement, IT, Technik, Medizincontrolling, Beschwerdemanager
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Risikomanagementhandbuch (26.11.2021) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Medizinisches Notfallmanagement (Dienstanweisung) (07.08.2020) |
| RM05 |
Pain management Handbuch Schmerztherapie (27.04.2018) |
| RM06 |
Fall prophylaxis Sturzprävention (Pflegerichtlinie) (17.08.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Dekubitusprophylaxe (Pflegerichtlinie) (16.08.2022) |
| RM08 |
Regulated handling of custodial measures Freiheitsentziehende Maßnahmen (Dienstanweisung) (27.04.2018) |
| RM09 |
Regulated handling of occurring malfunctions of devices Umsetzung des Medizinproduktegesetzes und der Medizinprodukte Betreiberverordnung (10.01.2020) |
| 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 Checkliste Patientensicherheit (21.04.2020) |
| RM15 |
Preoperative, complete presentation of necessary findings Laufzettel EPZ (21.02.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Checkliste Patientensicherheit (21.04.2020) |
| RM17 |
Standards for recovery and postoperative care Organisationshandbuch Abteilung Anästhesie (15.09.2021) |
| RM18 |
Discharge management Entlassungsmanagement bei stationären Patienten (Verfahrensanweisung) (29.10.2020) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Umstrukturierung des Notfallmanagements, Verbesserung der Medikamentensicherheit, Reduktion von Patientenverwechslungen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 22.03.2022 |
| IF02 |
Internal evaluation of the received reports taken monatlich |
| IF03 |
Training of employees in handling the error reporting system and in implementing the findings from the error reporting system taken halbjährlich |
Conference committee
Conference frequency: quartalsweise
| No. | Explanation |
|---|---|
|
Other |
|
| EF02 |
CIRS Berlin (Medical Association Berlin, German Medical Association, National Association of Statutory Health Insurance Doctors) |