Dealing with risks in patient care

Quality management

Dr. J. Danckert

GF Klinikmanagement

Dominicusstraße 5-9
10823 Berlin

Phone: 030 -13010-
Mail: ed.setnaviv@ofni

Vorstand der Geschäftsführung, Geschäftsführungsbereich Klinikmanagement, Qualitätsmanagement, Geschäftsführende und ärztliche Direktion am Standort

Conference frequency: andere Frequenz

Risk management

J. Danckert

GF Klinikmanagement

Phone: 030 -13010-
Mail: ed.setnaviv@ofni

Vorstand der Geschäftsführung, Geschäftsführungsbereich Klinikmanagement, Qualitätsmanagement, Geschäftsführende und ärztliche Direktion am Standort

Conference frequency: andere Frequenz

Risk management instruments and measures

No. Explanation
RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Verfahrensanweisung (08.09.2021)

RM05

Pain management

SOP (09.02.2022)

RM06

Fall prophylaxis

SOP (10.09.2021)

RM07

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

SOP (04.08.2021)

RM08

Regulated handling of custodial measures

Verfahrensanweisung (30.06.2023)

RM09

Regulated handling of occurring malfunctions of devices

Verfahrensanweisung (14.06.2022)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Mortalitäts- und Morbiditätskonferenzen
  • Qualitätszirkel
  • Tumorkonferenzen
  • Pathologiebesprechungen
  • Palliativbesprechungen
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

Verfahrensanweisung (08.09.2021)

RM15

Preoperative, complete presentation of necessary findings

Verfahrensanweisung (08.09.2021)

RM16

Procedure to avoid procedural and patient mix-ups

Verfahrensanweisung (23.06.2023)

RM17

Standards for recovery and postoperative care

Verfahrensanweisung (09.05.2023)

RM18

Discharge management

Verfahrensanweisung (31.05.2023)

Fault reporting systems

Conference committee

Conference frequency: quartalsweise

Measures

gemäß PDCA-Zyklus

No. Explanation
IF01

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

As of: 16.06.2023

IF02

Internal evaluation of the received reports

taken bei Bedarf

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: bei Bedarf

No. Explanation
EF02

CIRS Berlin (Medical Association Berlin, German Medical Association, National Association of Statutory Health Insurance Doctors)