Dealing with risks in patient care
Quality management
B.Sc. Enrico Bock
Qualitätsmanagementbeauftragter-Klinik
Schönstraße 80
13086 Berlin
Phone:
030
-9628-3393
Mail:
moc.kinilk-krap@kcob.ocirne
Geschäftsführung, Leitung Klinikmanagement, Verwaltungsleitung, ärztliche Direktion, Pflegedirektion
Conference frequency: wöchentlich
Risk management
Enrico Bock
Qualitätsmanagementbeauftragter-Klinik
Schönstraße 80
13086 Berlin
Phone:
030
-9628-3393
Fax: 030-9628-4005
Mail:
moc.kinilk-krap@kcob.ocirne
Leitung Klinikmanagement, Justiziariat, Qualitätsmanagement-Klinik, Qualitätsmanagement-Pflege, Versicherungsmanagement
Conference frequency: halbjährlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management SOP Reanimation (01.08.2021) |
| RM05 |
Pain management Richtlinie 23 Schmerzmanagement für akute und chronische Schmerzen (01.11.2019) |
| RM06 |
Fall prophylaxis Richtlinie 21 Sturzprophylaxe (02.11.2020) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Richtlinie 2D Dekubitusprophylaxe (25.02.2020) |
| RM08 |
Regulated handling of custodial measures Dienstanweisung Nr. 33 Freiheitseinschränkende Maßnahmen (08.09.2016) |
| RM09 |
Regulated handling of occurring malfunctions of devices Dienstanweisung Nr. 9 Umsetzung des Medizinproduktegesetzes (27.05.2019) |
| 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 Dienstanweisung Nr. 20 Zentral-OP (01.12.2021) |
| RM15 |
Preoperative, complete presentation of necessary findings Dienstanweisung Nr. 20 Zentral-OP (01.12.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Dienstanweisung Nr. 20 Zentral-OP (01.12.2021) |
| RM17 |
Standards for recovery and postoperative care Behandlungsstandards - Aufwachraum (15.11.2018) |
| RM18 |
Discharge management Verfahrensablauf Entlassmanagement (08.10.2019) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
z.B. Einführung von Patientenidentifikationsarmbändern für alle stationären Patient:innen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 07.07.2020 |
| 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: quartalsweise
| No. | Explanation |
|---|---|
| EF02 |
CIRS Berlin (Medical Association Berlin, German Medical Association, National Association of Statutory Health Insurance Doctors) |