Dealing with risks in patient care
Quality management
Dr. med. Holger Badtke
Leiter Medizincontrolling
Schwanebecker Chaussee 50
13125 Berlin
Phone:
030
-9401-17805
Mail:
ed.tiehdnuseg-soileh@ektdaB.regloH
Dr. med. univ. Alexandra Kretzschmar
Leiterin Medizincontrolling
Schwanebecker Chaussee 50
13125 Berlin
Phone:
030
-9401-17897
Mail:
ed.tiehdnuseg-soileh@ramhcszterK.ardnaxelA
Verantwortliche Person, Klinikgeschäftsführer, Ärztlicher Direktor
Conference frequency: jährlich
Risk management
Claudia Busch
Fallmanagement
Phone:
030
-9401-57887
Fax: 030-9401-57889
Mail:
ed.nekinilk-soileh@hcsuB.aidualC
Birgit Borchardt
Fallmanagement
Phone:
030
-9401-57887
Fax: 030-9401-57889
Mail:
ed.tiehdnuseg-soileh@tdrahcroB.tigriB
Sabine Höhne
Risikomanagerin
Phone:
030
-9401-55500
Fax: 030-9401-55519
Mail:
ed.tiehdnuseg-soileh@enheoH.enibaS
Conference frequency:
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM05 |
Pain management Handlungsempfehlung Schmerzmanagement in der Pflege bei akuten und chronischen Schmerzen (01.09.2019) |
| RM06 |
Fall prophylaxis Beschluss der FG Pflege Sturzprophylaxe (01.02.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Beschluss der FG Pflege Dekubitusprophylaxe (01.11.2021) |
| RM08 |
Regulated handling of custodial measures DA-Freiheitsentziehende Maßnahmen - akute Fixierung (30.06.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices Verfahrensstandard Umgang mit Produktproblemen (ZD Einkauf) (29.05.2015) |
| 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 Konzernregelung OP-Sicherheit (27.01.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings Konzernregelung OP-Sicherheit (27.01.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Konzernregelung OP-Sicherheit (27.01.2022) |
| RM17 |
Standards for recovery and postoperative care SOP AWR (29.08.2023) |
| RM18 |
Discharge management Pflegestandard 1.5. - Entlassungsmanagement (30.09.2023) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Einführung prä-operative OP-Checkliste
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 01.04.2021 |
| IF02 |
Internal evaluation of the received reports taken jährlich |
| 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: monatlich
| No. | Explanation |
|---|---|
|
Other |