Dealing with risks in patient care
Quality management
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
Sabine Höhne
Risikomanagerin
Phone:
030
-9401-55500
Fax: 030-9401-55519
Mail:
ed.tiehdnuseg-soileh@enheoH.enibaS
Verantwortliche Person, Klinikgeschäftsführer, Ärztlicher Direktor
Conference frequency: jährlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Interdisziplinäre Leitlinie (22.05.2024) |
| RM05 |
Pain management Handlungsempfehlung Schmerzmanagement in der Pflege bei akuten und chronischen Schmerzen - https://md-bund.de/themen/pflegequalitaet/expertenstandards-in-der-pflege.html (01.06.2022) |
| RM06 |
Fall prophylaxis Beschluss der FG 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 Konzernregelung und Checkliste Freiheitsentziehende Maßnahmen (12.03.2024) |
| RM09 |
Regulated handling of occurring malfunctions of devices Verfahrensstandard Umgang mit Produktproblemen (01.06.2023) |
| 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 (17.10.2023) |
| RM15 |
Preoperative, complete presentation of necessary findings Konzernregelung OP-Sicherheit (17.10.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Konzernregelung OP-Sicherheit (17.10.2023) |
| RM17 |
Standards for recovery and postoperative care Fachgruppenbeschluss zur Erhebung des Early Warning Scores bei Verlegung aus dem Aufwachraum (10.03.2023) |
| RM18 |
Discharge management Entlassmanagement (12.10.2023) |
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 bei Bedarf |
| IF03 |
Training of employees in handling the error reporting system and in implementing the findings from the error reporting system taken jährlich |
Conference committee
Conference frequency: monatlich
| No. | Explanation |
|---|---|
|
Other |