Dealing with risks in patient care
Quality management
Jasmin Lenz
Qualitätsbeauftragte
Heinrich-Hildebrand-Straße 22
15232 Frankfurt (Oder)
Phone:
0335
-5542-251
Mail:
ed.suahnessinokaid@znel.nimsaj
Geschäftsführung; Klinikleitung; Zentrales und Internes Qualitätsmanagement
Conference frequency: monatlich
Risk management
Beata Niewiadomska
Chefärztin, Prozessverantwortliche für das Klinische Risikomanagement
Phone:
0335
-5542-201
Fax: 0335-5542-209
Mail:
ed.suahnessinokaid@aksmodaiwein.ataeb
Vorstand, Geschäftsführung, Klinikleitung
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Risikomanagmenthandbuch;Risikoatlas; Risikenliste_kRM (31.12.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Notfallkonzept (08.02.2022) |
| RM05 |
Pain management ES 1 Expertenstandard Schmerzmanagement (28.07.2024) |
| RM06 |
Fall prophylaxis ES 6 Expertenstandard Sturz (20.01.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) ES 2 Expertenstandard Dekubitusprophylaxe (26.08.2024) |
| RM08 |
Regulated handling of custodial measures Freiheitsentziehende Maßnahmen (06.12.2021) |
| RM09 |
Regulated handling of occurring malfunctions of devices Handbuch MP (04.08.2024) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM16 |
Procedure to avoid procedural and patient mix-ups PB_Patientenidentifikation (16.09.2022) |
| RM18 |
Discharge management PB_Entlassung (14.12.2021) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Anpassung PB_Patientenidentifikation; zusätzliche Strukturvorgaben im Umgang mit Blutzuckerkurven
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 18.10.2023 |
| 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 quartalsweise |
Conference committee
Conference frequency: monatlich
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |