Dealing with risks in patient care

Quality management

Ariane Przybilski

QMB

Fetscherstr. 76
01307 Dresden

Phone: 0351 -450-1821
Mail: moc.nedserd-murtnezzreh@ikslibyzrP.enairA

Herzchirurgie Innere Medizin/Kardiologie Anästhesiologie Pflege

Conference frequency: monatlich

Risk management

Ariane Przybilski

QMB

Fetscherstraße 76
01307 Dresden

Phone: 0351 -450-1821
Mail: moc.nedserd-murtnezzreh@ikslibyzrP.enairA

Herzchirurgie Innere Medizin/Kardiologie Anästhesiologie Pflege

Conference frequency: monatlich

Risk management instruments and measures

No. Explanation
RM01

Comprehensive quality and/or risk management documentation (QM/RM documentation) is available

Managementbewertung, DIN ISO:9001:2015 Zertifizierung, QMH (31.12.2021)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

VA Reanimation CPR (16.09.2021)

RM05

Pain management

VA Schmerzkonzept (22.09.2021)

RM06

Fall prophylaxis

VA Sturzprophylaxe (04.09.2021)

RM07

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

VA Dekubitusprophylaxe (31.03.2021)

RM08

Regulated handling of custodial measures

VA Freiheitsentziehende Maßnahmen (16.09.2021)

RM09

Regulated handling of occurring malfunctions of devices

Abgabe eines Medizinproduktes zur Untersuchung aufgrund des Vorkommnisses (11.11.2021)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Mortalitäts- und Morbiditätskonferenzen
  • M&M Konferenz
  • Komplikationskonferenzen in beiden Fachabteilungen
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

OP Sicherheitscheckliste (01.04.2021)

RM15

Preoperative, complete presentation of necessary findings

Heart Team (01.10.2019)

RM16

Procedure to avoid procedural and patient mix-ups

VA Patientenidentifikation (08.09.2021)

RM17

Standards for recovery and postoperative care

VA Postoperative Versorgung (30.06.2022)

RM18

Discharge management

VA Entlassmanagement (16.09.2021)

Fault reporting systems

Conference committee

Conference frequency: monatlich

Measures

Stop Injekt Kampagne

No. Explanation
IF01

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

As of: 26.11.2021

IF02

Internal evaluation of the received reports

taken monatlich

Conference committee

Conference frequency: quartalsweise

No. Explanation
EF02

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