Dealing with risks in patient care
Quality management
Angelika Jakolow-Standke
Leitung Qualitäts- und Risikomanagement
Warener Straße 7
12683 Berlin
Phone:
030
-5681-1159
Mail:
ed.bku@ekdnats-wolokaj.akilegna
Qualitätsmanagementbeauftragte der Kliniken und Leitung Qualitäts- und Risikomanagement
Conference frequency: jährlich
Risk management
Angelika Jakolow-Standke
Leitung Qualitäts- und Risikomanagement
Warener Straße 7
12683 Berlin
Phone:
030
-5681-1159
Fax: 030-5681-3003
Mail:
ed.bku@ekdnats-wolokaj.akilegna
Vertreter des Ärztlichen Dienstes, des Pflegedienstes und der Verwaltung
Conference frequency: halbjährlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Risikomanagement-Handbuch (14.04.2022) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Handbuch innerklinische Reanimationen im ukb SOP „Innerklinische Reanimation durch das Reanimationsteam– erweiterte Maßnahmen (ACLS)“ (15.10.2023) |
| RM05 |
Pain management Expertenstandard Schmerzmanagement (28.09.2022) |
| RM06 |
Fall prophylaxis Expertenstandard Sturzmanagement (21.01.2024) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Expertenstandard Dekubitusprophylaxe (28.08.2019) |
| RM08 |
Regulated handling of custodial measures Konzept Freiheitsentziehende Maßnahmen (09.06.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices VA (21.05.2019) |
| 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 OP-Statut (27.03.2024) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Risikomanagement-Handbuch (14.04.2022) |
| RM17 |
Standards for recovery and postoperative care Risikomanagement-Handbuch (14.04.2022) |
| RM18 |
Discharge management Expertenstandard Entlassungsmanagement (21.02.2022) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Verwendung von Patientenidentifikationsbänder, Maßnahmenpaket zum Expertenstandard Sturzprophylaxe - Aufklärungsflyer "Stürze sind vermeidbar"
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 14.04.2022 |
| 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 bei Bedarf |
Conference committee
Conference frequency: quartalsweise
| No. | Explanation |
|---|---|
| EF02 |
CIRS Berlin (Berlin Medical Association, German Medical Association) |