Dealing with risks in patient care

Quality management

Prof. Dr. Thomas Erler

ärztlicher Direktor

Charlottenstraße 72
14467 Potsdam

Phone: 0331 -241-35903
Mail: ed.bwmukinilk@relrE.samohT

Die monatlich tagende Klinikumsleitung steuert alle Belange des QM

Conference frequency: monatlich

Risk management

Thomas Erler

ärztlicher Direktor

Charlottenstraße 72
14467 Potsdam

Phone: 0331 -241-35903
Mail: ed.bwmukinilk@relrE.samohT

Die monatlich tagende Klinikumsleitung steuert alle Belange des QM

Conference frequency: monatlich

Risk management instruments and measures

No. Explanation
RM01

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

Dokumentenmanagementsystem/ QM-Handbuch - ConSense (07.10.2024)

RM02

Regular further education and training measures

RM04

Clinical emergency management

SOP Notfall und Alarm Algorhythmus Kinderklinik (21.01.2022)

RM08

Regulated handling of custodial measures

DA Freiheitsentziehende Maßnahmen - ConSense QM-Handbuch KEvB - Standort Charlottenstraße (20.03.2024)

RM09

Regulated handling of occurring malfunctions of devices

DA Medizinprodukte ConSense QM-Handbuch KEvB - Standort Charlottenstraße (31.05.2024)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Mortalitäts- und Morbiditätskonferenzen
RM12

Use of standardised information sheets

RM14

Preoperative summary of predictable critical surgical steps, surgical time and expected blood loss

ConSense QM-Handbuch KEvB - Standort Charlottenstraße (09.03.2018)

RM15

Preoperative, complete presentation of necessary findings

ConSense QM-Handbuch KEvB - Standort Charlottenstraße - OP Statut (22.10.2021)

RM16

Procedure to avoid procedural and patient mix-ups

ConSense QM-Handbuch KEvB - Standort Charlottenstraße OP Statut (22.10.2021)

RM17

Standards for recovery and postoperative care

ConSense QM-Handbuch KEvB - Standort Charlottenstraße OP Statut (22.10.2021)

RM18

Discharge management

ConSense QM-Handbuch KEvB - Standort Charlottenstraße OP Statut (22.10.2021)

Fault reporting systems

Conference committee

Conference frequency: bei Bedarf

Measures

Prozessverbesserungen

No. Explanation
IF01

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

As of: 15.02.2022

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 bei Bedarf

Conference committee

Conference frequency: