Dealing with risks in patient care
Quality management
Fanny Schiergott
QMB
Dickensweg 25 - 39
14055 Berlin
Phone:
030
-30008-172
Mail:
ed.suahneknarkneniluap@ttogreihcs
Die Funktion eines Lenkungsgremiums wird durch die Krankenhausleitung wahrgenommen.
Conference frequency: monatlich
Risk management
Fanny Schiergott
QMB
Dickensweg 25 - 39
14055 Berlin
Phone:
030
-30008-172
Fax: 030-30008-220
Mail:
ed.suahneknarkneniluap@ttogreihcs
Die Funktion eines Lenkungsgremiums wird durch die Krankenhausleitung wahrgenommen.
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM Handbuch und Konzeption zum Risikomanagement (17.08.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management SOP Reanimation (15.09.2022) |
| RM05 |
Pain management SOP Schmerzmanagement (06.10.2022) |
| RM06 |
Fall prophylaxis SOP Sturzprophylaxe (01.07.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Algorithmus Dekubitusprophylaxe (02.07.2022) |
| RM08 |
Regulated handling of custodial measures DA Freiheitsentziehende Maßnahmen (02.05.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices DA Umgang mit Medizinprodukten Organisationshandbuch Medizinprodukte (27.01.2022) |
| 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 Stationshandbuch: Anweisung zur Nutzung von Patientenarmbändern SOP Patientenaufnahme: Anweisung zur sicheren Identifizierung (01.08.2022) |
| RM17 |
Standards for recovery and postoperative care Pflegerichtlinie: Umgang mit frisch operierten Patienten (22.07.2022) |
| RM18 |
Discharge management DA Entlassungsmanagement (30.09.2021) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Maßnahmen nach CIRS-Meldungen werden fallorientiert diskutiert und veranlasst.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 28.09.2022 |
| 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 quartalsweise |
Conference committee
Conference frequency: