Dealing with risks in patient care
Quality management
Dr. Ute Grünwaldt
Leitung Qualitätsmanagement
Heubnerweg 2
14059 Berlin
Phone:
030
-3264-1670
Mail:
ed.kinilk-krapssolhcs@tdlawneurg.etu
Qualitätskonferenz im Rahmen der Geschäftsführungssitzung
Conference frequency: monatlich
Risk management
Ute Grünwaldt
Leitung Qualitätsmanagement
Heubnerweg 2
14059 Berlin
Phone:
030
-3264-1670
Fax: 030-3264-1675
Mail:
ed.kinilk-krapssolhcs@tdlawneurg.etu
Klinikmanagement, Pflegedirektion, Rechtsabteilung, Qualitätsmanagement, Versicherungsmanagement
Conference frequency: halbjährlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Qualitätskonzept (20.08.2020) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management DA 30 Notfallmanagement (01.08.2020) |
| RM05 |
Pain management RL132 Expertenstandard Schmerzmanagement (01.12.2020) |
| RM06 |
Fall prophylaxis RL118, Expertenstandard Sturzmanagement (01.08.2020) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) RL047, Dekubitusprophylaxe (01.04.2020) |
| RM08 |
Regulated handling of custodial measures DA 37 Freitheitsentziehende Maßnahmen (12.05.2021) |
| RM09 |
Regulated handling of occurring malfunctions of devices DA24 Medizinproduktegesetz (01.09.2020) |
| 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 DA40, OP Statut (20.01.2021) |
| RM15 |
Preoperative, complete presentation of necessary findings DA40, OP Statut (20.01.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups DA40, OP Statut (20.01.2021) |
| RM17 |
Standards for recovery and postoperative care RL108, Postoperative Überwachung und Pflege (01.08.2020) |
| RM18 |
Discharge management Ablaufdiagramm Entlassungsmanagement (19.07.2021) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
SOP zur Indikation und Handhabung eines ZVK
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 25.11.2022 |
Conference committee
Conference frequency: quartalsweise
| No. | Explanation |
|---|---|
| EF02 |
CIRS Berlin (Medical Association Berlin, German Medical Association, National Association of Statutory Health Insurance Doctors) |