Dealing with risks in patient care

Quality management

Frau Bettina Obitz

QML

Goethestrasse 11
24116 Kiel

Phone: 0431 -5909-0
Mail: ed.kinilk-krap@ztibo.b

QMB Sitzungen, QMB Abteilung OP und Anästhesie, QMB Abteilung Pflege, QMB Abteilung Brustzentrum, QMB Abteilung Lager und Logistik, QMB Abteilung Qualitätsmanagement

Conference frequency: quartalsweise

Risk management

Bettina Obitz

QML

Phone: 0431 -5909-0
Fax: 0431-5909-111
Mail: ed.kinilk-krap@ztibo.b

QMB Sitzungen, QMB Abteilung OP und Anästhesie, QMB Abteilung Pflege, QMB Abteilung Brustzentrum, QMB Abteilung Lager und Logistik, QMB Abteilung Qualitätsmanagement

Conference frequency: quartalsweise

Risk management instruments and measures

No. Explanation
RM01

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

Intranetbasiertes Qualitätsmanagement-Handbuch (31.12.2022)

RM02

Regular further education and training measures

RM05

Pain management

Intranetbasiertes Qualitätsmanagement-Handbuch (31.12.2022)

RM06

Fall prophylaxis

Intranetbasiertes Qualitätsmanagement-Handbuch (31.12.2022)

RM09

Regulated handling of occurring malfunctions of devices

Arbeitsanweisung Meldung Vorkommnisse bei Medizinprodukten (31.12.2022)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
  • Tumorkonferenzen
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

Intranetbasiertes Qualitätsmanagement-Handbuch (30.12.2022)

RM16

Procedure to avoid procedural and patient mix-ups

Intranetbasiertes Qualitätsmanagement-Handbuch (31.12.2022)

RM17

Standards for recovery and postoperative care

Intranetbasiertes Qualitätsmanagement-Handbuch (31.12.2022)

RM18

Discharge management

Intranetbasiertes Qualitätsmanagement-Handbuch (31.12.2022)

Fault reporting systems

Conference committee

Conference frequency: monatlich

Measures

Fehlermeldungen und das Anlegen eines CIRS im klinikinternen CMS.

No. Explanation
IF01

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

As of: 31.12.2022

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 jährlich

Conference committee

Conference frequency: