Dealing with risks in patient care
Quality management
Dipl.-Ing. (FH) Matthias Kasiske
Verantwortlicher Qualitätsmanagement
Schützenstrasse 28
15848 Beeskow
Phone:
03366
-444-600
Mail:
ed.hk-so@eksisak.m
Zentrales QM-Leitungsteam (Geschäftsführer, Leitender Chefarzt, Pflegedienstleitung)
Conference frequency: bei Bedarf
Risk management
Matthias Kasiske
Verantwortlicher Qualitätsmanagement
Phone:
03366
-444-600
Fax: 03366-444-601
Mail:
ed.hk-so@eksisak.m
Zentrales RM-Leitungsteam (Geschäftsführer, Leitender Chefarzt, Pflegedienstleitung)
Conference frequency: bei Bedarf
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Indikation zur Intensivtherapie/Intensivobservation (15.09.2015) |
| RM05 |
Pain management Intravenöse patientenkontrollierte Analgesie; SOP Pflegerisches Schmerzmanagement bei Patienten mit chronischen Schmerzen; SOP Pflegerisches Schmerzmanagement bei Patienten mit akuten Schmerzen (01.10.2018) |
| RM06 |
Fall prophylaxis SOP Sturzmanagement im Oder-Spree Krankenhaus (01.01.2017) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) SOP Prophylaxe und Umgang mit Decubital ulcera im Oder-Spree-Krankenhaus (01.04.2015) |
| RM08 |
Regulated handling of custodial measures SOP Sturzmanagement im Oder-Spree-Krankenhaus (01.01.2017) |
| RM09 |
Regulated handling of occurring malfunctions of devices Organisationshandbuch Medizintechnik (07.09.2018) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM16 |
Procedure to avoid procedural and patient mix-ups SOP Patientenidentifikation im Oder-Spree Krankenhaus (01.01.2017) |
| RM17 |
Standards for recovery and postoperative care Postoperative Betreuung chirurgischer Patienten (29.02.2012) |
| RM18 |
Discharge management Verfahrensanweisung Entlassungsmanagement (01.10.2017) |
Fault reporting systems
Conference committee
Conference frequency:
Measures
Verfahrensanweisung zur Erfassung von Komplikationen und Zwischenfällen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 01.12.2017 |
| 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: