Dealing with risks in patient care
Quality management
Dr. J. Danckert
GF Klinikmanagement
Dieffenbachstraße 1
10967 Berlin
Phone:
030
-13011-
Mail:
ed.setnaviv@ofni
Vorstand der Geschäftsführung, Geschäftsführungsbereich Klinikmanagement, Ressort Entwicklung Krankenversorgung und Qualität, Geschäftsführende und ärztliche Direktion am Standort
Conference frequency: andere Frequenz
Risk management
Vorstand der Geschäftsführung, Geschäftsführungsbereich Klinikmanagement, Ressort Entwicklung Krankenversorgung und Qualität, Geschäftsführende und ärztliche Direktion am Standort
Conference frequency: andere Frequenz
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Verfahrensanweisung (08.09.2021) |
| RM05 |
Pain management SOP (09.02.2022) |
| RM06 |
Fall prophylaxis SOP (10.09.2021) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) SOP (04.08.2021) |
| RM08 |
Regulated handling of custodial measures Verfahrensanweisung (30.06.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices Verfahrensanweisung (14.06.2022) |
| 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 Verfahrensanweisung (08.09.2021) |
| RM15 |
Preoperative, complete presentation of necessary findings Verfahrensanweisung (08.09.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Verfahrensanweisung (23.06.2023) |
| RM17 |
Standards for recovery and postoperative care Verfahrensanweisung (09.05.2023) |
| RM18 |
Discharge management Verfahrensanweisung (31.05.2023) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
gemäß PDCA-Zyklus
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 16.06.2023 |
| 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: quartalsweise
| No. | Explanation |
|---|---|
| EF02 |
CIRS Berlin (Medical Association Berlin, German Medical Association, National Association of Statutory Health Insurance Doctors) |