Dealing with risks in patient care

Quality management

Dr. med. Torsten Stein

Beauftragter der obersten Leitung (BoL)/ Ärztlicher Direktor

Karl-Liebknecht-Ring 26a
17491 Greifswald

Phone: 03834 -871-201
Mail: ed.dlawsfierg-kinilk-hdb@deatairaterkes

Geschäftsführer, Ärztlicher Direktor/ Chefarzt, Therapie- und Pflegedienstleitung

Conference frequency: wöchentlich

Risk management

Torsten Stein

Beauftragter der obersten Leitung (BoL)/ Ärztlicher Direktor

Karl-Liebknecht-Ring 26a
17491 Greifswald

Phone: 03834 -871-201
Fax: 03834-871-302
Mail: ed.dlawsfierg-kinilk-hdb@deatairaterkes

Geschäftsführer, Ärztlicher Direktor/ Chefarzt, Therapie- und Pflegedienstleitung

Conference frequency: wöchentlich

Risk management instruments and measures

No. Explanation
RM01

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

KTQ Manual Version 2.0 (15.06.2020)

RM02

Regular further education and training measures

RM04

Clinical emergency management

KTQ Manual Version 2.0 (15.06.2020)

RM06

Fall prophylaxis

KTQ Manual Version 2.0 (15.06.2020)

RM08

Regulated handling of custodial measures

KTQ Manual Version 2.0 (15.06.2020)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
  • im Rahmen regelmäßiger interner Fortbildungen
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

KTQ Manual Version 2.0 (15.06.2020)

RM15

Preoperative, complete presentation of necessary findings

KTQ Manual Version 2.0 (15.06.2020)

RM16

Procedure to avoid procedural and patient mix-ups

KTQ Manual Version 2.0 (15.06.2020)

RM17

Standards for recovery and postoperative care

KTQ Manual Version 2.0 (15.06.2020)

RM18

Discharge management

KTQ Manual Version 2.0 (15.06.2020)

Fault reporting systems

Conference committee

Conference frequency: bei Bedarf

Measures

Veränderungs- und Verbesserungsvorschläge werden regelmäßig zeitnah in der Oberarztrunde besprochen und in anschließender Abstimmung mit dem Ärztlichen Direktor/ Chefarzt umgesetzt

No. Explanation
IF02

Internal evaluation of the received reports

taken quartalsweise

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: