Dealing with risks in patient care
Quality management
Frau Kerstin Markurt
Leitung Abteilung Betriebsorganisation/Projektmanagement
Herzbergstr. 79
10365 Berlin
Phone:
030
-5472-2148
Mail:
ed.nilreb-hek@trukram.k
Die Krankenhausbetriebsleitung, der der Kaufmännische Direktor, der Ärztliche Direktor mit Stellvertreter, der Pflegedirektor und die Theologin der KHBL angehört, übernimmt die Funktion des Lenkungsausschusses.
Conference frequency: quartalsweise
Risk management
Manfred Lang
Ärztlicher Direktor
Herzbergstraße 79
10365 Berlin
Phone:
030
-5472-3200
Fax: 030-5472-2000
Mail:
ed.nilreb-hek@gnal.m
Die Krankenhausbetriebsleitung, der der Kaufmännische Direktor, der Ärztliche Direktor mit Stellvertreter, der Pflegedirektor und die Theologin der KHBL angehört, übernimmt die Funktion des Lenkungsausschusses.
Conference frequency: jährlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Organisationshandbuch (15.10.2022) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Organisationshandbuch (15.10.2022) |
| RM06 |
Fall prophylaxis Organisationshandbuch (15.10.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Organisationshandbuch (15.10.2021) |
| RM08 |
Regulated handling of custodial measures Organisationshandbuch (15.10.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices Organisationshandbuch (15.10.2022) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM15 |
Preoperative, complete presentation of necessary findings Organisationshandbuch (15.10.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Organisationshandbuch (15.10.2022) |
| RM17 |
Standards for recovery and postoperative care Organisationshandbuch (15.10.2022) |
| RM18 |
Discharge management Organisationshandbuch (15.10.2022) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Anpassungen im elektronischen Dokumentationssystem
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 15.10.2022 |
| 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 bei Bedarf |
Conference committee
Conference frequency: monatlich
| No. | Explanation |
|---|---|
| EF02 |
CIRS Berlin (Medical Association Berlin, German Medical Association, National Association of Statutory Health Insurance Doctors) |