Dealing with risks in patient care

Quality management

B.Sc. Enrico Bock

Qualitätsmanagementbeauftragter-Klinik

Schönstraße 80
13086 Berlin

Phone: 030 -9628-3393
Mail: moc.kinilk-krap@kcob.ocirne

Geschäftsführung, Leitung Klinikmanagement, Verwaltungsleitung, ärztliche Direktion, Pflegedirektion

Conference frequency: wöchentlich

Risk management

Enrico Bock

Qualitätsmanagementbeauftragter-Klinik

Schönstraße 80
13086 Berlin

Phone: 030 -9628-3393
Fax: 030-9628-4005
Mail: moc.kinilk-krap@kcob.ocirne

Leitung Klinikmanagement, Justiziariat, Qualitätsmanagement-Klinik, Qualitätsmanagement-Pflege, Versicherungsmanagement

Conference frequency: halbjährlich

Risk management instruments and measures

No. Explanation
RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

SOP Reanimation (01.08.2021)

RM05

Pain management

Richtlinie 23 Schmerzmanagement für akute und chronische Schmerzen (01.11.2019)

RM06

Fall prophylaxis

Richtlinie 21 Sturzprophylaxe (02.11.2020)

RM07

Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”)

Richtlinie 2D Dekubitusprophylaxe (25.02.2020)

RM08

Regulated handling of custodial measures

Dienstanweisung Nr. 33 Freiheitseinschränkende Maßnahmen (08.09.2016)

RM09

Regulated handling of occurring malfunctions of devices

Dienstanweisung Nr. 9 Umsetzung des Medizinproduktegesetzes (27.05.2019)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
  • Palliativbesprechungen
  • Qualitätszirkel
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

Dienstanweisung Nr. 20 Zentral-OP (01.12.2021)

RM15

Preoperative, complete presentation of necessary findings

Dienstanweisung Nr. 20 Zentral-OP (01.12.2021)

RM16

Procedure to avoid procedural and patient mix-ups

Dienstanweisung Nr. 20 Zentral-OP (01.12.2021)

RM17

Standards for recovery and postoperative care

Behandlungsstandards - Aufwachraum (15.11.2018)

RM18

Discharge management

Verfahrensablauf Entlassmanagement (08.10.2019)

Fault reporting systems

Conference committee

Conference frequency: quartalsweise

Measures

z.B. Einführung von Patientenidentifikationsarmbändern für alle stationären Patient:innen

No. Explanation
IF01

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

As of: 07.07.2020

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)