Dealing with risks in patient care

Quality management

Milica Simon

Qualitätsmanagementbeauftragte

Rasthausstrasse 25
83233 Bernau-Felden

Phone: 08051 -9615-0
Mail: ed.kraplacidem@kcilbeesmeihc

Christine Steffinger

Qualitätsmanagementbeauftragte

Rasthausstrasse 25
83233 Bernau-Felden

Phone: 08051 -9615-0
Mail: ed.kraplacidem@kcilbeesmeihc

Alle Prozessverantwortlichen

Conference frequency: monatlich

Risk management

Alle Prozeßverantwortlichen

Conference frequency: bei Bedarf

Risk management instruments and measures

No. Explanation
RM01

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

Verfahrens- und Arbeitsanweisungen RM; MP QM Handbuch (31.05.2022)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Andreas Bock (06.10.2021)

RM06

Fall prophylaxis

Pflegedirektorin (22.06.2022)

RM09

Regulated handling of occurring malfunctions of devices

MPG Beauftragte (06.10.2021)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
  • Mortalitäts- und Morbiditätskonferenzen
  • wöchentliche Fallbesprechungen und Teambesprechnungen
RM12

Use of standardised information sheets

RM18

Discharge management

Prof. Dr. Menke (geregelter Ablauf- und Verfahrensanweisung) (06.10.2021)

Fault reporting systems

Conference committee

Conference frequency: monatlich

Measures

Anonyme Möglichkeit für alle Mitarbeiter Fehler zu melden; Tagungsfrequenz nach Bedarf mind. 1x monatlich

No. Explanation
IF01

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

As of: 05.10.2022

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: