Dealing with risks in patient care
Quality management
Leily Fatemi
Qualitätsmanagement
Promenadenstrasse 3 - 5
12207 Berlin
Phone:
030
-7791-9185
Mail:
ed.tenlehteb@imetaf.yliel
Interdisziplinäres und berufsgruppenübergreifendes Gremium
Conference frequency: bei Bedarf
Risk management
Rüdiger Haase
Haupt- und medizinischer Geschäftsführer/ Chefarzt Orthopädie und Unfallchirurgie
Promenadenstrasse 3 - 5
12207 Berlin
Phone:
030
-7791-2309
Fax: 030-772-3349
Mail:
ed.teNlehteB@esaaH.regideuR
Interdisziplinäres und berufsgruppenübergreifendes Gremium
Conference frequency: bei Bedarf
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Organisationshandbuch (01.08.2024) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Notfallhandbuch (01.03.2025) |
| RM05 |
Pain management Akutschmerzdienst Handbuch (01.06.2025) |
| RM06 |
Fall prophylaxis Sturzmanagement (01.02.2024) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Wundmanagement (15.07.2024) |
| RM08 |
Regulated handling of custodial measures Sturzmanagement (01.02.2024) |
| RM09 |
Regulated handling of occurring malfunctions of devices Medizinprodukte (01.08.2024) |
| 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 Anästhesie und Intensiv Handbuch (01.08.2024) |
| RM15 |
Preoperative, complete presentation of necessary findings Checkliste zu OP-Vorbereitung (01.01.2025) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Bereichsübergreifende Dokumente (01.08.2024) |
| RM17 |
Standards for recovery and postoperative care Maßnahmen im Aufwachraum (01.06.2025) |
| RM18 |
Discharge management Bereichsübergreifende Dokumente (01.01.2025) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Erstellung, Überarbeitung und Korrektur von Verfahrensanweisungen (VAs), Standardarbeitsanweisungen (SOPs), Behandlungspfaden und betrieblichen Abläufen.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 01.08.2024 |
| IF02 |
Internal evaluation of the received reports taken jährlich |
| 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 (Berlin Medical Association, German Medical Association) |