Dealing with risks in patient care

Quality management

Ute Hennig

Qualitätsmanagement

Promenadenstrasse 3 - 5
12207 Berlin

Phone: 030 -7791-9185
Mail: ed.tenlehteb@ginneh.etu

Leily Fatemi

Qualitätsmanagement

Promenadenstrasse 3 - 5
12207 Berlin

Phone: 030 -7791-9185
Mail: ed.tenlehteb@imetaf.yliel

Interdisziplinäres und berufsgruppenübergreifendes Gremium

Conference frequency: quartalsweise

Risk management

Ute Hennig

Qualitätsmanagement

Promenadenstrasse 3 - 5
12207 Berlin

Phone: 030 -7791-9185
Fax: 030-772-3349
Mail: ed.tenlehteb@ginneh.etu

Leily Fatemi

Qualitätsmanagement

Promenadenstrasse 3 - 5
12207 Berlin

Phone: 030 -7791-9185
Fax: 030-772-3349
Mail: ed.tenlehteb@imetaf.yliel

Interdisziplinäres und berufsgruppenübergreifendes Gremium

Conference frequency: quartalsweise

Risk management instruments and measures

No. Explanation
RM01

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

Klinisches Risikomanagement (15.01.2021)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Klinisches Risikomanagement (15.01.2021)

RM05

Pain management

Klinisches Risikomanagement (15.01.2021)

RM06

Fall prophylaxis

Klinisches Risikomanagement (15.01.2021)

RM07

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

Klinisches Risikomanagement (15.01.2021)

RM08

Regulated handling of custodial measures

Klinisches Risikomanagement (01.06.2021)

RM09

Regulated handling of occurring malfunctions of devices

Klinisches Risikomanagement (03.05.2021)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
  • Palliativbesprechungen
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

Klinisches Risikomanagement (01.05.2021)

RM15

Preoperative, complete presentation of necessary findings

Checkliste zu OP-Vorbereitung (01.10.2021)

RM16

Procedure to avoid procedural and patient mix-ups

Klinisches Risikomanagement (01.05.2021)

RM17

Standards for recovery and postoperative care

Maßnahmen imm Aufwachraum (01.06.2021)

RM18

Discharge management

Klinisches Risikomanagement (01.07.2021)

Fault reporting systems

Conference committee

Conference frequency: bei Bedarf

Measures

Erstellen, überarbeiten und korrigieren von SOP`s ,Behandlungspfaden und betrieblichen Abläufen

No. Explanation
IF01

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

As of: 15.01.2021

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 halbjährlich

Conference committee

Conference frequency: quartalsweise

No. Explanation
EF02

CIRS Berlin (Medical Association Berlin, German Medical Association, National Association of Statutory Health Insurance Doctors)