Dealing with risks in patient care
Quality management
MSc. Markus Franke
Qualitätsmanagementbeauftragter
Rudolf-Breitscheid-Straße 100
16225 Eberswalde
Phone:
03334
-53-697
Mail:
ed.hbm-glg@eknarf.sukram
Lenkungsgremium für das Qualitätsmanagement ist die Krankenhausbetriebsleitung, bestehend aus der Verwaltungsdirektion, dem Leitenden Chefarzt und der Pflegedienstleitung unter Einbeziehung des Qualitätsmanagementbeauftragten.
Conference frequency: monatlich
Risk management
Luise Dierker
Risikomanagement
Phone:
03334
-69-2466
Fax: 03334-69-2467
Mail:
ed.hbm-glg@rekreid.esiul
Luise Dierker
Risikomanagement
Phone:
03334
-69-2466
Fax: 03334-69-2467
Mail:
ed.hbm-glg@rekreid.esiul
Lenkungsgremium für das Qualitätsmanagement ist die Krankenhausbetriebsleitung, bestehend aus der Verwaltungsdirektion, dem Leitenden Chefarzt und der Pflegedienstleitung unter Einbeziehung des Qualitätsmanagementbeauftragten.
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Qualitätsmanagementhandbuch Martin Gropius Krankenhaus GmbH (31.12.2022) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Qualitätsmanagementhandbuch Martin Gropius Krankenhaus GmbH (31.12.2022) |
| RM06 |
Fall prophylaxis Qualitätsmanagementhandbuch Martin Gropius Krankenhaus GmbH (31.12.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Qualitätsmanagementhandbuch Martin Gropius Krankenhaus GmbH (31.12.2022) |
| RM08 |
Regulated handling of custodial measures Qualitätsmanagementhandbuch Martin Gropius Krankenhaus GmbH (31.12.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices Qualitätsmanagementhandbuch Martin Gropius Krankenhaus GmbH (31.12.2022) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM18 |
Discharge management Qualitätsmanagementhandbuch Martin Gropius Krankenhaus GmbH (31.12.2022) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
* Einweisung in Medizingeräte * Zeitverzögerung Medizinischer Notfall * Ausfall Telefonanlage
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 31.12.2022 |
| 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 |
|---|---|
|
Other |
|
| EF02 |
CIRS Berlin (Medical Association Berlin, German Medical Association, National Association of Statutory Health Insurance Doctors) |
| EF03 |
KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors) |