Dealing with risks in patient care

Quality management

Darija Barisic

Medizincontrolling

Walterhöferstraße 11
14165 Berlin

Phone: 030 -8102-60311
Mail: ed.tiehdnuseg-soileh@cisiraB.ajiraD

Conference frequency:

Risk management

Andrè Calabretta

Risikomanagement

Phone: 030 -8102-1010
Fax: 030-8102-63583
Mail: ed.tiehdnuseg-soileh@atterbalac.erdna

KGF, Medizincontrolling, Risikomanagement

Conference frequency: monatlich

Risk management instruments and measures

No. Explanation
RM01

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

QS und Risk-Dokumentation (01.06.2023)

RM02

Regular further education and training measures

RM03

Employee surveys

RM05

Pain management

QS und Risk-Dokumentation (01.06.2023)

RM06

Fall prophylaxis

QS und Risk-Dokumentation (01.06.2023)

RM07

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

QS und Risk-Dokumentation (01.06.2023)

RM08

Regulated handling of custodial measures

QS und Risk-Dokumentation (01.06.2023)

RM09

Regulated handling of occurring malfunctions of devices

QS und Risk-Dokumentation (01.06.2023)

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

QS und Risk-Dokumentation (01.06.2023)

RM15

Preoperative, complete presentation of necessary findings

QS und Risk-Dokumentation (01.06.2023)

RM16

Procedure to avoid procedural and patient mix-ups

QS und Risk-Dokumentation (01.06.2023)

RM17

Standards for recovery and postoperative care

QS und Risk-Dokumentation (01.06.2023)

RM18

Discharge management

QS und Risk-Dokumentation (01.06.2023)

Fault reporting systems

Conference committee

Conference frequency: monatlich

Measures

Prozessoptimierung in der Rettungsstelle, M & M Konferenz.

No. Explanation
IF01

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

As of: 01.08.2019

Conference committee

Conference frequency: monatlich

No. Explanation
EF01

CIRS AINS (Professional Association of German Anaesthetists and German Society for Anaesthesiology and Intensive Care Medicine, German Medical Association)

EF03

KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association)

EF10

CIRS of the German Society of Surgery (DGCH)