Dealing with risks in patient care
Quality management
Annett Blank, Maria Giese
QMB
An der Reha-Klinik 1
15537 Grünheide
Phone:
03362
-739-196
Mail:
ed.nekinilk-naidem@knalb.ttenna
Klinikleitung, QMB
Conference frequency: monatlich
Risk management
Klinikleitung, QMB
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Zentrale VA Fehlermanagement, VA Umgang mit Patientenarmbändern, VA BTM (04.03.2024) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Zentrale VA Fehlermanagement, VA Umgang mit Patientenarmbändern, VA BTM (04.03.2024) |
| RM05 |
Pain management Zentrale VA Fehlermanagement, VA Umgang mit Patientenarmbändern, VA BTM (04.03.2024) |
| RM06 |
Fall prophylaxis Sturzprotokolle, Fehlererfassungsbogen (01.01.2025) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Expertenstandard, Fehlererfassungsbogen, Prozessbeschreibung Dekubitus Einschätzung, Dekubitus- Erfasungsbogen (05.08.2024) |
| RM08 |
Regulated handling of custodial measures VA freiheitsentziehende Maßnahmen Fehlererfassungsbogen (05.08.2024) |
| RM09 |
Regulated handling of occurring malfunctions of devices VA Umgang mit aktiven Medizinprodukten, VA POCT, VA GEM, VA Blutzucker und Ketonmessungen, Fehlererfassungsbogen, (02.09.2022) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM16 |
Procedure to avoid procedural and patient mix-ups VA Umgang mit Patientenarmbändern, Fehlererfassungsbogen (03.11.2024) |
| RM18 |
Discharge management VA Entlassungsmanagement, Pflegeüberleitungsbogen, Fehlererfassungsbogen (05.08.2024) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
standardisiertes Sturzmanagement, standardisierte Fehlererfassung (Fehlermeldung über CIRS), Dekubitusprophylaxe, Wundmanagement, Patientenarmband, Risiko- und Chancenbewertung
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 18.10.2024 |
| 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: quartalsweise
| No. | Explanation |
|---|---|
| EF02 |
CIRS Berlin (Berlin Medical Association, German Medical Association) |