Dealing with risks in patient care
Quality management
Annett Blank Maria Giese
QMB
An der Reha-Klinik 1
15537 Grünheide
Phone:
03362
-739218-263
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, Fehlersammelliste, Fehlererfassungsbogen, VA Umgang mit Patientenarmbändern, VA BTM (01.07.2022) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management VA Verhalten in Krisensituationen, Notfallmanagement (08.03.2023) |
| RM05 |
Pain management Expertenstandart Schmerzmanagement, Schmerzprotokolle (01.06.2020) |
| RM06 |
Fall prophylaxis Zentrale VA Fehlermanagement, Fehlersammelliste, Fehlererfassungsbogen, VA Umgang mit Patientenarmbändern, VA BTM (01.07.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Zentrale VA Fehlermanagement, Fehlersammelliste, Fehlererfassungsbogen, VA Umgang mit Patientenarmbändern, VA BTM (01.07.2022) |
| RM08 |
Regulated handling of custodial measures VA freiheitsentziehende Maßnahmen Fehlererfassungsbogen (02.04.2020) |
| RM09 |
Regulated handling of occurring malfunctions of devices VA Umgang mit aktiven Medizinprodukten, VA POCT, VA GEM, VA Blutzucker und Ketonmessungen, Fehlererfassungsbogen, (29.04.2020) |
| 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 Zentrale VA Fehlermanagement, Fehlersammelliste, Fehlererfassungsbogen, VA Umgang mit Patientenarmbändern, VA BTM (01.07.2022) |
| RM18 |
Discharge management Zentrale VA Fehlermanagement, Fehlersammelliste, Fehlererfassungsbogen, VA Umgang mit Patientenarmbändern, VA BTM (01.07.2022) |
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: 06.09.2021 |
| 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 (Medical Association Berlin, German Medical Association, National Association of Statutory Health Insurance Doctors) |