Dealing with risks in patient care
Quality management
Petra Wölffling
Qualitätsbeauftragte
Heinrich-Hildebrand-Straße 22
15232 Frankfurt (Oder)
Phone:
0335
-5542-251
Mail:
ed.suahnessinokaid@gnilffleow.artep
Jasmin Lenz
Qualitätsbeauftragte
Heinrich-Hildebrand-Straße 22
15232 Frankfurt (Oder)
Phone:
0335
-5542-251
Mail:
ed.suahnessinokaid@znel.nimsaj
Geschäftsführung; Klinikleitung; Zentrales und Internes Qualitätsmanagement
Conference frequency: monatlich
Risk management
Beata Niewiadomska
Chefärztin Prozessverantwortlicher für das Klinische Risikomanagament
Phone:
0335
-5542-201
Fax: 0335-5542-209
Mail:
ed.suahnessinokaid@aksmodaiwein.ataeb
Vorstand, Geschäftsführung, Klinikleitung
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Risikomanagmenthandbuch;Risikoatlas; Risikenliste_kRM (12.07.2022) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Notfallkonzept (26.01.2022) |
| RM05 |
Pain management ES 1 Expertenstandard Schmerzmanagement (12.06.2021) |
| RM06 |
Fall prophylaxis ES 6 Expertenstandard Sturz (01.06.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) ES 2 Expertenstandard Dekubitusprophylaxe (12.06.2021) |
| RM08 |
Regulated handling of custodial measures Freiheitsentziehende Maßnahmen (06.12.2021) |
| RM09 |
Regulated handling of occurring malfunctions of devices Handbuch MP (27.09.2019) |
| 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 PB_Patientenidentifikation (15.09.2022) |
| RM18 |
Discharge management PB_Entlassung (01.06.2022) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Anpassung PB_Patientenidentifikation; zusätzliche Strukturvorgaben im Umgang mit Blutzuckerkurven
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 17.09.2022 |
| 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 quartalsweise |
Conference committee
Conference frequency: monatlich
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors) |