Dealing with risks in patient care
Quality management
Manuel Thoms
Qualitätsmanagementbeauftragter
Hochstraße 29
14770 Brandenburg
Phone:
03381
-41-2150
Mail:
ed.grubnednarb-mukinilk@smoht.m
Die monatlich tagende Betriebsleitung steuert alle Belange des QM.
Conference frequency: monatlich
Risk management
Gabriele Wolter
Geschäftsführerin
Hochstraße 29
14770 Brandenburg
Phone:
03381
-41-2000
Mail:
ed.grubnednarb-mukinilk@tkatnok
Die monatlich tagende Betriebsleitung steuert alle Belange des QM.
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available OR 001-010 Klinikmanagementhandbuch für den Standort Brandenburg (13.06.2022) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management OR 001-400 Notfallhandbuch für den Standort Brandenburg (14.04.2022) |
| RM05 |
Pain management SOP 001-001 Schmerzmanagement für den Standort Brandenburg (06.09.2022) |
| RM06 |
Fall prophylaxis PL 020-002 Sturzprophylaxe für den Standort Brandenburg (02.06.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) PL 020-001 Dekubitus für den Standort Brandenburg (03.11.2021) |
| RM08 |
Regulated handling of custodial measures OR 001-029 für den Standort Brandenburg (05.10.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices OR 305-002 für den Standort Brandenburg (02.06.2022) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| 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 OR 003-501 für den Standort Brandenburg (26.08.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings OR 003-501 für den Standort Brandenburg (26.08.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups OR 003-501 für den Standort Brandenburg (26.08.2022) |
| RM17 |
Standards for recovery and postoperative care SOP 003-108 Überwachung im Aufwachraum für den Standort Brandenburg (12.04.2021) |
| RM18 |
Discharge management OR 001-126 Entlassmanagement (16.11.2023) |
Fault reporting systems
Conference committee
Conference frequency: wöchentlich
Measures
wöchentliche Besprechung der Meldungen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 22.08.2022 |
| 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: