Dealing with risks in patient care

Quality management

André Kruschat

QM

Fehrbelliner Straße 38
16816 Neuruppin

Phone: 03391 -39-11134
Mail: ed.nekinilk-renippur@mq

Qualitätsmanagement, Risikomanagement, Projektmanagement und Prozessmanagement, zusätzlich CIRS-Gruppe

Conference frequency: wöchentlich

Risk management

André Kruschat

QM

Fehrbelliner Straße 38
16816 Neuruppin

Phone: 03391 -39-11134
Fax: 03391-39-11139
Mail: ed.nekinilk-renippur@mq

Qualitätsmanagement, Risikomanagement, Projektmanagement und Prozessmanagement, zusätzlich CIRS-Gruppe

Conference frequency: wöchentlich

Risk management instruments and measures

No. Explanation
RM01

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

VA "Dokumentenmanagement" (01.12.2018)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Katastrophenschutzplan & Brandschutzordnung (30.09.2021)

RM05

Pain management

Schmerztherapie (01.04.2021)

RM06

Fall prophylaxis

Pflegerichtlinie Sturzprophylaxe (01.12.2020)

RM07

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

Dekubitusprophylaxe (30.08.2016)

RM08

Regulated handling of custodial measures

Umgang mit Fixierungen (01.03.2021)

RM09

Regulated handling of occurring malfunctions of devices

Störmeldungen an Geräten (01.11.2019)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
  • Pathologiebesprechungen
  • Palliativbesprechungen
  • Komplikationskonferenz
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

OP Sicherheits Checkliste (20.09.2021)

RM15

Preoperative, complete presentation of necessary findings

OP Sicherheits Checkliste (20.09.2021)

RM16

Procedure to avoid procedural and patient mix-ups

OP Sicherheits Checkliste (20.09.2021)

RM17

Standards for recovery and postoperative care

Aufwachraum Übergabe, Überwachung und Verlegung (05.11.2018)

RM18

Discharge management

Entlassmanagement (30.11.2017)

Fault reporting systems

Conference committee

Conference frequency: andere Frequenz

Measures

CIRS-Gruppe

No. Explanation
IF01

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

As of: 01.06.2016

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: andere Frequenz

No. Explanation

Other

EF13

DokuPIK (Documentation of Pharmaceutical Interventions in Hospitals at the Federal Association of German Hospital Pharmacists (ADKA)