Dealing with risks in patient care

Quality management

Dorit Zahn

stellvertr. kaufm. Direktion, Verwaltungsdirektorin

Ketziner Straße 21
14641 Nauen

Phone: 03321 -42-1385
Mail: ed.nekinilk-dnallevah@nhaz.tirod

Verwaltungsdirektion, Qualitätsmanagement, Pflegeleitung, Apotheke, Case Management, externe Qualitätssicherung, ärztliche Direktion

Conference frequency: monatlich

Risk management

Mike Lehsnau

Ärztlicher Direktor

Ketziner Straße 19
14641 Nauen

Phone: 03321 -42-1930
Fax: 03321-42-151036
Mail: ed.nekinilk-dnallevah@uanshel.ekim

Verwaltungsdirektion, Qualitätsmanagement, Pflegeleitung, Apotheke, Case Management, externe Qualitätssicherung, ärztliche Direktion

Conference frequency: monatlich

Risk management instruments and measures

No. Explanation
RM01

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

QM- Konzept und RM Handbuch (09.08.2021)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Alarmserver (06.06.2023)

RM06

Fall prophylaxis

8111 Sturzprophylaxe (27.02.2023)

RM07

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

Moderne Wundversorgung (21.06.2021)

RM09

Regulated handling of occurring malfunctions of devices

2009 Umgang mit Medizinprodukten (18.10.2023)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Mortalitäts- und Morbiditätskonferenzen
RM12

Use of standardised information sheets

RM16

Procedure to avoid procedural and patient mix-ups

Pat. Armband (19.06.2023)

Fault reporting systems

Conference committee

Conference frequency: quartalsweise

Measures

z.B. Umstellung von Medikamenten von Handelsnamen auf Wirkstoffe, Patientenarmband zur sicheren Identifikation, OP- Checkliste

No. Explanation
IF02

Internal evaluation of the received reports

taken quartalsweise

IF03

Training of employees in handling the error reporting system and in implementing the findings from the error reporting system

taken halbjährlich

Conference committee

Conference frequency: quartalsweise

No. Explanation

Other