Dealing with risks in patient care

Quality management

Thomas Lehmann

Zentral QMB Geschäftsbereich Nord Ost

Kladower Damm 223
14089 Berlin

Phone: 038203 -44-502
Mail: ed.nekinilk-naidem@nnamhel.samoht

Kaufmännische Leitung, Assistentin d. kfm. Leitung, Chefarzt, Pflegedienstleitung, Therapeutische Leitung

Conference frequency: quartalsweise

Risk management

Thomas Lehmann

Zentral QMB Geschäftsbereich Nord Ost

Phone: 038203 -44-502
Fax: 038203-44-0
Mail: ed.nekinilk-naidem@nnamhel.samoht

Kaufmännische Leitung, Chefarzt, Pflegedienstleitung, Assistentin d. kfm. Leitung, QMB

Conference frequency: quartalsweise

Risk management instruments and measures

No. Explanation
RM01

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

Richtlinie Risikomanagement (30.06.2020)

RM02

Regular further education and training measures

RM04

Clinical emergency management

VA Notfallmanagement (30.06.2020)

RM06

Fall prophylaxis

VA Sturzmanagement (15.04.2020)

RM07

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

Richtlinie Risikomanagement (30.06.2020)

RM08

Regulated handling of custodial measures

Richtlinie Risikomanagement (30.06.2020)

RM09

Regulated handling of occurring malfunctions of devices

Richtlinie Risikomanagement (30.06.2020)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Palliativbesprechungen
  • Qualitätszirkel
RM18

Discharge management

VA Entlassmanagement (15.04.2020)

Fault reporting systems

Conference committee

Conference frequency: quartalsweise

Measures

Bewertung nach Risikoklassen und entsprechenden Handlungsabläufen. Einführung/Erweiterung der internen Fortbildungen von Ärzten an Pflegefachpersonal. Einführung neuer Kontroll-/Messparameter.

No. Explanation
IF01

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

As of: 30.06.2021

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 jährlich

Conference committee

Conference frequency: quartalsweise

No. Explanation

Other