Dealing with risks in patient care
Quality management
Katrin Schmidt
Leiterin Service und Organisationsentwicklung
Lützowstraße 26
10785 Berlin
Phone:
030
-2506-113
Mail:
ed.dsj@tdimhcs.nirtak
Geschäftsführer, Ärztlicher Direktor, Pflegedirektorin
Conference frequency: monatlich
Risk management
Katrin Schmidt
Leiterin Service und Organisationsentwicklung
Lützowstraße 26
10785 Berlin
Phone:
030
-2506-113
Fax: 030-2506-119
Mail:
ed.dsj@tdimhcs.nirtak
Qualitätsmanagement, Geschäftsführung
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Qualitätshandbuch seit 2014 (11.12.2014) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Qualitätshandbuch seit 2014 (11.12.2014) |
| RM05 |
Pain management Qualitätshandbuch seit 2014 (11.12.2014) |
| RM06 |
Fall prophylaxis Qualitätshandbuch seit 2014 (11.12.2014) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Qualitätshandbuch seit 2014 (11.12.2014) |
| RM08 |
Regulated handling of custodial measures Qualitätshandbuch seit 2014 (11.12.2014) |
| RM09 |
Regulated handling of occurring malfunctions of devices Qualitätshandbuch seit 2014 (11.12.2014) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM16 |
Procedure to avoid procedural and patient mix-ups Qualitätshandbuch seit 2014 (11.12.2014) |
| RM18 |
Discharge management Qualitätshandbuch seit 2014 (11.12.2014) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Schulungen der Mitarbeiter zur Anwendung der vorhandenen Verfahrensbeschreibungen; Erarbeitung und Schulung von Verfahrensbeschreibungen zu Arbeitsprozessen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 09.08.2014 |
| 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: monatlich
| No. | Explanation |
|---|---|
|
Other |