Dealing with risks in patient care
Quality management
Dr. med. Gesine Dörr
Ärztliche Direktorin, Chefärztin Klinik für Innere Medizin
Allee nach Sanssouci 7
14471 Potsdam
Phone:
0331
-9682-5000
Mail:
ed.renaixela@rreod.g
Dr. med. Torsten Schulze
Ärztlicher Direktor, Chefarzt Klinik für Anästhesie und Intensivmedizin
Allee nach Sanssouci 7
14471 Potsdam
Phone:
0331
-9682-1000
Mail:
ed.renaixela@ezluhcs.t
Interdisziplinär/interprofessionell
Conference frequency: monatlich
Risk management
Anke Ulm
Qualitätsmanagerin / Qualitätsmanagement
Allee nach Sanssouci 7
14471 Potsdam
Phone:
0331
-9682-2008
Fax: 0331-9682-2019
Mail:
ed.renaixela@mlu.a
interprofessionell/interdisziplinär
Conference frequency: halbjährlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Handbuch (01.09.2020) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Handbuch (01.09.2020) |
| RM05 |
Pain management Handbuch (30.03.2021) |
| RM06 |
Fall prophylaxis Handbuch (01.08.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Handbuch (01.06.2019) |
| RM08 |
Regulated handling of custodial measures Handbuch (01.10.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices Handbuch (01.10.2023) |
| 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 Handbuch (05.04.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings Handbuch (05.04.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Handbuch (29.03.2023) |
| RM17 |
Standards for recovery and postoperative care Handbuch (05.04.2022) |
| RM18 |
Discharge management Handbuch (06.07.2019) |
Fault reporting systems
Conference committee
Conference frequency: halbjährlich
Measures
Anpassung Notfallmanagement
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 30.06.2020 |
| IF02 |
Internal evaluation of the received reports taken halbjährlich |
| 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: bei Bedarf
| No. | Explanation |
|---|---|
|
Other |