Dealing with risks in patient care

Quality management

Sascha Kotowski

Geschäftsführer

Brebacher Weg 15
12683 Berlin

Phone: 030 -56840-0
Mail: ed.nilreb-kinilknegua@ikswotok.s

Geschäftsführer Ärztlicher Direktor PDL Oberarzt QM-B beauftragte MA der Bereiche

Conference frequency: halbjährlich

Risk management

Christopher Wirbelauer, MBA,FEBO

Ärztlicher Direktor

Phone: 030 -56840-198
Mail: ed.nilreb-kinilknegua@reualebriw.hc

Sascha Kotowski

Geschäftsführer

Phone: 030 -56840-0
Mail: ed.nilreb-kinilknegua@ikswotok.s

Geschäftsführer Ärztlicher Direktor PDL Oberarzt QM-B beauftragte MA der Bereiche

Conference frequency: halbjährlich

Risk management instruments and measures

No. Explanation
RM01

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

Geschäftsordnung QM/RM (12.10.2022)

RM02

Regular further education and training measures

RM04

Clinical emergency management

Notfallmanagement (01.06.2022)

RM06

Fall prophylaxis

Sturzprophylaxe (01.08.2022)

RM07

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

Dekubitusprophylaxe (01.08.2017)

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

Präop- Zusammenfassung (08.10.2021)

RM15

Preoperative, complete presentation of necessary findings

Präop. Befunde (12.08.2021)

RM16

Procedure to avoid procedural and patient mix-ups

Vermeidung Verwechslungen (13.01.2021)

RM17

Standards for recovery and postoperative care

Standard Aufwachphase (03.03.2021)

RM18

Discharge management

Entlassmanagement (14.09.2022)

Fault reporting systems

Conference committee

Conference frequency: bei Bedarf

Measures

Kontinuierliche Erfassung der erkannten und gemeldeten Fehler. Einleitung entsprechender Massnahmen.

No. Explanation
IF01

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

As of: 15.12.2021

IF02

Internal evaluation of the received reports

taken bei Bedarf

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: