Dealing with risks in patient care
Quality management
MPH Ursula Bruckmann
Ass. der Ärztl. Leitung /Qualitätsmanagement
Kladower Damm 221
14089 Berlin
Phone:
030
-36501-329
Mail:
ed.eheohlevah@nnamkcurb.alusru
Dagmar Berger
Qualitätsmanagement und klinisches Risikomanagement
Kladower Damm 221
14089 Berlin
Phone:
030
-36501-6877
Mail:
ed.eheohlevah@regreb.ramgad
Geschäftsführung, Pflegeleitung, Oberarzt, Ass. Ärztl. Leitung, Personal- und Organisationsentwicklerin, Qualitätsmanagerin, QM-Koordinatorin Onkologisches Zentrum
Conference frequency: monatlich
Risk management
Ursula Bruckmann
Ass. der Ärztl. Leitung /Qualitätsmanagement
Kladower Damm 221
14089 Berlin
Phone:
030
-36501-329
Mail:
ed.eheohlevah@nnamkcurb.alusru
Dagmar Berger
Qualitätsmanagement und klinisches Risikomanagement
Kladower Damm 221
14089 Berlin
Phone:
030
-36501-6877
Mail:
ed.eheohlevah@regreb.ramgad
siehe Lenkungsgremium Qualitätstsmanagement
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available RM-Dokumetation (15.05.2021) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Reanimationsversorgung im GKH (19.05.2022) |
| RM05 |
Pain management Schmerzmanagement (31.08.2022) |
| RM06 |
Fall prophylaxis Sturzprophylaxe (12.05.2020) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Dekubitusprophylaxe (12.09.2022) |
| RM08 |
Regulated handling of custodial measures Fixierung eines Patienten im Bett (19.08.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices Organisationshandbuch Medizintechnik (29.05.2022) |
| 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 OP-Checkliste (03.05.2021) |
| RM15 |
Preoperative, complete presentation of necessary findings OP-Checkliste (05.03.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Seitenmarkierung - OP an paarigen Gliedmaßen und Organen (16.08.2021) |
| RM17 |
Standards for recovery and postoperative care Postoperatives Management Aufwachraum (10.12.2020) |
| RM18 |
Discharge management Entlassmanagement (09.10.2022) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Fälle des internen CIRS bzw. CIRS Berlin werden regelmäßig anlysiert und Maßnahmen ergriffen (Schulungen, Änderung von Prozessabläufen, Strukturen etc.)
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 15.05.2020 |
Conference committee
Conference frequency: monatlich
| No. | Explanation |
|---|---|
| EF02 |
CIRS Berlin (Medical Association Berlin, German Medical Association, National Association of Statutory Health Insurance Doctors) |