Dealing with risks in patient care
Quality management
MBA Sabine Hübler
Ltg. Qualitäts- und Risikomanagement
Dickensweg 25-39
14055 Berlin
Phone:
030
-4593-1200
Mail:
ed.etirahc-czhd@relbeuh.enibas
Administration, Pflegedirektion, Klinikdirektoren bzw. Vertreter, Geschäftsführer DHZB Dienstleistungs GmbH, Leiter Medizincontrolling, Leiter Qualitäts- und Risikomanagement und Vertreter, Leiter Studienzentrale/Qualitätssicherung
Conference frequency: andere Frequenz
Risk management
Sabine Hübler
Ltg. Qualitäts- und Risikomanagement
Phone:
030
-4593-1200
Fax: 030-4593-1300
Mail:
ed.etirahc-czhd@relbeuh.enibas
Conference frequency:
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management SOP Algorithmen zur kardiopulmonalen Reanimation beim Erwachsenen (01.05.2022) |
| RM05 |
Pain management SOP Postoperative Aktut-Schmerztherapie erwachsene Patienten im DHZB (15.01.2022) |
| RM06 |
Fall prophylaxis SOP Vorgehensweise bei Patientenunfällen, insbesondere Sturzereignissen (15.08.2019) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) SOP Pflege Verfahrensregelung zur Dekubitusprophylaxe (01.06.2021) |
| RM09 |
Regulated handling of occurring malfunctions of devices SOP Umsetzung des Medizinproduktrechts und der Medizinproduktebetreiberverordnung (27.06.2022) |
| 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 SOP OPM: Team Time Out (01.07.2020) |
| RM15 |
Preoperative, complete presentation of necessary findings SOP Präoperatives Patientenassessment (03.05.2018) |
| RM16 |
Procedure to avoid procedural and patient mix-ups SOP OPM: Team Time Out (01.07.2020) |
| RM17 |
Standards for recovery and postoperative care SOP Pflege - Postoperative Pflege, Vitalparameter, Krankenbeobachtung (01.06.2021) |
| RM18 |
Discharge management SOP Entlassmanagement (20.11.2020) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
- Regelhafte Aktualisierung bestehender SOPs und Neuerstellung weiterer SOPs z.B. zur Umsetzung der Vorgaben des Infektionsschutzgesetzes im Rahmen der Corona-Pandemie: - Fallbesprechung - M&M-Audits
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 04.02.2019 |
| IF02 |
Internal evaluation of the received reports taken jährlich |
| 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: