Dealing with risks in patient care
Quality management
Claudia Pirk
Qualitätsmanagerin
Argentinische Allee 40
14163 Berlin
Phone:
030
-81810-346
Mail:
ed.edeirfdlaw@krip.c
Die Lenkungsgruppe Qualität setzt sich zusammen aus dem Vorstand, einem Vertreter der Chefärzte, einem Mitglied der Pflegedirektion und der Qualitätsmanagerin.
Conference frequency: monatlich
Risk management
Claudia Pirk
Qualitätsmanagerin
Phone:
030
-81810-346
Fax: 030-81810-77213
Mail:
ed.edeirfdlaw@krip.c
Risikobeauftragte der med. Fachbereiche und der Pflege.
Conference frequency: halbjährlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available VA Qualitätsmanagement (24.08.2022) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management VA Notfallmanagement (27.08.2022) |
| RM05 |
Pain management RL Schmerztherapie (03.08.2022) |
| RM06 |
Fall prophylaxis AA Sturz (11.09.2021) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) AA Dekubitus (23.04.2021) |
| RM08 |
Regulated handling of custodial measures Fixierung von Patienten (01.03.2020) |
| RM09 |
Regulated handling of occurring malfunctions of devices DA Umgang mit Medizinprodukten (01.06.2020) |
| 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 VA Präoperativer Identifikationsprozess (17.09.2021) |
| RM15 |
Preoperative, complete presentation of necessary findings VA Präoperativer Identifikationsprozess (17.09.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups DA Vermeidung von Eingriffsverwechslungen (02.09.2022) |
| RM17 |
Standards for recovery and postoperative care Organisationshandbuch (01.10.2021) |
| RM18 |
Discharge management VA Entlassungsmanagement (01.12.2020) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Anonymes Meldesystem für kritische Ereignisse (CIRS Waldfriede) steht auf allen PC`s zur Verfügung. Vertrauenspersonen (Verantwortliche aus ärztlichem und pflegerischem Dienst) gewährleisten, dass kein Hinweis auf meldende Mitarbeiter möglich ist.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 01.08.2022 |
| 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: bei Bedarf
| No. | Explanation |
|---|---|
| EF02 |
CIRS Berlin (Medical Association Berlin, German Medical Association, National Association of Statutory Health Insurance Doctors) |