Dealing with risks in patient care
Quality management
Martina Ziegert
Qualitätsmanagement
Pillkaller Allee 1
14055 Berlin
Phone:
030
-30001-428
Mail:
ed.nilreb-suahneknark-resetlam@tregeiz
Heike Dragowsky
Qualitätsmanagerin
Pillkaller Allee 1
14055 Berlin
Phone:
030
-30001-710
Mail:
ed.nilreb-suahneknark-resetlam@tnemeganamsteatilauq
Medizinische Fachabteilung, Pflege, Therapeuten, Verwaltung, Technik, Hauswirtschaft, Sozialdienst/Entlassmanagement, Qualitätsmanagement, Hygiene
Conference frequency: quartalsweise
Risk management
Eneida Setka
Qualitätsmanagerin
Pillkaller Allee 1
14055 Berlin
Phone:
030
-30001-794
Mail:
ed.nilreb-suahneknark-resetlam@tnemeganamsteatilauq
Heike Dragowsky
Qualitätsmanagerin
Pillkaller Allee 1
14055 Berlin
Phone:
030
-30001-710
Fax: 030-30001-432
Mail:
ed.nilreb-suahneknark-resetlam@tnemeganamsteatilauq
Medizinische Fachabteilung, Pflege, Therapeuten, Verwaltung, Technik, Hauswirtschaft, Sozialdienst/Entlassmanagement, Qualitätsmanagement, Hygiene
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Verfahrensanweisung Risikomanagement (14.05.2021) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM05 |
Pain management VA Schmerzkonzept Caritas-Kliniken Berlin-Brandenburg inkl. Malteser-Krankenhaus Berlin (25.01.2022) |
| RM06 |
Fall prophylaxis Sturzprophylaxe (27.05.2021) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Dekubitusprophylaxe (27.05.2021) |
| RM08 |
Regulated handling of custodial measures Verfahrensanweisung Freiheitsentziehende Maßnahmen (12.05.2021) |
| RM09 |
Regulated handling of occurring malfunctions of devices Störungsmeldungen/ Meldung von Vorkommnissen (10.02.2021) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM18 |
Discharge management Entlassungsmanagement (14.05.2021) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Patientenarmband, Teilnahme CIRS-Netzwerk Berlin-Brandenburg
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 28.06.2023 |
| 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 jährlich |
Conference committee
Conference frequency: halbjährlich
| No. | Explanation |
|---|---|
| EF02 |
CIRS Berlin (Medical Association Berlin, German Medical Association, National Association of Statutory Health Insurance Doctors) |