Quantity performed	45
Exception?	No exception
In Bezug auf die Leistungsentwicklung von Kniegelenks-Endoprothesen ist der Umstand des Erlasses zur Absage elektiver Eingriffe im Zeitraum vom 17.3.-7.5.2020 aufgrund der pandemischen Situation anzuführen.

Complex operations on the esophageal organ system

Quantity performed	28
Exception?	No exception

Complex operations on the pancreatic organ system

Quantity performed	68
Exception?	No exception

Stem cell transplant

Quantity performed	47
Exception?	No exception

Minimum quantities forecast

Kidney transplant

Overall result forecast presentation:	no
Quantity performed reporting year:	12
Quantity forecast year:	19
Examination by state associations?	no
Exemption?	no
Result of the examination by the federal state authorities?	no
Transitional arrangement?	no

Knee joint total endoprostheses

Overall result forecast presentation:	yes
Quantity performed reporting year:	45
Quantity forecast year:	38
Examination by state associations?	yes
Exemption?	no
Result of the examination by the federal state authorities?	no
Transitional arrangement?	no

Complex operations on the esophageal organ system

Overall result forecast presentation:	yes
Quantity performed reporting year:	28
Quantity forecast year:	30
Examination by state associations?	yes
Exemption?	no
Result of the examination by the federal state authorities?	no
Transitional arrangement?	no

Complex operations on the pancreatic organ system

Overall result forecast presentation:	yes
Quantity performed reporting year:	68
Quantity forecast year:	62
Examination by state associations?	yes
Exemption?	no
Result of the examination by the federal state authorities?	no
Transitional arrangement?	no

Stem cell transplant

Overall result forecast presentation:	yes
Quantity performed reporting year:	47
Quantity forecast year:	53
Examination by state associations?	yes
Exemption?	no
Result of the examination by the federal state authorities?	no
Transitional arrangement?	no

Implementation of resolutions of the Federal Joint Committee on quality assurance (G-BA)

No.	Explanation
CQ01	Quality assurance measures for inpatient care with the indication abdominal aortic aneurysm
CQ02	Quality assurance measures for the inpatient care of children and adolescents with haemato-oncological diseases
CQ18	Measures for quality assurance of positron emission tomography in patients with Hodgkin lymphoma and aggressive non-Hodgkin lymphoma for interim staging after chemotherapy to decide on the continuation of therapy

Compliance with staffing requirements

Clarifying chat completed: no
Clarifying chat not completed: no
No participation in clarifying chat: no
Notification of non-fulfilment of nursing care not made: no

Further training
pursuant to Article 136b, para. 1, sentence 1, no. 1 of the SGB

Number	Group
265	Medical specialists (m/f) , psychological psychotherapists (m/f) and child and adolescent psychotherapists (m/f) who are subject to the obligation to undergo further training*
182	Number of medical specialists (m/f) from no. 1 who have completed a five-year period of further training and are therefore subject to the obligation to provide evidence
170	Number of those persons from no. 2 who have provided proof of further training according to Article 3 of the G-BA regulations

* according to the “Provisions of the Joint Federal Committee for the Further Training of Medical Specialists (m/f), Psychological Psychotherapists (m/f) and Child and Adolescent Psychotherapists (m/f) in Hospitals”

General information

Drug therapy safety

Steering committee

Drug commission

Training of employees on AMTS related topics

Availability of appropriate, topic-specific informational materials for patients on AMTS e.g. for chronic diseases, for high-risk drugs, for children

Process description for an optimal medication process (e.g. drug anamnesis – prescription – patient information – drug delivery – drug application – documentation – therapy monitoring – result evaluation)

Dienstanweisung: Umgang mit Betäubungsmittel

22.07.2020

Possibility of electronic prescription i.e. structured entry of active substances (or name of the preparation), form, dose, dose frequency (e.g. in the HIS, in prescription software)

Provision of one or more electronic drug information systems (e.g. Lauer-Taxe®, ifap klinikCenter®, Gelbe Liste®, Fachinfo-Service®)

Concepts for ensuring the error-free preparation of medications

Bereitstellung einer geeigneten Infrastruktur zur Sicherstellung einer fehlerfreien Zubereitung
Zubereitung durch pharmazeutisches Personal
Anwendung von gebrauchsfertigen Arzneimitteln bzw. Zubereitungen

Electronic support for the supply of patients with drugs

Sonstige elektronische Unterstützung (Arzneimittelliste)

Electronic documentation of the administration of drugs

Measures to minimise medication errors

Fallbesprechungen
Maßnahmen zur Vermeidung von Arzneimittelverwechslung
Spezielle AMTS-Visiten (z. B. pharmazeutische Visiten, antibiotic stewardship, Ernährung)
Teilnahme an einem einrichtungsübergreifenden Fehlermeldesystem (siehe Kapitel 12.2.3.2)
interne Medikamentenaudits
Konzept zur Implementierung von Sicherheitsbeauftragten Ärzten/-innen für Arzneimitteltherapie sowie Sicherheitsbeauftragten in der Pflege für Arzneimittel auf Station

Measures to ensure seamless drug therapy after discharge

Aushändigung von arzneimittelbezogenen Informationen für die Weiterbehandlung und Anschlussversorgung der Patientin oder des Patienten im Rahmen eines (ggf. vorläufigen) Entlassbriefs
Aushändigung von Patienteninformationen zur Umsetzung von Therapieempfehlungen
Aushändigung des Medikationsplans
bei Bedarf Arzneimittel-Mitgabe oder Ausstellung von Entlassrezepten

Special instrument-based equipment

Research & teaching

Job

FL01 - Lectureships / teaching posts at colleges and universities

Explanation

Das Klinikum Bremen-Mitte ist mit mehr als 20 Dozenturen und/oder Lehrbeauftragungen an Universitäten im In- und Ausland durch seine Klinikdirektoren und leitenden Oberärzte vertreten.

FL03 - Student training (clinical traineeship / internship year)

Explanation

Am Klinikum Bremen-Mitte bieten mehr als 20 Kliniken die Möglichkeit eines praktischen Jahres/Famulatur an.

FL04 - Project-related cooperation with colleges and universities

Explanation

Prof. Dr. Cedidi, Prof. Dr. Dembinski, Prof. Dr. Huppertz, Prof. Dr. Kastrup, PD Dr. Kaune, PD Dr. Kuhlmann, Prof. Dr. Lorenz, Prof. Dr. Melchior, Prof. Dr. Naumann, Prof. Dr. Ockenga, Prof. Dr. Dr. Rustemeyer, Prof. Dr. Winterhalter, Prof. Dr. Zutt Prof. Reinges Prof. Bektas

FL05 - Participation in multi-centre Phase I/II studies

Explanation

Dr. Aydogdu, PD Dr. Barbera, Prof. Dr. Hertenstein, Prof. Dr. Lemke

FL06 - Participation in multi-centre phase III/IV studies

Explanation

Dr. Aydogdu, Prof. Dr. Dembinski, Prof. Dr. Hertenstein, Prof. Dr. Huppertz, PD Dr. Kaune, Prof. Dr. Kastrup, Prof. Dr. Lemke, Dr. Martin, Prof. Dr. Melchior, Prof. Dr. Naumann, Prof. Dr. Ockenga, Prof. Dr. Zutt

FL07 - Initiation and management of uni-centric/multi-centric clinical/scientific studies

Explanation

Prof. Dr. Cedidi, Prof. Dr. Hertenstein, Prof. Dr. Kastrup, Prof. Dr. Lorenz, Prof. Dr. Naumann, Prof. Dr. Dr. Rustemeyer, Prof. Dr. Winterhalter, Prof. Dr. Dembinski

FL08 - Editors of scientific journals/textbooks

Explanation

Prof. Dr. Huppertz, Prof. Dr. Naumann, Prof. Dr. Ockenga Prof. Dr. Dr. Rustemeyer

FL09 - Doctoral supervision

Explanation

Barbera/Cedidi/Dembinski/Hahn/Hertenstein/Huppertz/Kaune/Kastrup/Lemke/Lorenz/Melchior/Ockenga/Rustemeyer/Winterhalter/Zutt/Bektas/Reinges

Training

Training in other healing professions

HB01 - Nurse and health care worker (m/f)

Comment

HB02 - Health and paediatric nurse (m/f)

Comment

HB05 - Medical technical radiology assistant (MTRA) (m/f)

Comment

zusätzlich praktische Ausbildung medizinische Fachangestellte/r (MFA)

HB07 - Surgical technical assistant (m/f)

Comment

Nur praktische Ausbildung

HB15 - Anaesthesia technical assistant (m/f)

Comment

Nur praktische Ausbildung

HB09 - Speech therapist (m/f)

Comment

HB12 - Medical technical laboratory assistant (MTLA) (m/f)

Comment

HB03 - Physical therapist / physiotherapist (m/f)

Comment

HB06 - Occupational therapist (m/f)

Comment

Hospital staff
- Number of therapeutic staff: 118,82
Pharmaceutical personnel
- Number of pharmacists: 12
- Additional staff: 13
- Explanations: Die Zentralapotheke ist im Klinikum Bremen Mitte verortet und versorgt die Klinika der Gesundheit Nord gGmbH mit allen benötigten Arzneimitteln und diversen Medizinprodukten.
- Nursing staff regulation