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Lahn-Dill-Kliniken GmbH

Forsthausstraße 1
35578 Wetzlar

Phone: 06441-79-1
Fax: 06441-79-2004
Mail: ed.nekinilk-llid-nhal@ofni

http://www.lahn-dill-kliniken.de

Basic information

Number of beds: 576
Number of specialist departments: 16

Number of inpatient cases: 19.301
Number of partial inpatient cases: 95
Number of outpatient cases: 30.168

Hospital owners: Lahn-Dill-Kreis
Type of provider: öffentlich

Specialist departments

Services

Quality

External comparative quality assurance

Further information

External quality assurance according to state law

Bezeichnung
Teilnahme externe Qualitätssicherung	yes
Bezeichnung
Teilnahme externe Qualitätssicherung	yes
Bezeichnung
Teilnahme externe Qualitätssicherung	yes
Bezeichnung
Teilnahme externe Qualitätssicherung	yes

External quality assurance according to the DMP

Brustkrebs

Participation in other external comparative quality assurance procedures

Implementation of the minimum quantity agreement

Treatment area

Knee joint total endoprostheses

Quantity performed	106
Exception?	No exception

Complex interventions on the organ system esophagus for adults

Quantity performed	8
Exception?	No exception

Complex operations on the pancreatic organ system

Quantity performed	17
Exception?	No exception

Minimum quantities forecast

Knee joint total endoprostheses

Overall result forecast presentation:	yes
Quantity performed reporting year:	106
Quantity forecast year:	117
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:	17
Quantity forecast year:	26
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

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
102	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*
72	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
72	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

Use of standardised forms for drug medical history

QM-RM bzw. Organisationshandbücher

15.01.2021

Electronic support for the admission and anamnesis process (e.g. import of patient master data or medication plans, use of a drug knowledge database, input screen for drugs or anamnesis information)

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

VA_Arzneimittelanamnese

07.01.2021

SOP on good prescription practices

I_Gute_Verordnungspraxis Arzneimitteltherapie

01.07.2021

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

Vorhandensein von elektronischen Systemen zur Entscheidungsunterstützung (z.B. Meona®, Rpdoc®, AIDKlinik®, ID Medics® bzw. ID Diacos® Pharma)

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)

Measures to ensure seamless drug therapy after discharge

Aushändigung des Medikationsplans
bei Bedarf Arzneimittel-Mitgabe oder Ausstellung von Entlassrezepten

Special instrument-based equipment

Research & teaching

Job

FL02 - Lectureships / teaching posts at universities of applied sciences

Explanation

FL01 - Lectureships / teaching posts at colleges and universities

Explanation

FL03 - Student training (clinical traineeship / internship year)

Explanation

Neben der Ausbildung der Studenten auf den allgemeinen und intensivmedizinischen Stationen wird eine Lehrveranstaltung von der leitenden Ärztin der Transfusionsmedizin regelmäßig durchgeführt. Es werden Inhalte der Transfusions- und Laboratoriumsmedizin vermittelt.

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

Explanation

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

Explanation

FL04 - Project-related cooperation with colleges and universities

Explanation

Projekt zur EDV-gestützten Arzneimitteltherapie-Sicherheit (AMTS)

FL09 - Doctoral supervision

Explanation

Training

Training in other healing professions

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

Comment

HB07 - Surgical technical assistant (m/f)

Comment

HB10 - Midwife (m/f)

Comment

Wir kooperieren mit einer Ausbildungsstätte für Entbindungspfleger und Hebammen, die Auszubildenden können in unserem Kreißsaal ihre praktischen Einsätze absolvieren.

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

Comment

Wir kooperieren mit einer Ausbildungsstätte in Gießen und bieten die praktischen Einsätze in unserem Institut für Diagnostische und Interventionelle Radiologie an.

HB18 - Emergency paramedics (m/f) (training period 3 years)