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Ev. Diakoniekrankenhaus

Wirthstraße 11
79110 Freiburg

Phone: 0761-1301-01
Mail: ed.rf-kaid@ofni

http://www.diakoniekrankenhaus.de

Basic information

Number of beds: 175
Number of specialist departments: 7

Number of inpatient cases: 12.988
Number of outpatient cases: 21.815

Hospital owners: Evangelisches Diakoniekrankenhaus Freiburg i. Br.
Type of provider: freigemeinnützig

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

External quality assurance according to the DMP

Brustkrebs

Participation in other external comparative quality assurance procedures

Implementation of the minimum quantity agreement

Treatment area

Complex operations on the pancreatic organ system

Quantity performed	28
Exception?	No exception

Knee joint total endoprostheses

Quantity performed	85
Exception?	No exception

Complex operations on the esophageal organ system

Quantity performed	23
Exception?	No exception

Minimum quantities forecast

Complex operations on the pancreatic organ system

Overall result forecast presentation:	yes
Quantity performed reporting year:	28
Quantity forecast year:	34
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:	23
Quantity forecast year:	17
Examination by state associations?	yes
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:	85
Quantity forecast year:	98
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 participation

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
66	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*
53	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
53	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

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)

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®)

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)
WebMUSE

Electronic documentation of the administration of drugs

Measures to minimise medication errors

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)
CIRS-Meldung

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

FL03 - Student training (clinical traineeship / internship year)

Explanation

Das Evangelische Diakoniekrankenhaus ist Akademisches Lehrkrankenhaus der Albert-Ludwigs-Universität Freiburg und Partner für die praktische Ausbildung der Medizinstudenten (PJ).

FL04 - Project-related cooperation with colleges and universities

Explanation

FL01 - Lectureships / teaching posts at colleges and universities

Explanation

Lehraufträge aller Chefärzte an unterschiedlichen Universitäten im Rahmen der APL-Professur; regelmäßiger PJ-Studenten-Unterricht und Vorlesungen

FL09 - Doctoral supervision

Explanation

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

Explanation

Training

Training in other healing professions

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

Comment

Eigene Berufsfachschule für Pflege am Krankenhaus mit insgesamt 58 Ausbildungsplätzen.

HB03 - Physical therapist / physiotherapist (m/f)

Comment

Beteiligung an der praktischen Ausbildung von Physiotherapeuten in Kooperation mit den Gesundheitsschulen Südwest.

HB07 - Surgical technical assistant (m/f)

Comment

In Kooperation mit der Universitätsklinik Freiburg (Akademie für medizinische Berufe)

HB16 - Dietician (m/f)

Comment

HB10 - Midwife (m/f)

Comment

Praktische Ausbildung von Hebammenschülerinnen. Der theoretische Teil wurde im Jahr 2018 teilweise in Kooperation mit der Hebammenschule Lahr abgedeckt. Seit 10/2020 erfolgt die theoretische Ausbildung an der Hebammen-Akademie Südwest (HASW).

HB19 -