Overall result forecast presentation:	yes
Quantity performed reporting year:	140
Quantity forecast year:	153
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:	no
Quantity performed reporting year:	6
Quantity forecast year:	5
Examination by state associations?	no
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
CQ07	Measures for quality assurance in the care of pre-term and full-term neonates – perinatal focus

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
98	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*
77	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
67	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

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)

Qualitätsmanagementhandbuch der ELBLANDKLINIKEN

08.08.2022

SOP on good prescription practices

Qualitätsmanagementhandbuch der ELBLANDKLINIKEN

08.08.2022

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)
Modulsystem für Bestellung über KIS; Zenzy II

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)
Risikomanagement & CIRS

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

FL04 - Project-related cooperation with colleges and universities

Explanation

FL01 - Lectureships / teaching posts at colleges and universities

Explanation

u.a. Wissenschaftliche Leitung und Dozententätigkeit an der Dresden International University und der Medizinischen Fakultät Carl Gustav Carus Dresden

FL09 - Doctoral supervision

Explanation

z.B. Medizinische Fakultät Carl Gustav Carus Dresden

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

Explanation

FL03 - Student training (clinical traineeship / internship year)

Explanation

z. B. Medizinische Fakultät Carl Gustav Carus Dresden

Training

Training in other healing professions

HB17 - Auxiliary nurse (m/f)

Comment

HB07 - Surgical technical assistant (m/f)

Comment

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

Comment

HB19 - Nursing professionals

Comment

HB02 - Health and paediatric nurse (m/f)

Comment

HB10 - Midwife (m/f)

Comment

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

Comment

eigene medizinische Berufsfachschule vorhanden

Hospital staff
Pharmaceutical personnel
- Number of pharmacists: 6
- Additional staff: 6
- Explanations: Das Personal gehört zur zentralen Klinikapotheke der ELBLANDKLINIKEN. Die zentrale Klinikapotheke betreut alle Standorte der ELBLANDKLINIKEN.