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St.-Marien-Hospital gGmbH

St.-Marien-Hospital gGmbH
St.-Marien-Hospital gGmbH

St.-Marien-Str. 1
26169 Friesoythe

Phone: 04491-940-0
Fax: 04491-94090-792
Mail: ed.ehtyoseirf-tfitsneiram@ofni

http://marienstift-friesoythe.de
  • Number of beds: 115
  • Number of specialist departments: 3
  • Number of inpatient cases: 5.329
  • Number of outpatient cases: 12.401
  • Hospital owners: St.-Marien-Hospital gemeinnützige GmbH
  • Type of provider: freigemeinnützig
External comparative quality assurance
Further information
  • External quality assurance according to state law
    No participation
  • Quality of participation in the Disease Management Programme (DMP)
    No participation
Quantity performed 68
Exception? No exception
Overall result forecast presentation: yes
Quantity performed reporting year: 68
Quantity forecast year: 72
Examination by state associations? yes
Exemption? yes
Result of the examination by the federal state authorities? yes
Transitional arrangement? no
  • Implementation of resolutions of the Federal Joint Committee on quality assurance (G-BA)
    No participation
  • 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
Number Group
25 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*
18 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
18 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”

According to Section 4 (2) of the Quality Management Guideline, facilities must provide for the prevention of and intervention in cases of violence and abuse as part of their internal quality management. The aim is to prevent, recognise and respond appropriately to abuse and violence, particularly against vulnerable patient groups such as children and adolescents or people in need of help, and also to prevent it within the facility. The respective procedure is aligned with the size of the facility, the range of services and the patients in order to define customised solutions for sensitising the teams as well as other suitable preventative and interventional measures. These may include information materials, contact addresses, training/education, codes of conduct, recommendations for action/intervention plans or comprehensive protection concepts.

  • Is a protection concept in place? Yes
Gemäß § 4 Absatz 2 in Verbindung mit Teil B Abschnitt I § 1 der Qualitätsmanagement-Richtlinie haben sich Einrichtungen, die Kinder und Jugendliche versorgen, gezielt mit der Prävention von und Intervention bei (sexueller) Gewalt und Missbrauch bei Kindern und Jugendlichen zu befassen (Risiko- und Gefährdungsanalyse) und – der Größe und Organisationsform der Einrichtung entsprechend – konkrete Schritte und Maßnahmen abzuleiten (Schutzkonzept). In diesem Abschnitt geben Krankenhäuser, die Kinder und Jugendliche versorgen, an, ob sie gemäß § 4 Absatz 2 in Verbindung mit Teil B Abschnitt I § 1 der Qualitätsmanagement-Richtlinie ein Schutzkonzept gegen (sexuelle) Gewalt bei Kindern und Jugendlichen aufweisen.
  • Drug commission

im KIS

10.10.2020

  • Bereitstellung einer geeigneten Infrastruktur zur Sicherstellung einer fehlerfreien Zubereitung
  • Anwendung von gebrauchsfertigen Arzneimitteln bzw. Zubereitungen
  • Vorhandensein von elektronischen Systemen zur Entscheidungsunterstützung (z.B. Meona®, Rpdoc®, AIDKlinik®, ID Medics® bzw. ID Diacos® Pharma)
  • Bestellmodul bei Apotheke
  • 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)
  • Room of Horrors: Medikationsfehler simuliert und geschult
  • 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
The instruments and measures to promote drug therapy safety are presented with a focus on the typical procedures of the medication process in inpatient patient care. A special feature of the medication process in the inpatient environment is the transition management during admission and discharge. The instruments and measures listed below address structural elements, e.g. special IT equipment and work materials, as well as process aspects, such as work descriptions for particularly risky process steps or concepts for securing typical risk situations . In addition, proven measures to avoid or learn from medication errors can be specified. The hospital presents here which aspects it has already dealt with and which measures it has specifically implemented. The following aspects can be presented, if necessary using free text fields:
- Admission to hospital, including anamnesis
; Instruments and measures are presented for determining the old medication (drug history), the subsequent clinical assessment and the switch to the medication available in the hospital (house list), as well as for documenting both the patient's original medication and that for hospital treatment adapted medication.
- Medication process in the hospital
In this context, the following sub-processes are assumed as examples: drug history - prescription - patient information - drug delivery - drug use - documentation - therapy monitoring - result assessment. Instruments and measures for safe medication prescription can be presented, e.g. B. in terms of readability, clarity and completeness of the documentation, but also in terms of area of ​​application, effectiveness, benefit-risk ratio, tolerability (including potential contraindications, interactions, etc.) and resource considerations. Information can also be provided to support reliable medication ordering, delivery and use or administration.
- Discharge
In particular, the measures taken by hospitals can be presented to ensure that information on drug therapy is structured and passed on to doctors and physicians providing further treatment, as well as the appropriate provision of patients with drug information, medication plans and medications. Drug prescriptions are made.
AMTS is the totality of measures to ensure an optimal medication process with the aim of reducing medication errors and thus avoidable risks for patients during drug therapy. A prerequisite for the successful implementation of these measures is that AMTS is practised as an integral part of daily routine in an interdisciplinary and multi-professional approach.
Job
Explanation

Explanation

Explanation

Explanation

Explanation

Explanation

Explanation

Training in other healing professions
Comment

mit dem Hanse Institut Oldenburg - Bildung und Gesundheit GmbH

Comment

Teilpraktische Ausbildung

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mit Hanse Institut Oldenburg -Bildung und Gesundheit GmbH

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Kooperation mit Gesundheits- und Krankenpflegeschule des Pius-Hospitals in Oldenburg und den Berufsbildenden Schulen Cloppennburg und Friesoythe

Comment

Teilpraktische Ausbildung

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Teilpraktische Ausbildung, Kooperation mit der MTLA Schule in Oldenburg, Städtische Kliniken

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Teilpraktische Ausbildung

Marlies Steenken

Patientenfürsprecherin

St.-Marien-Str. 1
26169 Friesoythe

Phone: 04491 -40063-11
Mail: gro.resetlam@nekneets.seilram

Marlen Schmidt

stellv. Patientenfürsprecherin

St.-Marien-Str. 1
26169 Friesoythe

Phone: 04491 -40063-10
Mail: gro.resetlam@tdimhcs.nelram

Miriam Tebbe-Fastje

Patientenfürsprecherin

St.-Marien-Str. 1
26169 Friesoythe

Phone: 04491 -40063-13
Mail: gro.resetlam@ejtsaf-nebbet.mairim

Martina Kramer

Patientenfürsprecherin

St.-Marien-Str. 1
26169 Friesoythe

Phone: 04491 -40063-13
Mail: gro.resetlam@remark.anitram

Dr. med. Ralf Weise

Ärztlicher Direktor

St.-Marien-Str. 1
26169 Friesoythe

Phone: 04491 -940-835
Mail: ed.fhms@esiew.rd

Brigitte Halbach-Müller

Referentin

St.-Marien-Str. 1
26169 Friesoythe

Phone: 04491 -940-778
Mail: ed.fhms@relleum-hcablah.b

Christa Slaghekke

Sekretariat Geschäftsführung

St.-Marien-Str. 1
26169 Friesoythe

Phone: 04491 -940-778
Mail: ed.fhms@ekkehgals.c

M.Sc. Dirk Zimmermann

Prozessmanagement

St.-Marien-Str. 1
26169 Friesoythe

Phone: 04491 -940-117
Mail: ed.fhms@nnamremmiz.d

Doctor medic Romulus-Ovidiu Moldovean

Chefarzt Anästhesie

St.-Marien-Str. 1
26169 Friesoythe

Phone: 04491 -940-7257
Mail: ed.fhms@naevodlom.rd

Mechthild Schade

Pflegedienstleitung

St.-Marien-Str. 1
26169 Friesoythe

Phone: 04491 -940-765
Mail: ed.fhms@edahcs.m

Nadine Krefeld

Geschäfstführerin

St.-Marien-Str. 1
26169 Friesoythe

Phone: 04491 -940-778
Mail: ed.fhms@dleferk.n

Linda Hapke

Qualitätsmanagement

St.-Marien-Str. 1
26169 Friesoythe

Phone: 04491 -940-7327
Mail: ed.fhms@ekpah.l

Alexander Framme

Prozessmanagement

St.-Marien-Str. 1
26169 Friesoythe

Phone: 04491 -940-7325
Mail: ed.fhms@emmarf.a

Marina Hegewald

Öffentlichkeitsarbeit

St.-Marien-Str. 1
26169 Friesoythe

Phone: 04491 -940-47800
Mail: ed.fhms@dlawegeh.m

Raphaela Landwehr

Qualitätsmanagement

St.-Marien-Str. 1
26169 Friesoythe

Phone: 04491 -940-7349
Mail: ed.fhms@rhewdnal.r

B.A. Linda Hapke

Referentin Qualitätsmanagement

St.-Marien-Str. 1
26169 Friesoythe

Phone: 04491 -940-7327
Mail: ed.fhms@ekpah.l

B.A. Raphaela Landwehr

Qualitätsmanagement

St.-Marien-Str. 1
26169 Friesoythe

Phone: 04491 -940-7349
Mail: ed.fhms@rhewdnal.r

Bernd Wessels

Geschätsführer

St.-Marien-Str. 1
26169 Friesoythe

Phone: --

Andreas Bocklage

Leitender Apotheker der Bonifatius Apotheke Lingen

St.-Marien-Str. 1
26169 Friesoythe

Phone: 0591 -910-1139
Mail: ed.negnil-latipsoh@egalkcob.saerdna

Anja Behnen

Entlassmanagement, Pflegeüberleitung

St.-Marien-Str. 1
26169 Friesoythe

Phone: 04491 -940-7350
Mail: ed.fhms@gnutertrev-bs

Kerstin Thien

Entlassmanagement, Pflegeüberleitung

St.-Marien-Str. 1
26169 Friesoythe

Phone: 04491 -940-7217
Mail: ed.fhms@eirtaireg

St.-Marien-Str. 1
26169 Friesoythe

Phone: 04491-940-0
Fax: 04491-94090-792
Mail: ed.ehtyoseirf-tfitsneiram@ofni

Gabriela Lübbers

Pflegedienstleitung

St.-Marien-Str. 1
26169 Friesoythe

Phone: 04491 -940-776
Mail: ed.fhms@srebbeul.g

Mechthild Schade

Pflegedienstleitung

St.-Marien-Str. 1
26169 Friesoythe

Phone: 04491 -940-765
Mail: ed.fhms@edahcs.m

Heiko Schlake

Pflegedienstleitung

St.-Marien-Str. 1
26169 Friesoythe

Phone: 04491 -940-780
Mail: ed.fhms@ekalhcs.h

Peter Knurbein

Verwaltungsleiter

St.-Marien-Str. 1
26169 Friesoythe

Phone: 04491 -940-792
Mail: ed.fhms@niebrunk.p

Nadine Krefeld

Geschäftsführerin

St.-Marien-Str. 1
26169 Friesoythe

Phone: 04491 -940-760
Mail: ed.fhms@ofni

Dr. med. Ralf Weise

Chefarzt Chirurgie

St.-Marien-Str. 1
26169 Friesoythe

Phone: 04491 -940-835
Mail: ed.fhms@kesurihc

No

IK: 260340385

Location number: 773511000

Old location number: 773511000

Hospital portrait for download Download quality report