Overall result forecast presentation:	yes
Quantity performed reporting year:	113
Quantity forecast year:	156
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.	Explanation
CQ27	Guideline on quality assurance measures for inpatient care with bronchoscopic lung volume reduction procedures for severe emphysema (QS Guideline bronchoscopic LVR /QS-RL BLVR)

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
35	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*
6	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
6	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

Protection concept against (sexual) violence against children and young people

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? No

Commentary on the protection concept

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 therapy safety

Steering committee

Drug commission

Training of employees on AMTS related topics

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)

für Antibiotika / Hausliste

09.01.2019

SOP on good prescription practices

Antibiotikaliste

28.01.2020

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

in der Onkologie und bei parenteralen Antibiotika

Electronic documentation of the administration of drugs

Measures to minimise medication errors

Spezielle AMTS-Visiten (z. B. pharmazeutische Visiten, antibiotic stewardship, Ernährung)

Measures to ensure seamless drug therapy after discharge

Sicherstellung über das Entlassmanagement

Instruments and measures

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.

Special instrument-based equipment

Research & teaching

Job

FL01 - Lectureships / teaching posts at colleges and universities

Explanation

Prof. Dr. Koschel ist Mitglied des Lehrkörpers an der Universität Dresden

FL03 - Student training (clinical traineeship / internship year)

Explanation

Regelmäßige Ausbildung von Famulanten und PJ-Studenten.

FL04 - Project-related cooperation with colleges and universities

Explanation

z.B. wöchentliche Tumorboards, wöchentlich pneumologisch-strahlentherapeutische Konferenzen, Kooperation mit Asthmazentrum Uniklinik Dresden, Prof. Dr. med. Koschel ist Assoziiertes Mitglied des Universitäts AllergieCentrums

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

Explanation

zum Beispiel: - Gilead GS-US-322-0207 - Panorama PIPF 023 - Mesotheliom D4880C00003

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

Explanation

zum Beispiel: - ASY12295 - Tarceva Radiant Studie OSI Protokoll 744-302 - START - Passport - LIVE - BI 1199.33 - Available EK 403112011 - 65 plus - TB II - Studie - AV Adeno - X-Tab (Xolair) - Insights - Allergiediagnostik - Ascend 4 - COPD Cosyconet

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

Explanation

Beispielsweise Teilnahme an der internationalen Multicenterstudie: PROtective ventilation with high versus low PEEP during one-lung ventilation for THORacic surgery – PROTHOR: A randomized controlled trial

FL09 - Doctoral supervision

Explanation

Betreuung von Doktoranden durch Prof. Dr. med. Koschel

Training

Training in other healing professions

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

Comment

Die praktische Ausbildung ist zum Teil am Fachkrankenhaus Coswig möglich. Darüber hinaus werden andere Krankenhäuser und häusliche Pflegeeinrichtungen mit einbezogen. Die theoretische Ausbildung erfolgt seit 01.09.20 in der Recura Schule für Gesundheitsberufe Sachsen gGmbH auf dem Campus Coswig.

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

Comment

In Zusammenarbeit mit den WBS-Schulen werden bestimmte praktische Ausbildungsinhalte für Notfallsanitäterinnen und -sanitäter im Fachkrankenhaus Coswig durchgeführt.

Hospital staff
Pharmaceutical personnel
- Number of pharmacists: 1
- Additional staff: 1
- Explanations: Kooperation zwischen dem Fachkkrankenhaus Coswig und der Apotheke Johannstadt
- Nursing staff regulation

Service contact persons

Customer feedback management

Herr Prof. Dr. med. Dirk Koschel

Chefarzt Fachabteilung Innere Medizin

Neucoswiger Str. 21
01640 Coswig

Phone: 03523 -65-202
Mail: ed.giwsoc-suahneknarkhcaf@lehcsok

Herr Viktor Helmers

Geschäftsführer

Neucoswiger Str. 21
01640 Coswig

Phone: 03523 -65-650
Mail: ed.giwsoc-suahneknarkhcaf@sremleh

Herr Dr. med. Steffen Drewes

Chefarzt Fachabteilung Thoraxchirurgie

Neucoswiger Str. 21
01640 Coswig

Phone: 03523 -65-102
Mail: ed.giwsoc-suahneknarkhcaf@sewerd

Herr Dr. med. Jens Kraßler

Chefarzt Fachabteilung Anästhesielogie und Intensivther

Neucoswiger Str. 21
01640 Coswig

Phone: 03523 -65-102
Mail: ed.giwsoc-suahneknarkhcaf@jrelssark

Herr Mario Kendziora

Kaufmännischer Leiter

Neucoswiger Str. 21
01640 Coswig

Phone: 03523 -65-403
Mail: ed.giwsoc-suahneknarkhcaf@aroizdnek

Herr Winfried Handtusch

Technischer Leiter

Neucoswiger Str. 21
01640 Coswig

Phone: 03523 -65-470
Mail: ed.giwsoc-suahneknarkhcaf@hcsutdnah

Frau Marion Bandow

Pflegedirektorin

Neucoswiger Str. 21
01640 Coswig

Phone: 03523 -65-105
Mail: ed.giwsoc-suahneknarkhcaf@wodnab

Herr Torsten Bochannek

Geschäftsführer

Neucoswiger Str. 21
01640 Coswig

Phone: 03523 -65-402
Mail: ed.giwsoc-suahneknarkhcaf@kennahcob

Herr Prof. Dr. med. Till Plönes

Chefarzt Fachabteilung Thoraxchirurgie

Neucoswiger Str. 21
01640 Coswig

Phone: 03523 -65-102
Mail: ed.giwsoc-suahneknarkhcaf@seneolp

Herr Lutz Herrmann

Bereichsleiter techn. Facility Management

Neucoswiger Str. 21
01640 Coswig

Phone: 03523 -65-461
Mail: ed.ecivres-arucer@lnnamrreh

Quality management

Herr Sebastian Heyer

Qualitätsmanagementbeauftragter

Neucoswiger Str. 21
01640 Coswig

Phone: 03523 -65-183
Mail: ed.giwsoc-suahneknarkhcaf@reyeh

Hygiene officer

Herr Dr. med. Jens Kraßler

Ärztlicher Direktor

Neucoswiger Str. 21
01640 Coswig

Phone: 03523 -65-102
Mail: ed.giwsoc-suahneknarkhcaf@jrelssark

Responsible for drug therapy

Dr. rer. nat. Ralf Heinke

Klinikapotheker

Neucoswiger Str. 21
01640 Coswig

Phone: 0351 -44950-11
Mail: ed.tdatsnnahoj-ekehtopa@eknieh.r

Accessibility Officer

Kathrin Lehmann

Sozialdienst

Neucoswiger Str. 21
01640 Coswig

Phone: 03523 -65-107
Mail: ed.giwsoc-suahneknarkhcaf@k_nnamhel

Company

General contact details of the hospital

Neucoswiger Str. 21
01640 Coswig

Phone: 03523-65-0
Fax: 03523-65-401
Mail: ed.giwsoc-suahneknarkhcaf@noitpezer

Nursing service management

Frau Marion Bandow

Pflegedirektorin

Neucoswiger Str. 21
01640 Coswig

Phone: 03523 -65-105
Mail: ed.giwsoc-suahneknarkhcaf@wodnab

Head of administration

Herr Mario Kendziora

Kaufmännischer Leiter

Neucoswiger Str. 21
01640 Coswig

Phone: 03523 -65-403
Mail: ed.giwsoc-suahneknarkhcaf@aroizdnek

Herr Viktor Helmers

Geschäftsführer

Neucoswiger Str. 21
01640 Coswig

Phone: 03523 -65-650
Mail: ed.giwsoc-suahneknarkhcaf@sremleh

Herr Torsten Bochannek

Geschäftsführer

Neucoswiger Str. 21
01640 Coswig

Phone: 03523 -65-402
Mail: ed.giwsoc-suahneknarkhcaf@kennahcob

Responsible for the quality report in the hospital management

Herr Viktor Helmers

Geschäftsführung

Neucoswiger Str. 21
01640 Coswig

Phone: 03523 -65-650
Mail: ed.giwsoc-suahneknarkhcaf@sremleh

Herr Dr. med. Jens Kraßler

Ärztlicher Direktor

Neucoswiger Str. 21
01640 Coswig

Phone: 03523 -65-102
Mail: ed.giwsoc-suahneknarkhcaf@jrelssark

Herr Torsten Bochannek

Geschäftsführung

Neucoswiger Str. 21
01640 Coswig

Phone: 03523 -65-402
Mail: ed.giwsoc-suahneknarkhcaf@kennahcob

Medical management

Herr Prof. Dr. med. Dirk Koschel

Chefarzt der Fachabteilung Innere Medizin

Neucoswiger Str. 21
01640 Coswig

Phone: 03523 -65-202
Mail: ed.giwsoc-suahneknarkhcaf@lehcsok

Herr Dr. med. Jens Kraßler

Chefarzt der Fachabteilung Anästhesiologie und Intensivmedizin

Neucoswiger Str. 21
01640 Coswig

Phone: 03523 -65-102
Mail: ed.giwsoc-suahneknarkhcaf@jrelssark

Herr Dr. med. Steffen Drewes

Chefarzt der Fachabteilung Thoraxchirurgie

Neucoswiger Str. 21
01640 Coswig

Phone: 03523 -65-102
Mail: ed.giwsoc-suahneknarkhcaf@sewerd

Herr Prof. Dr. med. Till Plönes

Chefarzt der Fachabteilung Thoraxchirurgie

Neucoswiger Str. 21
01640 Coswig

Phone: 03523 -65-102
Mail: ed.giwsoc-suahneknarkhcaf@seneolp

Regional care obligation for psychiatry?

IK number

IK: 261420022

Location number

Location number: 771328000

Old location number: 771328000

Certified centers

Lungenkrebszentrum

Certified until: 03.2023

Kompetenzzentrum Thoraxchirurgie

Certified until: 06.2025

Weaningzentrum

Certified until: 12.2022

Schlafmedizinisches Zentrum

Certified until: 12.2023

DIN EN ISO 9001: 2005

Certified until: 03.2025

Hospital portrait for download