Landshuter Straße 65
93053 Regensburg
Phone:
0941-782-0
Mail:
ed.jsc@gnutielstfeahcseg
ed.jsc@gnutielstfeahcseg
ed.jsc@gnutielstfeahcseg
| Bezeichnung | |
| Teilnahme externe Qualitätssicherung | yes |
| Quantity performed | 2 |
| Exception? | No exception |
| Quantity performed | 1 |
| Exception? | No exception |
| Quantity performed | 612 |
| Exception? | No exception |
| Overall result forecast presentation: | no |
| Quantity performed reporting year: | 2 |
| Quantity forecast year: | 0 |
| Examination by state associations? | no |
| Exemption? | no |
| Result of the examination by the federal state authorities? | no |
| Transitional arrangement? | no |
| Overall result forecast presentation: | no |
| Quantity performed reporting year: | 1 |
| Quantity forecast year: | 0 |
| Examination by state associations? | no |
| Exemption? | no |
| Result of the examination by the federal state authorities? | no |
| Transitional arrangement? | no |
| Overall result forecast presentation: | yes |
| Quantity performed reporting year: | 612 |
| Quantity forecast year: | 0 |
| Examination by state associations? | yes |
| Exemption? | yes |
| Result of the examination by the federal state authorities? | yes |
| Transitional arrangement? | no |
| No. | Explanation |
|---|---|
| CQ28 | Guideline on quality assurance measures for liposuction procedures for stage III lipedema (QS-RL Liposuction) |
| CQ31 | Guideline for the care of proximal femur fractures (QSFFx-RL) |
Full record of compliance maintained
| Number of days shown | 366 |
| Days of non-performance | 0 |
| Number of minimum requirements not met | 0 |
| Minimum requirement | Days of non-performance |
|---|---|
| Trauma room | 0 |
| Availability | 0 |
| Computed tomography (CT) | 0 |
| Intensive care beds | 0 |
| Department of Surgery | 0 |
| Forwarding by air | 0 |
| Department of Internal Medicine | 0 |
| Intensive care beds with ventilator facilities | 0 |
| Emergency care training courses | 0 |
| Treatment prioritisation system (triage) | 0 |
| Responsibility for emergency care | 0 |
| Minimum requirement | Days of non-performance |
|---|---|
| Doctor on duty | 0 |
| Supervision by a medical specialist | 0 |
| Geriatric expertise | 0 |
| Operating room equipment | 0 |
| Post-operative physiotherapy | 0 |
| Independent organisational unit | 0 |
| Minimum requirement | Days of non-performance |
|---|---|
| SOP: Surgical procedures | 0 |
| SOP: Perioperative Planning | 0 |
| SOP: Capacity to consent | 0 |
| Standard Operating Procedure for the Management of Anticoagulants | 0 |
| SOP: Ortho-geriatric Care | 0 |
| SOP: Physiotherapy Measures | 0 |
| SOP: Patient-centred blood management | 0 |
| 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* |
| 68 | 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 |
| 66 | 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 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.
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)
Qualido - Intranet
08.10.2025
Qualido - Intranet
08.10.2025
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 documentation of the administration of drugs
> 25 ÄrztInnen haben einen Lehrauftrag an Universitäten in Deutschland
FL02 - Lectureships / teaching posts at universities of applied sciences
> 50 PJ-Studierende
Zusammenarbeit mit Universität Regensburg, OTH Regenburg sowie weiteren Universitätskliniken (u.a. Augsburg, Berlin, Brandenburg, Dresden, Göttingen, Heidelberg, München, Tübingen, Ulm, Würzburg); Zusammenarbeit mit verschiedenen Forschungszentren
< 10
< 20
> 25
< 25
> 60
HB15 - Anaesthesia technical assistant (m/f)
HB07 - Surgical technical assistant (m/f)
HB05 - Medical technical radiology assistant (MTRA) (m/f)
HB17 - Auxiliary nurse (m/f)
HB19 - Nursing professionals
HB20 - Nursing professional B. Sc.
HB18 - Emergency paramedics (m/f) (training period 3 years)
Herr Wolf Jaduczynski
Patientenfürsprecher
Landshuter Straße 65
93053 Regensburg
Phone:
0941
-782-2033
Mail:
ed.jsc@rehcerpsreufnetneitap
Dipl. Pflegepädagogin Sabine Bauer
Leitung Qualitäts-Prozess- und Risikomanagement
Landshuter Straße 65
93053 Regensburg
Phone:
0941
-782-2030
Mail:
ed.jsc@reuabs
Rechtsanwalt Erich Beer
Mitarbeiter
Landshuter Straße 65
93053 Regensburg
Phone:
0941
-782-2032
Mail:
ed.jsc@reebe
Dipl. Pflegepädagogin (FH) Sabine Bauer
Leitung Qualitäts-, Prozess- und Risikomanagement
Landshuter Straße 65
93053 Regensburg
Phone:
0941
-782-2030
Mail:
ed.jsc@reuabs
Prof. Dr. med. Michael Pawlik
Klinikdirektor Klinik für Anästhesiologie, Intensiv-, Palliativ- und Notfallmedizin
Landshuter Straße 65
93053 Regensburg
Phone:
0941
-782-3610
Mail:
ed.jsc@eigoloisehtseana
Prof. Dr. med. Stefan Seitz
Oberarzt
Landshuter Straße 65
93053 Regensburg
Phone:
0941
-782-3410
Mail:
ed.jsc@eigolokeanyg
Phone:
0941-782-0
Mail:
ed.jsc@gnutielstfeahcseg
B.A. Gesundheits- und Sozialmanagement Alexandra Stich
Direktorin für Pflege- und Patientenmanagement
Landshuter Straße 65
93053 Regensburg
Phone:
0941
-782-2610
Mail:
ed.jsc@noitkeridegelfp
Prof. Dr. med. Sylvia Pemmerl
Geschäftsleitung
Landshuter Straße 65
93053 Regensburg
Phone:
0941
-782-2010
Mail:
ed.jsc@gnutielstfeahcseg
Prof. Dr. med. Sylvia Pemmerl
Med. Ärztl. Direktorin
Landshuter Straße 65
93053 Regensburg
Phone:
0941
-782-2010
Mail:
ed.jsc@gnutielstfeahcseg
Prof. Dr. med. Olaf Ortmann
Ärztlicher Direktor
Landshuter Straße 65
93053 Regensburg
Phone:
0941
-782-3410
Mail:
ed.jsc@eigolokeanyg
Prof. Dr. med. Sylvia Pemmerl
Med. Ärztl. Direktorin
Landshuter Straße 65
93053 Regensburg
Phone:
0941
-782-2010
Mail:
ed.jsc@gnutielstfeahcseg
IK: 260930061
Location number: 771144000
Certified until: 07.2026
Certified until: 01.2027
Certified until: 01.2027
Certified until: 01.2027
Certified until: 01.2027
Certified until: 01.2027
Certified until: 01.2027
Certified until: 12.2026
Certified until: 01.2027
Certified until: 01.2027