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Städtisches Krankenhaus Heinsberg GmbH

Auf dem Brand 1
52525 Heinsberg

Phone: 02452-188-0
Fax: 02452-188-574
Mail: ed.rebsnieh-suahneknark@gnutlawrev

http://www.krankenhaus-heinsberg.de

Basic information

Number of beds: 206
Number of specialist departments: 5

Number of inpatient cases: 9.723
Number of outpatient cases: 27.149

Hospital owners: Das Städtische Krankenhaus Heinsberg wird seit dem 1.1.1981 in der Rechtsform einer GmbH geführt. Alleinige Gesellschafterin ist die Stadt Heinsberg.
Type of provider: öffentlich

Specialist departments

Services

Quality

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

Participation in other external comparative quality assurance procedures

Implementation of the minimum quantity agreement

Treatment area

Knee joint total endoprostheses

Quantity performed	59
Exception?	No exception

Complex operations on the pancreatic organ system

Quantity performed	26
Exception?	No exception

Minimum quantities forecast

Knee joint total endoprostheses

Overall result forecast presentation:	yes
Quantity performed reporting year:	59
Quantity forecast year:	62
Examination by state associations?	yes
Exemption?	yes
Result of the examination by the federal state authorities?	yes
Transitional arrangement?	no

Complex operations on the pancreatic organ system

Overall result forecast presentation:	yes
Quantity performed reporting year:	26
Quantity forecast year:	22
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
CQ01	Quality assurance measures for inpatient care with the indication abdominal aortic aneurysm

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
39	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*
29	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
29	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

Advice on prevention and intervention in cases of violence and abuse

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
Measures
- Prevention
  
  Information gathering on the topic
  
  Training of employees
  
  Education
  Code of conduct with rules for treating children and young people with respect
  Note on the measure
  D4917
  
  Last review of the measure
  29.03.2023 16:20:37
  Special requirements for the selection of persons
- Reprocessing
  Recommendations for dealing with/processing cases that have occurred
  Note on the measure
  D4843
  
  Last review of the measure
  29.03.2023 16:20:37

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

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)

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)

Electronic documentation of the administration of drugs

Measures to minimise medication errors

Fallbesprechungen
Spezielle AMTS-Visiten (z. B. pharmazeutische Visiten, antibiotic stewardship, Ernährung)
Teilnahme an einem einrichtungsübergreifenden Fehlermeldesystem (siehe Kapitel 12.2.3.2)
Maßnahmen zur Vermeidung von Arzneimittelverwechslung

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 des Medikationsplans
bei Bedarf Arzneimittel-Mitgabe oder Ausstellung von Entlassrezepten

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

FL03 - Student training (clinical traineeship / internship year)

Explanation

Unser Krankenhaus ist seit dem 01.04.2010 Akademisches Lehrkrankenhaus der RWTH Aachen. Im Rahmen des praktischen Jahres besteht neben den "Pflichtfächern" Innere Medizin und Chirurgie die Möglichkeit, das Wahltertial im Fach Anästhesie sowie in der Frauenheilkunde und Geburtshilfe zu absolvieren.

FL04 - Project-related cooperation with colleges and universities

Explanation

Im Rahmen von Projektarbeiten bieten wir Studentinnen und Studenten die Möglichkeit zur Hospitation im Bereich der Krankenhausverwaltung.

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

Explanation

EUOPE Studie: Frühes Therapieansprechen und Vorhersagbarkeit der langfristigen Effektivität von Upadacitinib bei Colitis ulcerosa (EUROPE – P23-430) COLIBRI Studie: Studie zur Bewertung von Anwendung, Wirksamkeit und Lebensqualität mit Ozanimod (Zeposia®),Studiennummer IM047-027

FL02 - Lectureships / teaching posts at universities of applied sciences

Explanation

Lehrauftrag für Patientenversorgung in Anästhesie und Intensivmedizin an der RFH Köln im Masterstudiengang "Digitales Gesundheitsmanagement" Lehrauftrag für Risikomanagement an der Fliedner Fachhochschule Düsseldorf im Masterstudiengang "Versorgungsforschung und Management im Gesundheitswesen"

Training

Training in other healing professions

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

Comment

Kooperationspartner eines Notfallbildungszentrums zur praktischen Ausbildung von Notfallsanitäterinnen und Notfallsanitätern im Krankenhaus.

HB19 - Nursing professionals

Comment

Als Kooperationspartner einer benachbarten Krankenpflegeschule erfolgt die Zusammenarbeit in der Ausbildung von Pflegefachfrauen und Pflegefachmänner im Städtischen Krankenhaus Heinsberg.