Overall result forecast presentation:	yes
Quantity performed reporting year:	353
Quantity forecast year:	364
Examination by state associations?	yes
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 participation

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
46	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*
32	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
32	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

Use of standardised forms for drug medical history

Patientenselbstauskunft ZPA, Basisanamnese

13.08.2021

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)

Medikamentenverwaltung, Arzneimittelaudits, Fieberkurve

26.07.2021

SOP on good prescription practices

Beschreibung des Qualitätsmanagementsystems der Krankenhaus Rummelsberg GmbH auf Basis des Qualitätsmanagementsystems der Sana Kliniken AG

05.06.2021

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

Zubereitung durch pharmazeutisches Personal
Anwendung von gebrauchsfertigen Arzneimitteln bzw. Zubereitungen
Regelungen zum Umgang und zur Zubereitung von (intravenösen) Medikamenten existieren (2021-04-19)

Electronic support for the supply of patients with drugs

AMONDIS für Bestellung, Freigabe und Verwaltung von Haus-/Hit-Listen

Measures to minimise medication errors

Fallbesprechungen
Maßnahmen zur Vermeidung von Arzneimittelverwechslung
Teilnahme an einem einrichtungsübergreifenden Fehlermeldesystem (siehe Kapitel 12.2.3.2)

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

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

Explanation

FL04 - Project-related cooperation with colleges and universities

Explanation

FL09 - Doctoral supervision

Explanation

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

Explanation

FL03 - Student training (clinical traineeship / internship year)

Explanation

FL01 - Lectureships / teaching posts at colleges and universities

Explanation

Friedrich-Alexander-Universität Erlangen-Nürnberg

FL08 - Editors of scientific journals/textbooks

Explanation

Training

Training in other healing professions

HB17 - Auxiliary nurse (m/f)

Comment

Eigene KPH-Schule

HB15 - Anaesthesia technical assistant (m/f)

Comment

In Kooperation mit Bildungszentrum Klinikum Fürth

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

Comment

In Kooperation mit der Klinik Hallerwiese und dem Centrum für Kommunikation–Information–Bildung (Cekib) des Klinikums Nürnberg

HB02 - Health and paediatric nurse (m/f)

Comment

In Kooperation mit der Klinik Hallerwiese

HB07 - Surgical technical assistant (m/f)

Comment

In Kooperation mit Bildungszentrum Klinikum Fürth

HB20 -

Comment

Praxispartner der Evangelischen Fachhochschule Nürnberg

Hospital staff
Pharmaceutical personnel
- Number of pharmacists: 2
- Additional staff: 8
- Explanations: Seit dem Jahr 2019 wird das KH Rummelsberg von der Apotheke des Klinikums Ingolstadt versorgt. Die Begehungen nach § 14 ApoG finden in den gesetzlich geforderten Abständen statt, eine Beratung zur AMTS ist jederzeit möglich.
- Nursing staff regulation