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Internal medicine (9) Internal medicine / specialty cardiology (1) Internal medicine / specialty nephrology (1) Internal medicine / specialty haematology and general oncology (2) Internal medicine / specialty gastroenterology (3) Internal medicine / specialty naturopathy (1)

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Heart surgery (1)

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Dental medicine, oral surgery (1)

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Dermatology (2) Dermatology / Day clinic nursing care rates for partially hospitalised patients (2)

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Radiotherapy (3)

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Nuclear medicine (1)

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Psychosomatics / psychotherapy (1)

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Paediatric and adolescent psychiatry (1) Paediatric and adolescent psychiatry / day hospital for day care rates (2)

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General psychiatry (4) General psychiatry / specialty forensic treatment (1) General psychiatry / day hospital for day care rates (1)

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Neurology (5) Neurology A (1)

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Ophthalmology (3)

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Ear, nose and throat medicine (4)

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Obstetrics (2) Obstetrics and gynaecology (6)

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Obstetrics and gynaecology (6) Gynaecology / specialty haematology and oncology (1) Gynaecology (1)

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Orthopaedics (5) Orthopaedics / specialty rheumatology (1) Orthopaedics / specialty surgery (1)

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Urology (2) Urology A (1)

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Thoracic surgery (2)

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Geriatrics (4) Geriatrics / day hospital for day care rates (2)

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Paediatrics (4) Paediatrics / specialty neonatology (1) Paediatrics A (1)

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Cardiology (2)

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Nephrology (2)

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Haematology and oncology (3)

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Gastroenterology (1)

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Pneumology (1)

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Rheumatology (2)

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Paediatric cardiology (1)

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Plastic surgery (2)

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Neonatology (1) Neonatology A (1)

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Paediatric surgery (1)

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General surgery (10) General surgery / specialty vascular surgery (1) General surgery / specialty thoracic surgery (1) Surgery / specialty orthopaedic surgery (1) General surgery / specialty hand surgery (1)

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Trauma surgery (4)

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Neurosurgery (3)

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Vascular surgery (3)

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Intensive care medicine (8) Surgical intensive medicine / specialty surgery (1)

Autologous blood donation (4) Acupressure (2) Acupuncture (6) Respiratory exercises / therapy (12) Basal stimulation (8) Exercise bath / water exercises (9) Sport therapy / exercise therapy (12) Bobath therapy (for adults and/or children) (10) Special range of services for diabetics (9) Ergotherapy / occupational therapy (11) Foot reflexology (5) Hippotherapy / therapeutic riding / riding therapy (2) Kinaesthetics (11) Continence training / incontinence advice (10) Creative therapy / art therapy / theatre therapy / bibliotherapy (8) Manual lymph drainage (12) Massage (11) Medical foot care (7) Music therapy (9) Naturopathy/homeopathy/phytotherapy (2) Osteopathy / chiropractic / manual therapy (7) Physical therapy / bath therapy (12) Physiotherapy as individual and/or group therapy (12) Preventive services / prevention courses (9) Back school / posture training / spinal gymnastics (12) Pain therapy / management (12) Vision therapy / orthoptics (2) Special relaxation therapy (12) Specialist nursing services (12) Voice and speech therapy / logopaedics (9) Stomatotherapy / consulting (11) Traditional Chinese medicine (3) Heating and cooling applications (12) Wound management (13) Aroma care / therapy (7) Asthma training (4) Audiometry / hearing diagnostics (7) Strength training / therapy / work trials (4) Biofeedback therapy (2) Memory training / brain performance training / cognitive training / concentration training (6) Proprioceptive neuromuscular facilitation (PNF) (5) Redression therapy (2) Snoezelen (2) Vojta therapy for adults and/or children (2)

Support / advice / seminars for relatives (13) Work / rehabilitation advice (8) Special forms of support / care concepts for the dying (9) Dietary and nutritional advice (13) Discharge management / transitional care (14) Case management / primary nursing (12) Special offers for guidance and counselling of patients and their relatives (10) Supply of aids / orthopaedic technology (11) Cooperation with / contact to self-help groups (13) Social services (14) Special services for the public (13) Special services for neurologically ill persons (6) Cooperation with inpatient care facilities / offer of outpatient care / short-term care / day care (12)

Specific proposals for the care of infants and young children (6) Birth preparation courses / pregnancy gymnastics (6) Educational service offer (6) Infant care courses (6) Special services offered by male and female midwives (4) Breastfeeding advice (6) Post-partum gymnastics / rehabilitation gymnastics (6) Special services for parents and families (7)

Psychological / psychotherapeutic services / psychosocial services (13)

Lift with voice announcements and/or lettering in raised profile lettering and/or Braille/Braille (6) Touchable building plan (1) Written instructions in easily legible, large and high-contrast lettering (10) Guidance system for the blind and/or personal assistance for visually impaired or blind people (3)

Room with wheelchair-accessible toilet (13) Wheelchair access to service facilities (13) Wheelchair accessible lift (inside/outside) (13) Wheelchair-accessible toilets for visitors (14) Special staff support (5)

Work with pictograms (7) Structural measures for people with dementia or mental disability (2) Special staff support for people with dementia or mental disability (5)

Suitable beds for patients that are particularly overweight or tall (oversize, electrically adjustable) (13) Surgical facilities for patients who are particularly overweight or tall: Airlocks, OP tables (11) X-ray equipment for patients who are particularly overweight or tall (10) Examination devices for patients who are particularly overweight or tall: e.g. body scales, blood pressure cuffs (12) Auxiliary devices for care of patients who are particularly overweight or tall e.g. patient lifts (9) Aids for patients who are particularly overweight or tall e.g. anti-thrombosis stockings (10)

Low-allergen room (3) Dietary offers (13)

Interpreting service (14) Treatment options via multilingual staff (12) Multilingual informational material about the hospital (5) Multilingual website (2) Multilingual orientation system (signage) in the hospital (2) Rooms for religious and spiritual reflection (7)

Psychiatric outpatient clinic according to Article 118 of the SGB V (4) Authorisation for outpatient treatment according to Article 116 of the SGB V or Article 31a para. 1 (special examination and treatment methods or knowledge of hospital doctors) (11) Authorisation for outpatient treatment according to Article 116a of the SGB V or Article 31, para. 1A of the Ärzte-ZV (undersupply) (8) Guideline on outpatient treatment in hospital according to Article 116b of the SGB V (5) Private outpatient clinic (12) Emergency outpatient clinic (24h) (11) Accident insurance consultant / outpatient clinic of the Employer’s Liability Insurance Association (8) Medical care centre according to Article 95 of the SGB V (4) Pre- and post-inpatient services according to Article 115a of the SGB V (10) Outpatient clinic within the framework of a contract for integrated care according to Article 140a, para. 1 of the SGB V (2) Outpatient clinic within the framework of DMP (2) Outpatient clinic according to Article 124, para. 3 of the SGB V (dispensing physical therapy, podological therapy, voice, speech and language therapy, and occupational therapy) (1)

Brachytherapy (1) Diagnosis and treatment of patients with cystic fibrosis (1) Diagnosis and treatment of patients with coagulation disorders (e.g. haemophilia) (1) Diagnosis and treatment of patients with biliary cirrhosis (1) Diagnosis and treatment of patients with primary sclerosing cholangitis (1) Diagnosis and treatment of patients with Wilson’s disease (1) Diagnosis and treatment of patients with short bowel syndrome (1) Diagnosis and treatment of patients before or after liver transplantation (1) Diagnosis and treatment of patients with HIV/AIDS (1) Diagnosis and treatment of patients with severe forms of rheumatological diseases (partly adults / partly children and adolescents) (1)

Comprehensive quality and/or risk management documentation (QM/RM documentation) is available (12) Regular further education and training measures (11) Employee surveys (11) Clinical emergency management (11) Pain management (10) Fall prophylaxis (11) Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) (11) Regulated handling of custodial measures (12) Regulated handling of occurring malfunctions of devices (10) Structured implementation of interdisciplinary case discussions/conferences (10) Use of standardised information sheets (11) Application of standardised surgical check lists (10) Preoperative summary of predictable critical surgical steps, surgical time and expected blood loss (10) Preoperative, complete presentation of necessary findings (9) Procedure to avoid procedural and patient mix-ups (10) Standards for recovery and postoperative care (10) Discharge management (11)

Publicly available reporting on infection rates (5) Participation in the Hospital Infection Surveillance System (HISS) of the National Reference Centre for Surveillance of Nosocomial Infections (12) Participation in other regional, national or international networks for the prevention of nosocomial infections (13) Participation in the (voluntary) “Clean Hands Initiative” (CHI) (9) Annual inspection of the preparation and sterilisation of medical devices (10) Training of employees on hygiene-related topics (14)

Training of employees on AMTS related topics (12) Availability of appropriate, topic-specific informational materials for patients on AMTS e.g. for chronic diseases, for high-risk drugs, for children (10) Use of standardised forms for drug medical history (7) 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) (9) Process description for an optimal medication process (e.g. drug anamnesis – prescription – patient information – drug delivery – drug application – documentation – therapy monitoring – result evaluation) (12) SOP on good prescription practices (3) 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) (8) Provision of one or more electronic drug information systems (e.g. Lauer-Taxe®, ifap klinikCenter®, Gelbe Liste®, Fachinfo-Service®) (11) Concepts for ensuring the error-free preparation of medications (6) Electronic support for the supply of patients with drugs (6) Electronic documentation of the administration of drugs (7) Measures to minimise medication errors (13) Measures to ensure seamless drug therapy after discharge (12)

Structured complaint management has been introduced (13) Written concept exists (13) Handling of oral complaints is regulated (13) Handling of written complaints is regulated (13) Time targets for acknowledgement are defined (13) Anonymous input options exist (14) Patient surveys were conducted (13) Referral surveys were conducted (13)

Documentation and procedural instructions for handling the error reporting system are available (12) Internal evaluation of the received reports (12) Training of employees in handling the error reporting system and in implementing the findings from the error reporting system (11)

CIRS AINS (Professional Association of German Anaesthetists and German Society for Anaesthesiology and Intensive Care Medicine, German Medical Association, National Association of Statutory Health Insurance Doctors) (1) KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors) (9) CIRS NRW (North Rhine and Westphalia-Lippe Medical Chambers, North Rhine Westphalia Hospital Association, North Rhine and Westphalia-Lippe Association of Statutory Health Insurance Doctors, German Medical Association, National Association of Statutory Hea (1) Other (2)