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(1)
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(1)
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(1)
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(1)
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(1)
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(1)
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(1)
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(1)
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(1)
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(1)
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(1)
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(1)
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(1)
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(1)
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(2)
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(2)
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(1)
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(1)
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(1)
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Psychiatric outpatient clinic according to Article 118 of the SGB V
(1)
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)
(1)
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(1)
Private outpatient clinic
(2)
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(1)
Pre- and post-inpatient services according to Article 115a of the SGB V
(2)
Outpatient treatments
Quality & hygiene
Clinical risk management
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available
(1)
Regular further education and training measures
(3)
Employee surveys
(2)
Clinical emergency management
(1)
Pain management
(2)
Fall prophylaxis
(2)
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”)
(3)
Regulated handling of custodial measures
(1)
Regulated handling of occurring malfunctions of devices
(1)
Structured implementation of interdisciplinary case discussions/conferences
(2)
Use of standardised information sheets
(3)
Application of standardised surgical check lists
(3)
Preoperative summary of predictable critical surgical steps, surgical time and expected blood loss
(1)
Preoperative, complete presentation of necessary findings
(1)
Procedure to avoid procedural and patient mix-ups
(1)
Standards for recovery and postoperative care
(1)
Discharge management
(2)
More on risk management
Central indwelling vein catheter (CVC)
CVC system – default authorised
(3)
CVC system – default authorised
(3)
Guidelines for antibiotic therapy
Antibiotic therapy - guideline on the resistance situation adjusted
(3)
Antibiotic therapy – guideline authorised
(3)
Perioperative antibiotic prophylaxis
Antibiotic prophylaxis – default authorised
(3)
Antibiotic prophylaxis – monitoring via check list
(3)
Wound care / dressing change
Wound infection – default authorised
(3)
Hand disinfection
Hand disinfectant consumption in intensive care wards not surveyed
(1)
Recording of hand disinfectant consumption for each ward
(1)
MRSA / MRE
Standardised information MRSA
(3)
Site-specific information management with regard to MRSA
(3)
Hygiene-related risk management
Publicly available reporting on infection rates
(1)
Participation in the Hospital Infection Surveillance System (HISS) of the National Reference Centre for Surveillance of Nosocomial Infections
(3)
Participation in other regional, national or international networks for the prevention of nosocomial infections
(2)
Participation in the (voluntary) “Clean Hands Initiative” (CHI)
(1)
Annual inspection of the preparation and sterilisation of medical devices
(2)
Training of employees on hygiene-related topics
(3)
Drug therapy safety
Training of employees on AMTS related topics
(1)
Availability of appropriate, topic-specific informational materials for patients on AMTS e.g. for chronic diseases, for high-risk drugs, for children
(1)
Use of standardised forms for drug medical history
(1)
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)
(1)
Process description for an optimal medication process (e.g. drug anamnesis – prescription – patient information – drug delivery – drug application – documentation – therapy monitoring – result evaluation)
(1)
SOP on good prescription practices
(1)
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)
(1)
Provision of one or more electronic drug information systems (e.g. Lauer-Taxe®, ifap klinikCenter®, Gelbe Liste®, Fachinfo-Service®)
(1)
Concepts for ensuring the error-free preparation of medications
(1)
Electronic support for the supply of patients with drugs
(1)
Electronic documentation of the administration of drugs
(2)
Measures to minimise medication errors
(2)
Measures to ensure seamless drug therapy after discharge
(2)
Reports & Feedback
Complaint management
Structured complaint management has been introduced
(3)
Written concept exists
(3)
Handling of oral complaints is regulated
(3)
Handling of written complaints is regulated
(3)
Time targets for acknowledgement are defined
(3)
Anonymous input options exist
(2)
Patient surveys were conducted
(3)
Referral surveys were conducted
(3)
Internal fault reporting system
Documentation and procedural instructions for handling the error reporting system are available
(2)
Internal evaluation of the received reports
(3)
Training of employees in handling the error reporting system and in implementing the findings from the error reporting system
(2)
Fault reporting system for the entire facility
KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors)
(1)
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Name and place
Distance
(linear distance)
Beds in the hospital
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Note
KMG Klinik Boizenburg GmbH
19258 Boizenburg
0.4 km
48
5.776
Contact
Approach
Contact and directions
KMG Klinik Boizenburg GmbH
Vor dem Mühlentor 3
19258 Boizenburg
Tel:
038847 63730
Note
Westmecklenburg Klinikum Helene von Bülow
19230 Hagenow
31.2 km
165
13.731
Contact
Approach
Contact and directions
Westmecklenburg Klinikum Helene von Bülow
Parkstraße 12
19230 Hagenow
Tel:
03883 736 0
Note
Sana HANSE-Klinikum Wismar- Tagesklinik Gadebusch
19205 Gadebusch
44.7 km
18
1.473
Contact
Approach
Contact and directions
Sana HANSE-Klinikum Wismar- Tagesklinik Gadebusch
Wismarsche Straße 9
19205 Gadebusch
Tel:
03841 33 0
Note
1
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