Overall result forecast presentation:	yes
Quantity performed reporting year:	309
Quantity forecast year:	315
Examination by state associations?	yes
Exemption?	yes
Result of the examination by the federal state authorities?	yes
Transitional arrangement?	no

Surgical treatment of breast cancer (mamma surgery)

Overall result forecast presentation:	yes
Quantity performed reporting year:	356
Quantity forecast year:	286
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:	0
Quantity forecast year:	0
Examination by state associations?	no
Exemption?	yes
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.	Explanation
CQ07	Measures for quality assurance in the care of pre-term and full-term neonates – perinatal focus

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: yes

Management of quality assurance for proximal femoral fracturet (QSFFx)

Full record of compliance maintained

Number of days shown	366
Days of non-performance	0
Number of minimum requirements not met	1

General minimum requirements

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

Specific minimum requirements

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 requirements for process quality

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

Further training
pursuant to Article 136b, para. 1, sentence 1, no. 1 of the SGB

Number	Group
49	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*
37	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
36	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
  Note on the measure
  ausliegende Flyer in sensiblen Bereichen (Kinderambulanz, Wochenstation, Kinderklinik, Kreißsaal)
  Training of employees
  Note on the measure
  regelmäßig (mind. vierteljährlich); Betrachtung von Einzelfällen in Fallkonferenzen; jährliche interne Schulung zur Erkennung und Bewertung kinderschutzrelevanter Fälle
  Education
  Note on the measure
  vierteljährliche Teambesprechungen; Einzelfallanalyse
  Code of conduct with rules for treating children and young people with respect
  Last review of the measure
  01.12.2024 18:12:27
  Age-appropriate complaint options
  Note on the measure
  zentrale Zufriedenheitsbefragung der Patienten
  Special requirements for the selection of persons
  Note on the measure
  Thematisierung von Kinderschutz/ Schutzkonzept in Vorstellungsgesprächen
  Other aspects of prevention
  Note on the measure
  Etablierung Kinderschutzgruppe; Zusammenarbeit mit der Thüringer Ambulanz für Kinderschutz (TAKS); Fallkonferenzen mit der TAKS
- Intervention
  Intervention plan - Binding procedure for dealing with child protection cases and in particular suspected (sexual) violence
  Note on the measure
  Interventionsplan bei Verdacht auf sexuelle Übergriffe und Vorgehen bei Kinderschutzfällen
  
  Last review of the measure
  01.12.2024 18:12:27
  Other aspects of intervention
  Note on the measure
  Aufnahme und Unterbringung eines Kindes/ Jugendlichen in einer Notsituation (Inobhutnahme) in Zusammenarbeit mit dem Jugendamt Weimarer Land
- Review
  Recommendations for dealing with/processing cases that have occurred
  Last review of the measure
  01.12.2024 18:12:27
  Other information on recognition
  Note on the measure
  Fallbezogene Konferenzen mit dem zuständigen Jugendamt

ausliegende Flyer in sensiblen Bereichen (Kinderambulanz, Wochenstation, Kinderklinik, Kreißsaal)

Commentary on the protection concept

Gemäß Teil A § 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 Teil A § 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)

Process description for an optimal medication process (e.g. drug anamnesis – prescription – patient information – drug delivery – drug application – documentation – therapy monitoring – result evaluation)

zentrale QM/RM-Dokumentation

08.01.2025

SOP on good prescription practices

zentrale QM/RM-Dokumentation

08.01.2025

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®)

Concepts for ensuring the error-free preparation of medications

Bereitstellung einer geeigneten Infrastruktur zur Sicherstellung einer fehlerfreien Zubereitung
Zubereitung durch pharmazeutisches Personal
Anwendung von gebrauchsfertigen Arzneimitteln bzw. Zubereitungen
Verwendung von Fertigarzneimitteln bzw. Zubereitungen

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)
elektr. Unterstützung bei der Arzneimittelbestellung

Measures to minimise medication errors

Fallbesprechungen
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 von Patienteninformationen zur Umsetzung von Therapieempfehlungen
Aushändigung des Medikationsplans
bei Bedarf Arzneimittel-Mitgabe oder Ausstellung von Entlassrezepten
vertraglich gesicherte Zusammenarbeit mit einer Krankenhausapotheke; eine weitere Apotheke zur Nachversorgung direkt am Haus

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

FL01 - Lectureships / teaching posts at colleges and universities

Explanation

Abnahme der 2. Ärztlichen Prüfung an der FSU Jena, Abnahme von Prüfungen zur Erlangung der Facharzt- und Teilgebietskompetenz (FA, TG) durch mehrere Chefärzte des Hauses

FL03 - Student training (clinical traineeship / internship year)

Explanation

Betreuung bzw. Ausbildung von Famulanten/Medizinstudenten im PJ. Zur Verbesserung des letzten Ausbildungsabschnitts im Studiengang Humanmedizin wurde das Projekt "PJplus 2.0" des Universitätsklinikums Jena etabliert. PJ-Beauftragte und Mentorin: OÄ Dr. Katrin Rolle Tel. 0 36 44 57 19 93

FL04 - Project-related cooperation with colleges and universities

Explanation

Verbesserung des letzten Ausbildungsabschnitts im Studiengang Humanmedizin durch das Projekt "PJplus 2.0" des Universitätsklinikums Jena

FL05 - Participation in multi-centre Phase I/II studies

Explanation

Brustzentrum der Klinik für Gynäkologie und Geburtshilfe

Training

Training in other healing professions

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

Comment

jährliche Ausbildung findet im Rahmen der generalistischen Pflegeausbildung zum Pflegefachmann/ zur Pflegefachfrau in Zusammenarbeit mit dem DEB Weimar, Grone Weimar, DBI Holzdorf sowie SBBZ Weimar statt

HB02 - Health and paediatric nurse (m/f)

Comment

jährliche Ausbildung findet im Rahmen der generalistischen Pflegeausbildung zum Pflegefachmann/ zur Pflegefachfrau statt

HB03 - Physical therapist / physiotherapist (m/f)

Comment

für Physiotherapiestudenten im Bachelor- und Master-Studiengang; Klinik bietet Praxiseinsätze im Rahmen des Studiums an

HB05 - Medical technical radiology assistant (MTRA) (m/f)

Comment

Teile der Ausbildung zum Medizinischen Technologen/ zur Medizinischen Technologin für Radiologie (MT-R) finden in Kooperation mit externen Partnern statt

HB07 - Surgical technical assistant (m/f)