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St. Martinus-Krankenhaus Düsseldorf

Gladbacher Strasse 26
40219 Düsseldorf

Phone: 0211-917-0
Fax: 0211-917-1244
Mail: ed.frodlesseud-sunitram@ofni

http://www.martinus-duesseldorf.de
  • Number of beds: 209
  • Number of specialist departments: 6
  • Number of inpatient cases: 8.426
  • Number of partial inpatient cases: 43
  • Number of outpatient cases: 38.446
  • Hospital owners: Alexianer St. Martinus GmbH, Gladbacher Str. 26, 40219 Düsseldorf, Handelsregister: Münster, HRB 21122
  • Type of provider: freigemeinnützig
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
Quantity performed 55
Exception? No exception
Overall result forecast presentation: yes
Quantity performed reporting year: 55
Quantity forecast year: 49
Examination by state associations? yes
Exemption? yes
Result of the examination by the federal state authorities? yes
Transitional arrangement? no
No. Explanation
CQ28 Guideline on quality assurance measures for liposuction procedures for stage III lipedema (QS-RL Liposuction)
  • 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
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*
35 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
33 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”

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.

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.
  • No working group set up
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.
Job
Explanation

Augenheilkunde: Universität Köln, Augenheilkunde: RWTH Aachen, Geriatrie: Universität Bonn, Innovationsfondprojekt SAVE & SAFE, Universität Bremen, Universität Köln, Allgemeinchirurgie: Fliedner Fachhochschule, Uni Düsseldorf, Universität Tours.

Explanation

Prof. Dr. Rößler: Famulaturbetreuung, Uni Aachen; Prof. Dr. Widder: Famulaturbetreuung und Kurse, Uni Köln; PD Dr. Lukas: Famulaturbetreuung und Kurse, Uni Düsseldorf; Dr. Hoor: Famulaturbetreuung, Uni Düsseldorf; Dr. Dajchin/Dr. Demtröder: Famulaturbetreuung, Uni Düsseldorf, Uni Heidelberg.

Explanation

Prof. Dr. Rößler: Betreuung von Promotionsstudierenden, RWTH Aachen PD Dr. Lukas: Betreuung von Promotionsstudierenden, Universität Düsseldorf Dr. Demtröder: Betreuung von Promotionsstudierenden, Universität Düsseldorf

Explanation

Prof. Dr. Rößler: Lehrauftrag Universität Aachen, Prof. Dr. Widder: Lehrauftrag Universität Köln, PD Dr. Lukas: Lehrauftrag Universität Düsseldorf, Dr. Demtröder: Lehrauftrag, Fliedner Fachhochschule (FFU) Düsseldorf

Explanation

Allgemeinchirurgie: N=2

Explanation

Dr. Demtröder:Reviewer in Journal of Frontiers in Surgery/Buchbeiträge in "Differentialdiagnostik und Differenzialtherapie in der Gynäkologie - Stuhlinkontinenz", "Referenz Notfallmedizin - Akutes Abdomen und abdominelle Trauma", "PIPAC - Pressurized IntraPerioneal Aerosol Chemotherapy".

Explanation

Allgemeinchirurgie: N=5

Training in other healing professions
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Kontakt Informationszenrale

Ehrenamtlich beauftragt

Gladbacher Strasse 26
40219 Düsseldorf

Phone: 0211 -917-0
Mail: ed.frodlesseud-sunitram@ofni

Stephan Schmitz

Qualitätsmanagementbeauftragter

Gladbacher Strasse 26
40219 Düsseldorf

Phone: 0211 -917-1324
Mail: ed.frodlesseud-sunitram@tnemeganamedrewhcseb

Stephan Schmitz

Qualitätsmanagementbeauftragter

Gladbacher Strasse 26
40219 Düsseldorf

Phone: 0211 -917-1324
Mail: ed.frodlesseud-sunitram@ztimhcs.s

Dr. Michael Hoor

Chefarzt Anästhesie

Gladbacher Strasse 26
40219 Düsseldorf

Phone: 0211 -917-1315
Mail: ed.frodlesseud-sunitram@rooh.m

Dr. Hoor Michael

Ärztlicher Direktor

Gladbacher Strasse 26
40219 Düsseldorf

Phone: 0211 -917-1315
Mail: ed.frodlesseud-sunitram@rooh.m

Maria Welfens-Pinell

Sozialarbeiterin

Gladbacher Strasse 26
40219 Düsseldorf

Phone: 0211 -917-1237
Mail: ed.frodlesseud-sunitram@llenip-sneflew.m

Gladbacher Strasse 26
40219 Düsseldorf

Phone: 0211-917-0
Fax: 0211-917-1244
Mail: ed.frodlesseud-sunitram@ofni

Tim Plaggenborg

Pflegedirektor

Gladbacher Strasse 26
40219 Düsseldorf

Phone: 0211 -917-1205
Mail: ed.frodlesseud-sunitram@tsor.m

Norman Westphal

Geschäftsführer

Gladbacher Strasse 26
40219 Düsseldorf

Phone: 0211 -917-1213
Mail: ed.renaixela@lahptsew.namron

Kaja Ziemniak

Kaufmännische Direktorin

Gladbacher Strasse 26
40219 Düsseldorf

Phone: 0211 -917-1212
Mail: ed.frodlesseud-sunitram@kainmeiZ.K

Kaja Ziemniak

Kaufmännische Direktorin

Gladbacher Strasse 26
40219 Düsseldorf

Phone: 0211 -917-1212
Mail: ed.frodlesseud-sunitram@kainmeiZ.K

Dr. Michael Hoor

Ärztlicher Direktor

Gladbacher Strasse 26
40219 Düsseldorf

Phone: 0211 -917-1315
Mail: ed.frodlesseud-sunitram@rooh.m

No

IK: 260510085

Location number: 772419000

Hospital portrait for download