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Medizinische Universität Lausitz - Carl Thiem

Medizinische Universität Lausitz - Carl Thiem
Medizinische Universität Lausitz - Carl Thiem

Thiemstrasse 111
03048 Cottbus

Phone: 0355-460
Mail: ed.tc-lum@ofni ed.tc-lum@ofni ed.tc-lum@ofni

http://www.mul-ct.de/
  • Number of beds: 923
  • Number of specialist departments: 33
  • Number of inpatient cases: 34.762
  • Number of partial inpatient cases: 1.728
  • Number of outpatient cases: 45.992
  • Hospital owners: Bis zum 30.06.2024 Carl-Thiem Klinikum Cottbus gGmbH (kommunales Krankenhaus, Gesellschafter Stadt Cottbus). Ab dem 01.07.2024 Medizinische Universität Lausitz - Carl Thiem (Anstalt des öffentlichen Rechts, Träger Land Brandenburg).
  • Type of provider: öffentlich
  • University Hospital
External comparative quality assurance
Further information
  • External quality assurance according to state law
    No participation
Chronische Herzinsuffizienz

Quantity performed 262
Exception? No exception
Quantity performed 394
Exception? No exception
Quantity performed 38
Exception? No exception
Quantity performed 39
Exception? No exception
Quantity performed 20
Exception? No exception
Overall result forecast presentation: yes
Quantity performed reporting year: 262
Quantity forecast year: 269
Examination by state associations? yes
Exemption? yes
Result of the examination by the federal state authorities? yes
Transitional arrangement? no
Overall result forecast presentation: yes
Quantity performed reporting year: 394
Quantity forecast year: 403
Examination by state associations? yes
Exemption? yes
Result of the examination by the federal state authorities? yes
Transitional arrangement? no
Overall result forecast presentation: yes
Quantity performed reporting year: 38
Quantity forecast year: 34
Examination by state associations? yes
Exemption? yes
Result of the examination by the federal state authorities? yes
Transitional arrangement? no
Overall result forecast presentation: yes
Quantity performed reporting year: 39
Quantity forecast year: 32
Examination by state associations? yes
Exemption? yes
Result of the examination by the federal state authorities? yes
Transitional arrangement? no
Overall result forecast presentation: yes
Quantity performed reporting year: 20
Quantity forecast year: 13
Examination by state associations? yes
Exemption? yes
Result of the examination by the federal state authorities? yes
Transitional arrangement? no
No. Explanation
CQ01 Quality assurance measures for inpatient care with the indication abdominal aortic aneurysm
CQ02 Quality assurance measures for the inpatient care of children and adolescents with haemato-oncological diseases
CQ05 Measures for quality assurance in the care of pre-term and full-term neonates – Perinatal Centre LEVEL 1
CQ25 Measures for quality assurance in the performance of minimally invasive heart valve interventions pursuant to Article 136, para. 1, sentence 1, number 2 for hospitals licensed in accordance with Article 108 of the SGB V
CQ31 Guideline for the care of proximal femur fractures (QSFFx-RL)
  • 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
quarter Q1

No evidence of compliance has been provided

quarter Q2

No evidence of compliance has been provided

quarter Q3

No evidence of compliance has been provided

quarter Q4

No evidence of compliance has been provided

Full record of compliance maintained

Number of days shown 366
Days of non-performance 0
Number of minimum requirements not met 0
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
Number Group
263 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*
197 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
165 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.

  • Interdisziplinäre Kinderschutzgruppe.
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 commission

Standardisierter Anamnesebogen Medikation (BOI)

26.06.2024

Prozessbeschreibung für eien optimalen Medikationsprozess

05.04.2024

SOP zur guten Verordnungspraxis

05.04.2024

  • Zubereitung durch pharmazeutisches Personal
  • Anwendung von gebrauchsfertigen Arzneimitteln bzw. Zubereitungen
  • Bereitstellung einer geeigneten Infrastruktur zur Sicherstellung einer fehlerfreien Zubereitung
  • Vorhandensein von elektronischen Systemen zur Entscheidungsunterstützung (z.B. Meona®, Rpdoc®, AIDKlinik®, ID Medics® bzw. ID Diacos® Pharma)
  • Fallbesprechungen
  • Maßnahmen zur Vermeidung von Arzneimittelverwechslung
  • Spezielle AMTS-Visiten (z. B. pharmazeutische Visiten, antibiotic stewardship, Ernährung)
  • Teilnahme an einem einrichtungsübergreifenden Fehlermeldesystem (siehe Kapitel 12.2.3.2)
  • 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
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

15 Personen erfüllen entsprechende Lehraufträge.

Explanation

21 Famulanten und 21 Medizinstudenten / PJler.

Explanation

Uni's: BTU, Bochum,Bonn,Berlin-Charite,Göttingen,Gießen,Halle-Wittenberg,Heidelberg,Leipzig,Marburg,Magdeburg,MC Utrecht,München, Rotterdam,Unikliniken:Aachen,Dresden,Essen,Frankf.,Freiburg,Hamburg-Eppend.,Münster, Mannheim,Regensburg,Schleswig-Holstein,Kiel,Köln,Rostock,Tübingen,MHS:BB,Hannover

Explanation

12 Klinische Prüfungen Phase II, davon 1 Studie IIb (Beteiligung an der Konzeption eines Investigator-Initiated Trials)

Explanation

27 Klinische Prüfungen der Phase III/IV einschließlich kombinierten AMG/MPDG Studien.

Explanation

Hematopoietic Cell Transplantation and Cellular Therapies [Internet]. 8th edition. Cham (CH): Springer; 2024. Chapter 53. Prof. Schmidt-Hieber, 2. Med.

Explanation

Betreuung und Unterstützung bei statistischen, ethischen und konzeptionellen Fragestellungen durch Ärzte des Klinikums und die Interdisziplinäre Studienzentrale.

Training in other healing professions
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In Kooperation mit der BTU Cottbus.

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Praktische Ausbildung.

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Praktische Ausbildung.

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Praktische Ausbildung.

Heidelore Lichey

Patientenfürsprecherin

Thiemstrasse 111
03048 Cottbus

Phone: 0151 -26185047-
Mail: ed.ktc@nirehcerpsreufnetneitap

Susanne Ramisch

Mitarbeiterin Lob-und Beschwerdemanagement

Thiemstrasse 111
03048 Cottbus

Phone: 0355 -46-2044
Mail: ed.tc-lum@hcsimaR.S

Dipl. Pflegew. Kathrin Auge

Koordinatorin Qualitätsmanagement

Thiemstrasse 111
03048 Cottbus

Phone: 0355 -46-2026
Mail: ed.tc-lum@eguA.K

Dipl.-Pharm. Caroline Zscheile

leitende Krankenhausapothekerin

Thiemstrasse 111
03048 Cottbus

Phone: 0355 -46-2545
Mail: ed.tc-lum@ekehtopA

Karoline Matthies

Vorsitzende Schwerbehindertenvertretung

Thiemstrasse 111
03048 Cottbus

Phone: 0355 -4679126-
Mail: ed.tc-lum@seihttaM.K

Thiemstrasse 111
03048 Cottbus

Phone: 0355-460
Mail: ed.tc-lum@ofni

MBA / BBA Andrea Stewig-Nitschke

Pflegevorstand

Thiemstrasse 111
03048 Cottbus

Phone: 0355 -46-2138
Mail: ed.tc-lum@dnatsrovegelfp

Dipl. Pflegew. (FH) Carmen Dommaschke

Pflegedirektorin Operatives Klinikmanagement

Thiemstrasse 111
03048 Cottbus

Phone: 0355 -4679271-
Mail: ed.tc-lum@ekhcsammod.c

M.A. Ulrike Dropco

Pflegedirektorin Operatives Klinikmanagement

Thiemstrasse 111
03048 Cottbus

Phone: 0355 -4679319-
Mail: ed.tc-lum@ocpord.u

Dr. Alexander Hewer

Kaufmännischer Vorstand

Thiemstrasse 111
03048 Cottbus

Phone: 0355 -46-1435
Mail: ed.tc-lum@lherK.J

Univ.-Prof. Dr. med. Dr. mult. Eckhardt Nagel

Vorstandsvorsitzender

Thiemstrasse 111
03048 Cottbus

Phone: 355 -46-2000
Mail: ed.tc-lum@gnurheufstfeahcseG

Dr. med. Cornelia Schmidt

Ärztliche Direktorin

Thiemstrasse 111
03048 Cottbus

Phone: 0355 -46-2896
Mail: ed.tc-lum@rotkeriDrehciltzreA

Univ.-Prof. Dr. Dr. med. habil. Dr. phil. Dr. theol. h. c. Eckhard Nagel

Vorstand Krankenversorgung (Vorstandsvorsitzender)

Thiemstrasse 111
03048 Cottbus

Phone: 0355 -46-2000
Mail: ed.tc-lum@gnurheufstfeahcseG

IK: 261200721

Location number: 773088000

Brustkrebszentrum

Certified until: 03.2028

Chest Pain Unit

Certified until: 03.2030

Darmkrebszentrum

Certified until: 03.2028

Diabetes Exzellenzzentrum

Certified until: 10.2026

Dysplasie-Einheit

Certified until: 06.2028

Gynäkologisches Krebszentrum

Certified until: 03.2028

Kopf-Hals-Tumor-Zentrum

Certified until: 03.2028

Pankreaskrebszentrum

Certified until: 03.2028

Stroke Unit

Certified until: 10.2026

TraumaNetzwerk

Certified until: 06.2028

TraumaZentrum

Certified until: 04.2028

Überregionales Heart Failure Unit-Zentrum

Certified until: 10.2027

Zentrum für Fuß- und Sprunggelenkchirurgie

Certified until: 06.2026

Zentrum für Hämatologische Neoplasien

Certified until: 03.2028

Hospital portrait for download