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Katholisches Krankenhaus "St. Johann Nepomuk" Erfurt

Katholisches Krankenhaus "St. Johann Nepomuk" Erfurt
Katholisches Krankenhaus "St. Johann Nepomuk" Erfurt

Haarbergstraße 72
99097 Erfurt

Phone: 0361-6540
Fax: 0361-654-1081
Mail: ed.trufre-hkk@etkatnok

  • Number of beds: 419
  • Number of specialist departments: 10
  • Number of inpatient cases: 15.510
  • Number of partial inpatient cases: 211
  • Number of outpatient cases: 33.942
  • Hospital owners: Katholische Hospitalvereinigung Thüringen gGmbH
  • Type of provider: freigemeinnützig
External comparative quality assurance
Further information
  • External quality assurance according to state law
    No participation
Quantity performed 22
Exception? No exception
Quantity performed 87
Exception? No exception
Overall result forecast presentation: yes
Quantity performed reporting year: 22
Quantity forecast year: 15
Examination by state associations? yes
Exemption? no
Result of the examination by the federal state authorities? no
Transitional arrangement? no
Overall result forecast presentation: yes
Quantity performed reporting year: 87
Quantity forecast year: 96
Examination by state associations? yes
Exemption? no
Result of the examination by the federal state authorities? no
Transitional arrangement? no
No. Explanation
CQ01 Quality assurance measures for inpatient care with the indication abdominal aortic aneurysm
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
  • 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
94 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*
25 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
25 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.

  • Is a protection concept in place? Yes
  • No care for children and young people
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.
  • Drug commission
  • Aushändigung von arzneimittelbezogenen Informationen für die Weiterbehandlung und Anschlussversorgung der Patientin oder des Patienten im Rahmen eines (ggf. vorläufigen) Entlassbriefs
  • 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

Lehrbeauftragungen am Universitätsklinikum Jena

Explanation

kooperative Zusammenarbeit mit dem Universitätsklinikum Jena, Teilnahme an Qualitätssicherungsstudien mit der Universität Magdeburg (Rektumkarzinom, Magenkarzinom, elektive Pankreaschirurgie, Appendizitis)

Explanation

Med. Lehrbeauftragung der Friedrich-Schiller-Universität Jena

Explanation

Lichttherapie Lebermetastasen

Explanation

interventionelle/ nicht-interventionelle klinische Studien im Bereich Kardiologie (Phase II / III / IV)

Explanation

Training in other healing professions
Comment

Die theoretische Ausbildung erfolgt in unserer eigenen Schule für Gesundheits- und Krankenpflegeberufe. Praktische Ausbildungseinheiten werden am Katholischen Krankenhaus sichergestellt sowie in kooperierenden Unternehmen.

Comment

Unser Krankenhaus ist Praxispartner für diese Ausbildung.

Comment

Unser Krankenhaus ist Praxispartner für diese Ausbildung.

Comment

Unser Krankenhaus ist Praxispartner für diese Ausbildung.

Comment

In Kooperation mit der Marie-Elyse-Kayser Berufsschule Erfurt

Comment

Unser Krankenhaus ist Praxispartner für diese Ausbildung

Juliane Körber

Patientenfürsprecherin

Haarbergstraße 72
99097 Erfurt

Phone: 0361 -6541909-
Mail: ed.trufre-hkk@nirehcerpsreufnetneitap

Rita-Maria Vogt

Qualitätsmanagementbeauftragte

Haarbergstraße 72
99097 Erfurt

Phone: 0361 -654-1044
Mail: ed.trufre-hkk@tgovr

Sven Kordon

Abteilungsleiter PQM

Haarbergstraße 72
99097 Erfurt

Phone: 0361 -6541045-
Mail: ed.trufre-hkk@nodroks

Dr. med. Jörg Pertschy

Ärztlicher Direktor

Haarbergstraße 72
99097 Erfurt

Phone: 0361 -654-1201
Mail: ed.trufre-hkk@yhcstrepj

Dr. med. Jörg Pertschy

Ärztlicher Direktor, Chefarzt der Klinik für Allgemein-, Visceral-, Thorax- und Gefäßchirurgie

Haarbergstraße 72
99097 Erfurt

Phone: 0361 -6541201-
Mail: ed.trufre-hkk@eigrurihc

Corina Blaßfeld

Überleitungspflege, Case Managerin

Haarbergstraße 72
99097 Erfurt

Phone: 0361 -654-1603
Mail: ed.trufre-hkk@dlefssalbc

Haarbergstraße 72
99097 Erfurt

Phone: 0361-6540
Fax: 0361-654-1081
Mail: ed.trufre-hkk@etkatnok

Tim Strüver

Pflegedirektor

Haarbergstraße 72
99097 Erfurt

Phone: 0361 -654-1601
Mail: ed.trufre-hkk@egelfp

Tim Strüver

Pflegedirektor

Haarbergstraße 72
99097 Erfurt

Phone: 0361 -654-1601
Mail: ed.trufre-hkk@egelfp

Dipl.- Betrw. (DH) Stefan A. Rösch

Geschäftsführer

Haarbergstraße 72
99097 Erfurt

Phone: 0361 -654-1001
Mail: ed.trufre-hkk@fg

Dipl.-Betrw. (DH) Stefan A. Rösch

Geschäftsführer

Haarbergstraße 72
99097 Erfurt

Phone: 0361 -6541001-
Mail: ed.trufre-hkk@fg

Dr. med. Jörg Pertschy

Ärztlicher Direktor

Haarbergstraße 72
99097 Erfurt

Phone: 0361 -654-1201
Mail: ed.trufre-hkk@yhcstrepj

IK: 261600337

Location number: 772251000

Old location number: 772251000

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