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St. Barbara-Klinik Hamm-Heessen

St. Barbara-Klinik Hamm-Heessen
St. Barbara-Klinik Hamm-Heessen

Am Heessener Wald 1
59073 Hamm

Phone: 02381-681-0
Fax: 02381-681-1263
Mail: ed.kinilkarabrab@ofni

  • Number of beds: 448
  • Number of specialist departments: 17
  • Number of inpatient cases: 19.850
  • Number of partial inpatient cases: 153
  • Number of outpatient cases: 61.521
  • Hospital owners: St. Franziskus-Stiftung Münster (www.st-franziskus-stiftung.de)
  • Type of provider: freigemeinnützig
  • Academic teaching hospital
      • Universität Münster
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 34
Exception? No exception
Quantity performed 3
Exception? No exception
Quantity performed 118
Exception? No exception
Overall result forecast presentation: no
Quantity performed reporting year: 3
Quantity forecast year: 1
Examination by state associations? no
Exemption? no
Result of the examination by the federal state authorities? no
Transitional arrangement? no
Overall result forecast presentation: yes
Quantity performed reporting year: 118
Quantity forecast year: 91
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: 34
Quantity forecast year: 31
Examination by state associations? yes
Exemption? yes
Result of the examination by the federal state authorities? yes
Transitional arrangement? no
No. Explanation
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
113 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*
85 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
79 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.

  • Pflichtschulung für alle Mitarbeiterinnen und Mitarbeiter
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

Umgang mit Arzneimitteln

26.08.2022

Umgang mit Arzneimitteln

26.08.2022

  • Bereitstellung einer geeigneten Infrastruktur zur Sicherstellung einer fehlerfreien Zubereitung
  • Zubereitung durch pharmazeutisches Personal
  • Anwendung von gebrauchsfertigen Arzneimitteln bzw. Zubereitungen
  • Einsatz eines Qualitätsmanagementsystems mit standardisierten Arbeitsabläufen und Qualitätsstandards inkl. mikrobiologischen Monitorings.
  • Vorhandensein von elektronischen Systemen zur Entscheidungsunterstützung (z.B. Meona®, Rpdoc®, AIDKlinik®, ID Medics® bzw. ID Diacos® Pharma)
  • Elektronische Anforderung des Stationsbedarfs an Arzneimitteln über ein online-Bestellportal der Apotheke.
  • 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)
  • 4-Augen-Prinzip beim Stellen und Verabreichen der Medikamente
  • Aushändigung von arzneimittelbezogenen Informationen für die Weiterbehandlung und Anschlussversorgung der Patientin oder des Patienten im Rahmen eines (ggf. vorläufigen) Entlassbriefs
  • 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

Retrospektive Studien mit der Uniklinik Münster

Explanation

Medizinische Fakultät der Universität Münster und Universität Witten-Herdecke

Explanation

In allen Fachbereichen möglich, ebenso PJ-Veranstaltungen. PJ-Beauftragter der St. Barbara-Klinik: Priv.-Doz. Dr. med. Christian Ewelt

Explanation

Explanation

Teilnahme an multizentrischen Phase III/IV-Studien

Explanation

Auf Wunsch möglich.

Explanation

https://www.barbaraklinik.de/wir-ueber-uns/wissenschaftliche-aktivitaeten.html

Training in other healing professions
Comment

in Kooperation

Comment

Comment

Kooperation für praktische Ausbildung

Comment

Comment

Im Institut für Bildung im Gesundheitswesen (I.Bi.G.) der St. Barbara-Klinik Hamm-Heessen werden Operationstechnische AssistentInnen (OTA) ausgebildet.

Comment

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Oskar Burkert

Patientenfürsprecher

Am Heessener Wald 1
59073 Hamm

Phone: 02381 -681-4444
Mail: ed.kinilkarabrab@gnuniem

Wilma Kosubek

Qualitätsmanagerin

Am Heessener Wald 1
59073 Hamm

Phone: 02381 -681-4444
Mail: ed.kinilkarabrab@gnuniem

Simon Mendel

Leitung Qualitätsmanagement und Leitbildumsetzung

Am Heessener Wald 1
59073 Hamm

Phone: 02381 -681-1049
Mail: ed.kinilkarabrab@lednems

Dr. med. Rainer Löb, M.A.

Ärztlicher Direktor

Am Heessener Wald 1
59073 Hamm

Phone: 02381 -681-1451
Mail: ed.kinilkarabrab@beolr

Dr. med. Rainer Löb

Ärztlicher Direktor

Am Heessener Wald 1
59073 Hamm

Phone: 02381 -681-1451
Mail: ed.kinilkarabrab@beolr

Peter Stewing

Zentrales Belegungsmanagement

Am Heessener Wald 1
59073 Hamm

Phone: 02381 -681-9944
Mail: ed.kinilkarabrab@mbz

Am Heessener Wald 1
59073 Hamm

Phone: 02381-681-0
Fax: 02381-681-1263
Mail: ed.kinilkarabrab@ofni

Jens Alberti

Pflegedirektor

Am Heessener Wald 1
59073 Hamm

Phone: 02381 -681-1041
Mail: ed.kinilkarabrab@itreblaj

Thorsten Keuschen

Regionalgeschäftsführer

Am Heessener Wald 1
59073 Hamm

Phone: 02381 -681-1001
Mail: ed.kinilkarabrab@nehcsuekt

Peter Potysch

Geschäftsführer

Am Heessener Wald 1
59073 Hamm

Phone: 02381 -681-1016
Mail: ed.kinilkarabrab@hcsytopp

Thorsten Keuschen

Regionalgeschäftsführer

Am Heessener Wald 1
59073 Hamm

Phone: 02381 -681-1001
Mail: ed.kinilkarabrab@nehcsuekt

Peter Potysch

Geschäftsführer

Am Heessener Wald 1
59073 Hamm

Phone: 02381 -681-1016
Mail: ed.kinilkarabrab@hcsytopp

Thorsten Keuschen

Geschäftsführer und Regionalgeschäftsführer Ahlen – Beckum – Hamm

Am Heessener Wald 1
59073 Hamm

Phone: 02381 -681-1000
Mail: ed.kinilkarabrab@nehcsuekt

Peter Potysch

Geschäftsführer

Am Heessener Wald 1
59073 Hamm

Phone: 02381 -681-1016
Mail: ed.kinilkarabrab@hcsytopp

Peter Potysch

Geschäftsführer

Am Heessener Wald 1
59073 Hamm

Phone: 02381 -681-1000
Mail: ed.kinilkarabrab@hcsytopp

Dr. med. Rainer Löb, M.A.

Ärztlicher Direktor

Am Heessener Wald 1
59073 Hamm

Phone: 02381 -681-1451
Mail: ed.kinilkarabrab@beolr

IK: 260592084

Location number: 772561000

Old location number: 772561000

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