Number	Group
3	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*
3	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
3	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
No care for children and young people

Commentary on the protection concept

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 therapy safety

Steering committee

Name of the working group: Arzneimittelsicherheit

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)

Medikationsmanagement im St. Antonius Krankenhaus 2019

02.01.2019

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

Anwendung von gebrauchsfertigen Arzneimitteln bzw. Zubereitungen

Measures to minimise medication errors

Fallbesprechungen
Maßnahmen zur Vermeidung von Arzneimittelverwechslung
Spezielle AMTS-Visiten (z. B. pharmazeutische Visiten, antibiotic stewardship, Ernährung)

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

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

FL04 - Project-related cooperation with colleges and universities

Explanation

Hospital staff
Pharmaceutical personnel
- Explanations: Das St. Antonius Krankenhaus wird von einer externen Apotheke versorgt (Antonius Apotheke Hörstel, Frau Dykstra)

Service contact persons

Patient advocates

Christel Rosenhöfel

Patientenfürsprecherin

Krankenhausstraße 17
48477 Hörstel

Phone: 05459 -9147329000-
Mail: ed.liame-gd@lefeohnesorc

Christel Rosenhöfe

Patientenfürsprecherin

Krankenhausstraße 17
48477 Hörstel

Phone: 05459 -9147329000-
Mail: ed.liame-gd@lefeohnesorc

Christel Rosenhöfel

Patientenfürsprecherin

Krankenhausstraße 17
48477 Hörstel

Phone: 05459 -9147329000-
Mail: ed.liame-gd@lefeohnesorc

Quality management

Diplom-Krankenhauswirt Günter Engels

Geschäftsführer

Krankenhausstraße 17
48477 Hörstel

Phone: 05459 -8024-29000
Mail: ed.letsreoh-kinilkhcaf@ofni

Diplom-Krankenhauswirt, Executive MBA Health Care Management Günter Engels

Geschäftsführer

Krankenhausstraße 17
48477 Hörstel

Phone: 05459 -8024-29000
Mail: ed.letsreoh-kinilkhcaf@ofni

Hygiene officer

Vorsitzende Heike Ewels

Vorsitzende

Krankenhausstraße 17
48477 Hörstel

Phone: 02501 -966-20371
Mail: ed.renaixela@slewE.H

Vorsitzende Heike Ewels

Vorsitzende

Krankenhausstraße 17
48477 Hörstel

Phone: 02501 -966-20371
Mail: ed.renaixela@slewE.H

Responsible for drug therapy

Dr. med. Matthias Schubring

Ärztliche Leitung

Krankenhausstraße 17
48477 Hörstel

Phone: 05459 -91473-29000
Mail: ed.renaixela@gnirbuhcs.m

Dr. med. Matthias Schubring

Ärztliche Leitung

Krankenhausstraße 17
48477 Hörstel

Phone: 05459 -91473-29000
Mail: ed.renaixela@gnirbuhcs.m

Accessibility Officer

Lisa Oelgemöller

Sozialdienst Krankenhaus

Krankenhausstraße 17
48477 Hörstel

Phone: 05459 -8024-29203
Mail: ed.renaixela@reiemhel.l

Fabienne Mäcke

Sozialdienst Krankenhaus

Krankenhausstraße 17
48477 Hörstel

Phone: 05459 -8024-29213
Mail: ed.renaixela@ekceam.f

Fabienne Mäcke

Sozialdienst Krankenhaus

Krankenhausstraße 17
48477 Hörstel

Phone: 05459 -8024-29213
Mail: ed.renaixela@ekceam.f

Company

General contact details of the hospital

Krankenhausstraße 17
48477 Hörstel

Phone: 05459-8024-29000
Fax: 05459-91473-29015
Mail: ed.letsreoh-kinilkhcaf@ofni

Nursing service management

Pflegewissenschaftler B. A. Benjamin Sommer

Pflegedienst Leiter

Krankenhausstraße 17
48477 Hörstel

Phone: 05459 -8024-29000
Mail: ed.letsreoh-kinilkhcaf@ofni

Frank Kättker

Pflegedirektor

Krankenhausstraße 17
48477 Hörstel

Phone: 05459 -8024-29000
Mail: ed.letsreoh-kinilkhcaf@ofni

Frank Kättker

Pflegedirektor

Krankenhausstraße 17
48477 Hörstel

Phone: 05459 -8024-29000
Mail: ed.letsreoh-kinilkhcaf@ofni

Head of administration

Diplom-Krankenhausbetriebswirt (VKD) Günter Engels

Geschäftsführer

Krankenhausstraße 17
48477 Hörstel

Phone: 05459 -8024-29000
Mail: ed.letsreoh-kinilkhcaf@ofni

Diplom-Krankenhausbetriebswirt (VKD), Executive MBA Health Care Management Günter Engels

Geschäftsführer

Krankenhausstraße 17
48477 Hörstel

Phone: 05459 -8024-29000
Mail: ed.letsreoh-kinilkhcaf@ofni

Responsible for the quality report in the hospital management

Diplom Krankenhausbetriebswirt Günter Engels

Geschäftsführung

Krankenhausstraße 17
48477 Hörstel

Phone: 05459 -8024-29000
Mail: ed.letsreoh-kinilkhcaf@ofni

Diplom Krankenhausbetriebswirt, Executive MBA Health Care Management Günter Engels

Geschäftsführung

Krankenhausstraße 17
48477 Hörstel

Phone: 05459 -8024-29000
Mail: ed.letsreoh-kinilkhcaf@ofni

Medical management

Dr. med. Matthias Schubring

Ärztliche Leitung

Krankenhausstraße 17
48477 Hörstel

Phone: 05971 -3577-
Mail: ed.letsreoh-kinilkhcaf@ofni

Dr. med. Joachim Kamprad

Ärztliche Leitung

Krankenhausstraße 17
48477 Hörstel

Phone: 05971 -3577-
Mail: ed.letsreoh-kinilkhcaf@ofni

Dr. med. Thomas Poehlke

Ärztliche Leitung

Krankenhausstraße 17
48477 Hörstel

Phone: 05451 -938527380-
Mail: ed.letsreoh-kinilkhcaf@ofni

Dr. med. Nikolaos Kougioufas

Ärztliche Leitung

Krankenhausstraße 17
48477 Hörstel

Phone: 05481 -99750727480-
Mail: ed.letsreoh-kinilkhcaf@ofni

Dr. med. Matthias Schubring

Ärztliche Leitung

Krankenhausstraße 17
48477 Hörstel

Phone: 05971 -802227400-
Mail: ed.letsreoh-kinilkhcaf@ofni

Dr. med. Thomas Poehlke

Ärztliche Leitung

Krankenhausstraße 17
48477 Hörstel

Phone: 05451 -938527380-
Mail: ed.letsreoh-kinilkhcaf@ofni

Dr. med. Nikolaos Kougioufas

Ärztliche Leitung

Krankenhausstraße 17
48477 Hörstel

Phone: 05481 -99750727480-
Mail: ed.letsreoh-kinilkhcaf@ofni

Regional care obligation for psychiatry?

IK number

IK: 260550789

Location number

Location number: 771368000

Old location number: 771368000