Overall result forecast presentation:	yes
Quantity performed reporting year:	47
Quantity forecast year:	52
Examination by state associations?	yes
Exemption?	yes
Result of the examination by the federal state authorities?	yes
Transitional arrangement?	no

Surgical treatment of breast cancer (mamma surgery)

Overall result forecast presentation:	yes
Quantity performed reporting year:	0
Quantity forecast year:	327
Examination by state associations?	yes
Exemption?	yes
Result of the examination by the federal state authorities?	yes
Transitional arrangement?	no

Complex operations on the pancreatic organ system

Overall result forecast presentation:	yes
Quantity performed reporting year:	8
Quantity forecast year:	16
Examination by state associations?	yes
Exemption?	yes
Result of the examination by the federal state authorities?	yes
Transitional arrangement?	no

Implementation of resolutions of the Federal Joint Committee on quality assurance (G-BA)

No.	Explanation
CQ01	Quality assurance measures for inpatient care with the indication abdominal aortic aneurysm
CQ28	Guideline on quality assurance measures for liposuction procedures for stage III lipedema (QS-RL Liposuction)
CQ06	Measures for quality assurance in the care of pre-term and full-term neonates – Perinatal Centre LEVEL 2

Compliance with staffing requirements

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

Further training
pursuant to Article 136b, para. 1, sentence 1, no. 1 of the SGB

Number	Group
170	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*
131	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
47	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

Drug commission

Use of standardised forms for drug medical history

QM Handbuch ISO 9001

23.06.2021

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)

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

Bereitstellung einer geeigneten Infrastruktur zur Sicherstellung einer fehlerfreien Zubereitung
Zubereitung durch pharmazeutisches Personal
Anwendung von gebrauchsfertigen Arzneimitteln bzw. Zubereitungen

Electronic support for the supply of patients with drugs

Vorhandensein von elektronischen Systemen zur Entscheidungsunterstützung (z.B. Meona®, Rpdoc®, AIDKlinik®, ID Medics® bzw. ID Diacos® Pharma)
AMeLI, ZENZY-Arztmodul

Measures to minimise medication errors

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)

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 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

FL03 - Student training (clinical traineeship / internship year)

Explanation

Strukturierte Ausbildung im Praktischen Jahr und Fortbildungscurriculum für PJ Studenten. PJ Beauftragte: Dr. I. Gerlach.

FL05 - Participation in multi-centre Phase I/II studies

Explanation

In der Sektion Nephrologie; In der Klinik für Gynäkologie und Geburtshilfe; In der Klinik für Allgemein-, Viszeral-, Thorax- und Gefäßchirurgie; Klinik für Anästhesiologie und Operative Intensivmedizin

FL01 - Lectureships / teaching posts at colleges and universities

Explanation

Prof. Dr. Friedmann, PD Dr. Radke,DEAA MHBA, Prof. Dr. Dißmann, Prof. Dr. Holtmann, PD Dr. Pfleiderer, Dr. Sachse, Dr. Ackermann, PD Dr. Ebmeyer, PD Dr. Bruns,FACS,MBA, PD Dr. Dr. Boelmans, MHBA, PD Dr. Cohrs

FL04 - Project-related cooperation with colleges and universities

Explanation

In den Kliniken für: Neurochirurgie, Neurologie, Allgemein-, Viszeral-, Thorax- und Gefäßchirurgie, Anästhesiologie und Operative Intensivmedizin, Dermatologie, Geriatrie, Sektion Nephrologie und im Institut für Diagnostische und Interventionelle Radiologie, Neuroradiologie und Nuklearmedizin

FL08 - Editors of scientific journals/textbooks

Explanation

Prof. Dr. Holtmann, Prof. Dr. W. Friedmann und PD Dr. Bruns, FACS, MBA., Dr. Ackermann, PD Dr. Dr. Boelmans, MHBA

FL06 - Participation in multi-centre phase III/IV studies

Explanation

Gynäkologie und Geburtshilfe - Brustzentrum; Dermatologie, Allergologie und Phlebologie; Anästhesiologie und Operative Intensivmedizin; Medizinischen Klinik II - Kardiologie und Nephrologie; Klinik für Unfall-, Handchirurgie, Orthopädie und Endoprothetik

FL09 - Doctoral supervision

Explanation

PD Dr. O. C. Radke, DEAA, MHBA, PD Dr. J. Ebmeyer, Dr. M. Sachse und PD Dr. H. Bruns, FACS, MBA, Dr. Ackermann, PD Dr. Dr. Boelmans, MHBA, PD Dr. S. Cohrs

FL07 - Initiation and management of uni-centric/multi-centric clinical/scientific studies

Explanation

Klinik für Geriatrie

Training

Training in other healing professions

HB12 - Medical technical laboratory assistant (MTLA) (m/f)

Comment

Praktika können im Rahmen der Ausbildung im Klinikum Bremerhaven erfolgen

HB10 - Midwife (m/f)

Comment

HB01 - Nurse and health care worker (m/f)

Comment

HB07 - Surgical technical assistant (m/f)

Comment

Der Praktische Teil der Ausbildung erfolgt im Klinikum Bremerhaven

HB15 - Anaesthesia technical assistant (m/f)

Comment

Der Praktische Teil der Ausbildung erfolgt im Klinikum Bremerhaven

HB05 - Medical technical radiology assistant (MTRA) (m/f)

Comment

Praktika können im Rahmen der Ausbildung im Klinikum Bremerhaven erfolgen

Hospital staff
Pharmaceutical personnel
- Number of pharmacists: 6
- Additional staff: 8
- Explanations: PTA ausschließlich in Teilzeit
- Nursing staff regulation

Service contact persons

Patient advocates

Stefanie Hallegger-Mahn

Patientenfürsprecherin

Postbrookstraße 103
27574 Bremerhaven

Phone: 0471 -299-3495
Mail: ed.nevahremerb-mukinilk@nham-reggellah.einafets

Waltraud Seltz

Patientenfürsprecherin

Postbrookstraße 103
27574 Bremerhaven

Phone: 0471 -299-3495
Mail: ed.nevahremerb-mukinilk@ztles.duartlaw

Customer feedback management

Andreas Bullwinkel

Mitarbeiter der Abteilung Qualitätsmanagement/ Schwerpunkt Lob- und Beschwerdemanagement

Postbrookstraße 103
27574 Bremerhaven

Phone: 0471 -299-3730
Mail: ed.nevahremerb-mukinilk@tnemeganamedrewhcseb

Quality management

Frank Iwanowski

Leitung Stabsstelle Qualitäts- und klinisches Risikomanagement

Postbrookstraße 103
27574 Bremerhaven

Phone: 0471 -299-3425
Mail: ed.nevahremerb-mukinilk@ikswonawi.knarf

Hygiene officer

Dr. med. Suanne Kleinbrahm

Medizinische Geschäftsführerin

Postbrookstraße 103
27574 Bremerhaven

Phone: 0471 -299-3101
Mail: ed.nevahremerb-mukinilk@mharbnielk.ennasus

Dr. med. Suanne Kleinbrahm

Medizinische Geschäftsführerin

Postbrookstraße 103
27574 Bremerhaven

Phone: 0471 -299-3101
Mail: ed.nevahremerb-mukinilk@mharbnielk.ennasus

Responsible for drug therapy

Drug commission

Accessibility Officer

Sabine Bröker

Aufnahme- und Entlassmanagement

Postbrookstraße 103
27574 Bremerhaven

Phone: 0471 -299-2143
Mail: ed.nevahremerb-mukinilk@rekeorb.enibas

Company

General contact details of the hospital

Postbrookstraße 103
27574 Bremerhaven

Phone: 0472-299-0
Fax: 0471-299-3573
Mail: ed.nevahremerb-mukinilk@ofni

Nursing service management

Dr. rer. med. Witiko Nickel

Pflegerischer Geschäftsführer

Postbrookstraße 103
27574 Bremerhaven

Phone: 0471 -299-3185
Mail: ed.nevahremerb-mukinilk@lekcin.okitiw

Head of administration

Frank Kühl

Kaufmännischer Geschäftsführer seit 01.05.2023

Postbrookstraße 103
27574 Bremerhaven

Phone: 0471 -299-3100
Mail: ed.nevahremerb-mukinilk@lheuk.knarf

Thomas Kruse

Kaufmännischer Geschäftsführer bis 30.09.2022

Postbrookstraße 103
27574 Bremerhaven

Phone: 0471 -299-3100
Mail: ed.nevahremerb-mukinilk@esurk.samoht

Frank Kühl

Kaufmännischer Geschäftsführer seit 01.05.2023

Postbrookstraße 103
27574 Bremerhaven

Phone: 0471 -299-3100
Mail: ed.nevahremerb-mukinilk@lheuk.knarf

Responsible for the quality report in the hospital management

Dr. med. Susanne Kleinbrahm

Medizinische Geschäftsführerin

Postbrookstraße 103
27574 Bremerhaven

Phone: 0471 -299-3101
Mail: ed.nevahremerb-mukinilk@mharbnielk.ennasus

Dr. med. Susanne Kleinbrahm

Medizinische Geschäftsführerin

Postbrookstraße 103
27574 Bremerhaven

Phone: 0471 -299-3101
Mail: ed.nevahremerb-mukinilk@mharbnielk.ennasus

Medical management

Dr. med. Susanne Kleinbrahme

Medizinische Geschäftsführerin seit 01.02.2023

Postbrookstraße 103
27574 Bremerhaven

Phone: 0471 -299-3101
Mail: ed.nevahremerb-mukinilk@mharbnielk.ennasus

Dr. med. Kristin Drechsler

Medizinische Geschäftsführerin bis 31.01.2023

Postbrookstraße 103
27574 Bremerhaven

Phone: 0471 -299-3101
Mail: ed.nevahremerb-mukinilk@relshcerd.nitsirk

Dr. med. Susanne Kleinbrahme

Medizinische Geschäftsführerin seit 01.02.2023

Postbrookstraße 103
27574 Bremerhaven

Phone: 0471 -299-3101
Mail: ed.nevahremerb-mukinilk@mharbnielk.ennasus

Regional care obligation for psychiatry?

IK number

IK: 260400184

Location number

Location number: 771101000

Old location number: 771101000

Hospital portrait for download