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Schwarzwald-Baar Klinikum Villingen-Schwenningen GmbH

Sonnhaldenstraße 2
78166 Donaueschingen

Phone: 0771-88-0
Fax: 07721-93-98001
Mail: ed.sv-kbs@mukinilkofni

  • Number of beds: 263
  • Number of specialist departments: 7
  • Number of inpatient cases: 5.078
  • Number of outpatient cases: 24.363
  • Hospital owners: Schwarzwald-Baar Klinikum Villingen-Schwenningen GmbH
  • Type of provider: öffentlich
External comparative quality assurance
Further information
Bezeichnung
Teilnahme externe Qualitätssicherung yes
Bezeichnung
Teilnahme externe Qualitätssicherung yes
Bezeichnung
Teilnahme externe Qualitätssicherung does not apply
Quantity performed 184
Exception? No exception
Overall result forecast presentation: yes
Quantity performed reporting year: 184
Quantity forecast year: 431
Examination by state associations? yes
Exemption? yes
Result of the examination by the federal state authorities? yes
Transitional arrangement? no
No. Explanation
CQ27 Guideline on quality assurance measures for inpatient care with bronchoscopic lung volume reduction procedures for severe emphysema (QS Guideline bronchoscopic LVR /QS-RL BLVR)
  • 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
48 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*
37 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
23 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? No
  • 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

Verfahrens- und Arbeitsanweisung, SOP

15.12.2021

Verfahrens- und Arbeitsanweisung, SOP

15.12.2021

  • Bereitstellung einer geeigneten Infrastruktur zur Sicherstellung einer fehlerfreien Zubereitung
  • Zubereitung durch pharmazeutisches Personal
  • Anwendung von gebrauchsfertigen Arzneimitteln bzw. Zubereitungen
  • Vorhandensein von elektronischen Systemen zur Entscheidungsunterstützung (z.B. Meona®, Rpdoc®, AIDKlinik®, ID Medics® bzw. ID Diacos® Pharma)
  • Versorgung der Patientinnen und Patienten mit patientenindividuell abgepackten Arzneimitteln durch die Krankenhausapotheke (z.B. Unit-Dose-System)
  • 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.
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Training in other healing professions
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Renate Bohrer

Patientenfürsprecherin

Sonnhaldenstraße 2
78166 Donaueschingen

Phone: 07721 -93-4381
Mail: ed.sv-kbs@rerhob.etaner

Bernd Bierer

Patientenfürsprecher

Sonnhaldenstraße 2
78166 Donaueschingen

Phone: 07721 -93-4380
Mail: ed.sv-kbs@rereib.dnreb

Karl-Heinz Hahn

Patientenfürsprecher

Sonnhaldenstraße 2
78166 Donaueschingen

Phone: 0771 -88-5662
Mail: ed.sv-kbs@nhah.znieh-lrak

Irmgard Stern

Patientenfürsprecherin

Sonnhaldenstraße 2
78166 Donaueschingen

Phone: 07721 -93-4383
Mail: ed.sv-kbs@nretS.dragmrI

Isolde Weißhaar

Patientenfürsprecherin

Sonnhaldenstraße 2
78166 Donaueschingen

Phone: 07721 -93-4382
Mail: ed.sv-kbs@raahssiew.edlosi

Gerd Vosseler

Patientenfürsprecher

Sonnhaldenstraße 2
78166 Donaueschingen

Phone: 0771 -88-5662
Mail: ed.sv-kbs@relessov.dreg

Susanne Dieckmann

Patientenfürsprecherin

Sonnhaldenstraße 2
78166 Donaueschingen

Phone: 07721 -93-4384
Mail: ed.sv-kbs@nnamkeid.ennasus

Thomas Schlenker

Patientenfürsprecher

Sonnhaldenstraße 2
78166 Donaueschingen

Phone: 07721 -93-4380
Mail: ed.sv-kbs@reknelhcs.samoht

Dr. Simon Steiff

Medizinischer Direktor

Sonnhaldenstraße 2
78166 Donaueschingen

Phone: 07721 -93-8300
Mail: ed.sv-kbs@ffiets.nomis

Klaus Kugel

Abteilungsleitung

Sonnhaldenstraße 2
78166 Donaueschingen

Phone: 07721 -93-8350
Mail: ed.sv-kbs@leguk.sualk

PD Dr. med. Matthias Henschen

Ärztlicher Direktor

Sonnhaldenstraße 2
78166 Donaueschingen

Phone: 07721 -93-3200
Mail: ed.sv-kbs@nehcsneh.saihttam

Direktor der Apotheke Matthias Fellhauer

Direktor der Apotheke

Sonnhaldenstraße 2
78166 Donaueschingen

Phone: 07721 -93-3901
Mail: ed.sv-kbs@reuahllef.saihttam

Moritz Vitt

Direktor der Apotheke

Sonnhaldenstraße 2
78166 Donaueschingen

Phone: 07721 -93-3901
Mail: ed.sv-kbs@ttiV.ztiroM

Dipl. Sozialpädagogin Brigitte Langlois

Mitarbeiterin Sozialdienst

Sonnhaldenstraße 2
78166 Donaueschingen

Phone: 07721 -93-8367
Mail: ed.sv-kbs@siolgnal.ettigirb

Sonnhaldenstraße 2
78166 Donaueschingen

Phone: 0771-88-0
Fax: 07721-93-98001
Mail: ed.sv-kbs@mukinilkofni

Arne Holthuis

Leitender Pflegedirektor

Sonnhaldenstraße 2
78166 Donaueschingen

Phone: 07721 -93-1700
Mail: ed.sv-kbs@siuhtloh.enra

Dr. Matthias Geiser

Geschäftsführer

Sonnhaldenstraße 2
78166 Donaueschingen

Phone: 07721 -93-8001
Mail: ed.sv-kbs@resieg.saihttam

Dr. Matthias Geiser

Geschäftsführer

Sonnhaldenstraße 2
78166 Donaueschingen

Phone: 07721 -93-8001
Mail: ed.sv-kbs@resieg.saihttam

PD Dr. med. Henschen Matthias

Ärztlicher Direktor

Sonnhaldenstraße 2
78166 Donaueschingen

Phone: 07721 -93-3200
Mail: ed.sv-kbs@nehcsneh.saihttam

IK: 260831312

Location number: 773573000

Old location number: 773573000