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Marien Hospital Witten

Marien Hospital Witten
Marien Hospital Witten

Marienplatz 2
58452 Witten

Phone: 02302-173-0
Fax: 02302-173-1117
Mail: ed.nettiw-latipsoh-neiram@ofni

http://www.marien-hospital-witten.de
  • Number of beds: 342
  • Number of specialist departments: 12
  • Number of inpatient cases: 29.707
  • Number of outpatient cases: 51.177
  • Hospital owners: St. Elisabeth Gruppe - Katholische Kliniken Rhein-Ruhr
  • Type of provider: freigemeinnützig
External comparative quality assurance
Further information
  • External quality assurance according to state law
    No participation
Brustkrebs

Quantity performed 32
Exception? No exception
Quantity performed 5
Exception? No exception
Quantity performed 42
Exception? No exception
Overall result forecast presentation: yes
Quantity performed reporting year: 32
Quantity forecast year: 32
Examination by state associations? yes
Exemption? yes
Result of the examination by the federal state authorities? yes
Transitional arrangement? no
Overall result forecast presentation: no
Quantity performed reporting year: 5
Quantity forecast year: 6
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: 42
Quantity forecast year: 36
Examination by state associations? yes
Exemption? yes
Result of the examination by the federal state authorities? yes
Transitional arrangement? no
No. Explanation
CQ01 Quality assurance measures for inpatient care with the indication abdominal aortic aneurysm
CQ05 Measures for quality assurance in the care of pre-term and full-term neonates – Perinatal Centre LEVEL 1
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: yes
Number Group
135 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*
13 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
12 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.

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

Qualitätsmanagementhandbuch im Intranet der Gruppe

19.09.2022

Qualitätsmanagementhandbuch im Intranet der Gruppe

19.09.2022

Arzneimittelthearpie

14.07.2023

  • 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)
  • Maßnahmen zur Vermeidung von Arzneimittelverwechslung
  • 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.
Job
Explanation

Herr Prof. Dr. Sven Schiermeier ist Lehrstuhlinhaber des Fachbereichs Frauenheilkunde der Universität Witten-Herdecke.

Explanation

Famulaturen und Praktisches Jahr können in unserem Hause absolviert werden.

Explanation

Explanation

Im Bereich der gynäkologischen Onkologie sowie der Inneren Medizin und der Kardiologie werden zahlreiche Studien Phase-III/IV-Studien durchgeführt.

Explanation

Explanation

Explanation

Explanation

Training in other healing professions
Comment

Comment

Comment

Die St. Elisabeth Gruppe verfügt über eine gruppeneigene Akademie der Physio- und Ergotherapie.

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Herr Hartmut Claes

Caritas Witten

Marienplatz 2
58452 Witten

Phone: 02302 -910-9013
Mail: ed.nettiw-satirac@sealc.tumtrah

Frau Sabine Hausherr

Sekretariat Geschäftsleitung

Marienplatz 2
58452 Witten

Phone: 02302 -173-1113
Mail: ed.eppurghtebasile@rrehsuah.enibas

Frau Kerstin Weinmann-Mölter

Qualitätsmanagement Marien Hospital Witten

Marienplatz 2
58452 Witten

Phone: 02302 -173-1624
Mail: ed.eppurghtebasile@retleom-nnamniew.nitsrek

Prof. Dr. med. Metin Senkal

Ärztlicher Direktor

Marienplatz 2
58452 Witten

Phone: 02302 -173-1200
Mail: ed.eppurghtebasile@laknes.nitem

Dr. Frank Seifert

Gesamtleitung Apotheke

Marienplatz 2
58452 Witten

Phone: 02325 -592-801
Mail: ed.eppurghtebasile@trefies.knarf

Iris Oberbeck

Schwerbehindertenvertretung

Marienplatz 2
58452 Witten

Phone: 02302 -173-1560
Mail: ed.eppurghtebasile@kcebrebo.siri

Marienplatz 2
58452 Witten

Phone: 02302-173-0
Fax: 02302-173-1117
Mail: ed.nettiw-latipsoh-neiram@ofni

Frau Marion Schmitz

Gesamtpflegedienstleitung St. Elisabeth Gruppe

Marienplatz 2
58452 Witten

Phone: 02302 -173-3276
Mail: ed.eppurghtebasile@1ztimhcs.noiram

Frau Meike Materna

Pflegedienstleitung

Marienplatz 2
58452 Witten

Phone: 02302 -173-3276
Mail: ed.eppurghtebasile@anretam.ekiem

Simone Lauer

Geschäftsführerin St. Elisabeth Gruppe

Marienplatz 2
58452 Witten

Phone: 02325 -986-2610
Mail: ed.eppurghtebasile@gnurheufstfeahcseg

Dr. Sabine Edlinger

Geschäftsführerin St. Elisabeth Gruppe

Marienplatz 2
58452 Witten

Phone: 02325 -986-2610
Mail: ed.eppurghtebasile@gnurheufstfeahcseg

Simone Lauer

Geschäftsführerin St. Elisabeth Gruppe

Marienplatz 2
58452 Witten

Phone: 02325 -986-2610
Mail: ed.eppurghtebasile@gnurheufstfeahcseg

Martin Evers

Kaufmännische Leitung

Marienplatz 2
58452 Witten

Phone: 02302 -173-1113
Mail: ed.nettiw-latipsoh-neiram@ofni

Dr. Sabine Edlinger

Geschäftsführerin St. Elisabeth Gruppe

Marienplatz 2
58452 Witten

Phone: 02325 -986-2610
Mail: ed.eppurghtebasile@gnurheufstfeahcseg

Dr. Sabine Edlinger

Geschäftsführerin St. Elisabeth Gruppe

Marienplatz 2
58452 Witten

Phone: 02325 -986-2610
Mail: ed.eppurghtebasile@gnurheufstfeahcseg

Prof. Dr. med. Metin Senkal

Ärztlicher Direktor; Chefarzt der Klinik für Allgemein- und Viszeralchirurgie

Marienplatz 2
58452 Witten

Phone: 02302 -173-1203
Mail: ed.eppurghtebasile@zrawhcs.enaitsirhc

No

IK: 260590641

Location number: 772434000

Old location number: 772434000

Hospital portrait for download