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Helios Amper-Klinikum Dachau

Krankenhausstraße 15
85221 Dachau

Phone: 08131-760
Mail: ed.nekinilkrepma@ofni ed.nekinilkrepma@ofni ed.nekinilkrepma@ofni

http://www.helios-gesundheit/dachau.de
  • Number of beds: 435
  • Number of specialist departments: 14
  • Number of inpatient cases: 19.468
  • Number of outpatient cases: 40.457
  • Hospital owners: Amper Kliniken AG
  • Type of provider: privat
  • Academic teaching hospital
      • Ludwig-Maximilians-Universität München (LMU München)
External comparative quality assurance
Further information
Bezeichnung
Teilnahme externe Qualitätssicherung yes
  • Quality of participation in the Disease Management Programme (DMP)
    No participation
Quantity performed 1
Exception? No exception
Patientin kam in der 22 SSW mit einem Blasensprung und beginnende Wehen in die Klinik, Gynäkologin war in ständiger Absprache mit den Klinikum München, diese konnte allerdings nicht dort aufgenommen werden, Patientin hatte Kind auf die Welt gebracht, dieses aber nach einigen Minuten verstarb.
Quantity performed 36
Exception? No exception
Quantity performed 82
Exception? No exception
Quantity performed 81
Exception? No exception
Overall result forecast presentation: no
Quantity performed reporting year: 1
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: 36
Quantity forecast year: 35
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: 82
Quantity forecast year: 89
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: 81
Quantity forecast year: 78
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 participation
  • 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

Full record of compliance maintained

Number of days shown 366
Days of non-performance 0
Number of minimum requirements not met 0
General minimum requirements
Minimum requirement Days of non-performance
Trauma room 0
Availability 0
Computed tomography (CT) 0
Intensive care beds 0
Department of Surgery 0
Forwarding by air 0
Department of Internal Medicine 0
Intensive care beds with ventilator facilities 0
Emergency care training courses 0
Treatment prioritisation system (triage) 0
Responsibility for emergency care 0
Specific minimum requirements
Minimum requirement Days of non-performance
Doctor on duty 0
Supervision by a medical specialist 0
Geriatric expertise 0
Operating room equipment 0
Post-operative physiotherapy 0
Independent organisational unit 0
Minimum requirements for process quality
Minimum requirement Days of non-performance
SOP: Surgical procedures 0
SOP: Perioperative Planning 0
SOP: Capacity to consent 0
Standard Operating Procedure for the Management of Anticoagulants 0
SOP: Ortho-geriatric Care 0
SOP: Physiotherapy Measures 0
SOP: Patient-centred blood management 0
Number Group
130 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*
39 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
25 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.

  • Prodema, hausinterne Trainer
Gemäß Teil A § 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 Teil A § 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
  • Bereitstellung einer geeigneten Infrastruktur zur Sicherstellung einer fehlerfreien Zubereitung
  • 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)
  • Sonstige_elektronische_Unterstuetzung
  • 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)
  • Andere_Massnahme
  • 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

Ludwig-Maximilians-Universität München, regelmäßige Lehrtätigkeit, Fakultät für Medizin

Explanation

Regelmäßige Ausbildung von Famulanten verschiedener Universitäten und Studenten der Ludwig-Maximilians-Universität (praktisches Jahr)

Explanation

Mentorenprogramm der TU München, Med. Fakultät;

Explanation

Helios Amper-Klinikum Dachau: Darmzentrum, Pankreaszentrum, Kopf-Hals-Tumorzentrum, Innere Medizin I, Chirurgie, Brustzentrum, Prostatakarzinomzentrum, Leberzentrum

Explanation

Ludwig-Maximilians-Universität München

Training in other healing professions
Comment

Comment

Die theoretische Ausbildung findet im Bildungszentrum San-ak München und die praktische Ausbildung im Helios-Amper-Klinikum Dachau statt.

Comment

Die theoretische Ausbildung findet im Bildungszentrum San-ak München und die praktische Ausbildung im Helios-Amper-Klinikum Dachau statt.

Comment

Comment

Rita Klausnitz

Patientenfürsprecher

Krankenhausstraße 15
85221 Dachau

Phone: 0176 -54899055-
Mail: ed.oohay@ztinsualkatir

Thea Zimmer

Patientenfürsprecher

Krankenhausstraße 15
85221 Dachau

Phone: 0176 -54899055-
Mail: ed.oohay@ztinsualkatir

Katharina Stark

Beschwerdemanagement

Krankenhausstraße 15
85221 Dachau

Phone: 08131 -76-224
Mail: ed.tiehdnuseg-soileh@krats.anirahtak

Alexandra Schley

Qualitätsmanagement

Krankenhausstraße 15
85221 Dachau

Phone: 08131 -76-236
Mail: ed.tiehdnuseg-soileh@yelhcs.ardnaxela

Dr. Christoph Sturm

leitender Krankenhausapotheker

Krankenhausstraße 15
85221 Dachau

Phone: 08131 -76-570
Mail: ed.tiehdnuseg-soileh@mruts.hpotsirhc

Annett Götze

Gesundheits- und Krankenpflegehelferin

Krankenhausstraße 15
85221 Dachau

Phone: 08131 -76-67209
Mail: ed.tiehdnuseg-soileh@ezteog.ttenna

Krankenhausstraße 15
85221 Dachau

Phone: 08131-760
Mail: ed.nekinilkrepma@ofni

Thomas Götze

Pflegedirektor Helios Amper-Klinikum Dachau

Krankenhausstraße 15
85221 Dachau

Phone: 08131 -76-67800
Mail: ed.tiehdnuseg-soileh@ezteoG.samohT

Gunnar Schramm

Klinikgeschäftsführer

Krankenhausstraße 15
85221 Dachau

Phone: 08131 -76-532
Mail: ed.tiehdnuseg-soileh@mmarhcs.rannug

Gunnar Schramm

Klinikgeschäftsführer

Krankenhausstraße 15
85221 Dachau

Phone: 08131 -76-532
Mail: ed.tiehdnuseg-soileh@mmarhcs.rannug

Prof. Dr. med. Hjalmar Hagedorn

Ärztlicher Direktor

Krankenhausstraße 15
85221 Dachau

Phone: 08131 -76-4900
Mail: ed.tiehdnuseg-soileh@nrodegah.ramlajh

IK: 260911137

Location number: 771686000

Brustkrebszentrum

Certified until: 11.2027

Hospital portrait for download