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Universitätsklinikum Brandenburg an der Havel GmbH

Universitätsklinikum Brandenburg an der Havel GmbH
Universitätsklinikum Brandenburg an der Havel GmbH

Hochstraße 29
14770 Brandenburg an der Havel

Phone: 03381-4110
Mail: ed.grubnednarb-ku@tkatnok ed.grubnednarb-ku@tkatnok ed.grubnednarb-ku@tkatnok

https://www.uk-brandenburg.de

Universitätsklinikum Brandenburg an der Havel - Campus for Health Our hospital, which provides specialized care, and the Brandenburg Medical School treat...

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  • Number of beds: 508
  • Number of specialist departments: 16
  • Number of inpatient cases: 21.688
  • Number of partial inpatient cases: 132
  • Number of outpatient cases: 51.857
  • Hospital owners: Universitätsklinikum Brandenburg an der Havel GmbH
  • Type of provider: öffentlich
  • University Hospital
External comparative quality assurance
Further information
  • External quality assurance according to state law
    No participation
Koronare Herzkrankheit (KHK)

Quantity performed 39
Exception? No exception
Quantity performed 155
Exception? No exception
Quantity performed 216
Exception? No exception
Overall result forecast presentation: yes
Quantity performed reporting year: 39
Quantity forecast year: 176
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: 155
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: 216
Quantity forecast year: 216
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
CQ31 Guideline for the care of proximal femur fractures (QSFFx-RL)
CQ05 Measures for quality assurance in the care of pre-term and full-term neonates – Perinatal Centre LEVEL 1
  • 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

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
133 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*
104 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
99 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.

  • Institutionelles Kinderschutzkonzept (D08605)
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

OR 017-044 Arzneimittelanamnese

25.11.2024

OR 017-044 Arzneimittelanamnese

25.11.2024

OR 001-017 Dokumentationsrichtlinie Kap. 1.4.7

03.05.2024

  • Bereitstellung einer geeigneten Infrastruktur zur Sicherstellung einer fehlerfreien Zubereitung
  • Zubereitung durch pharmazeutisches Personal
  • Anwendung von gebrauchsfertigen Arzneimitteln bzw. Zubereitungen
  • Sonstiges
  • 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)
  • z.B. Cirs
  • 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
  • Sonstiges
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
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Training in other healing professions
Comment

Comment

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in Zusammenarbeit mit der Gesundheitsakademie Eberswalde, Standort Berlin Buch

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in Zusammenarbeit mit der Akademie der Gesundheit, Campus Eberswalde

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in Zusammenarbeit mit der Gesundheitsakademie Potsdam

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in Zusammenarbeit mit der Gesundheitsakademie Potsdam

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in Zusammenarbeit mit der Gesundheitsakademie Potsdam

Comment

in Zusammenarbeit mit der Gesundheitsakademie Eberswalde, Standort Berlin Buch

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in Zusammenarbeit mit Gesundheitsakademie Potsdam

Helga Stolze

Entgegennahme und Bearbeitung von Beschwerden unserer Patientinnen und Patienten als unabhängige Stelle im Sinne des § 5 Brandenburgischen Krankenhausentwicklungsgesetzes

Hochstraße 29
14770 Brandenburg an der Havel

Phone: 01520 -1577-336
Mail: ed.grubnednarb-ku@rehcerpsreufnetneitap

Michael Götze-Ohlrich

Entgegennahme und Bearbeitung von Beschwerden unserer Patientinnen und Patienten als unabhängige Stelle im Sinne des § 5 Brandenburgischen Krankenhausentwicklungsgesetzes

Hochstraße 29
14770 Brandenburg an der Havel

Phone: 01520 -1577-336
Mail: ed.grubnednarb-ku@rehcerpsreufnetneitap

Alexander Schäfer

Int. Revision

Hochstraße 29
14770 Brandenburg an der Havel

Phone: 03381 -41-2063
Mail: ed.grubnednarb-ku@refeahcs.a

Manuel Thoms

QMB

Hochstraße 29
14770 Brandenburg an der Havel

Phone: 03381 -41-2150
Mail: ed.grubnednarb-ku@mq

Ingo Franz

Leiter Krankenhausapotheke

Hochstraße 29
14770 Brandenburg an der Havel

Phone: 03381 -41-2350
Mail: ed.grubnednarb-ku@gniznarf

Marianna Feist

Sozialdienst

Hochstraße 29
14770 Brandenburg an der Havel

Phone: 03381 -41-2332
Mail: ed.grubnednarb-ku@tsneidlaizos

Hochstraße 29
14770 Brandenburg an der Havel

Phone: 03381-4110
Mail: ed.grubnednarb-ku@tkatnok

Ronny Seering

Pflegedirektor

Hochstraße 29
14770 Brandenburg an der Havel

Phone: 03381 -41-2300
Mail: ed.grubnednarb-ku@gnirees.r

Gabriele Wolter

Geschäftsführerin

Hochstraße 29
14770 Brandenburg an der Havel

Phone: 03381 -41-2000
Mail: ed.grubnednarb-ku@retlowg

Gabriele Wolter

Geschäftsführerin

Hochstraße 29
14770 Brandenburg an der Havel

Phone: 03381 -41-2000
Mail: ed.grubnednarb-ku@tkatnok

Dr. med. Mathias Sprenger

Ärztlicher Direktor

Hochstraße 29
14770 Brandenburg an der Havel

Phone: 03381 -41-1300
Mail: ed.grubnednarb-ku@regnerps.saihtam

Prof. Dr. med. Roland Becker

Ärztlicher Direktor

Hochstraße 29
14770 Brandenburg an der Havel

Phone: 03381 -41-1900
Mail: ed.grubnednarb-ku@rekceb.r

IK: 261200457

Location number: 772221000

Chest Pain Unit

Certified until: 12.2027

Dysplasie-Einheit

Certified until: 12.2027

EndoProthetikZentrum der Maximalversorgung

Certified until: 05.2027

Heart Failure Unit-Schwerpunktklinik

Certified until: 04.2027

Kontinenz- und Beckenbodenzentrum - Komplexversorgung

Certified until: 12.2026

MUKOzert

Certified until: 01.2028

Nierenkrebszentrum

Certified until: 12.2027

Prostatakrebszentrum

Certified until: 12.2027

TraumaZentrum

Certified until: 09.2027

Hospital portrait for download