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kbo-Inn-Salzach-Klinikum Ebersberg

von-Scala-Straße 1
85560 Ebersberg

Phone: 08071-710
Fax: 08071-71-723
Mail: ed.obk@ofni-ksi

  • Number of specialist departments: 1
  • Number of partial inpatient cases: 120
  • Number of outpatient cases: 622
  • Hospital owners: Kliniken des Bezirks Oberbayern (kbo) - Kommunalunternehmen
  • Type of provider: öffentlich
External comparative quality assurance
Further information
  • External quality assurance according to state law
    No participation
  • Quality of participation in the Disease Management Programme (DMP)
    No participation
  • Implementation of the minimum quantity agreement
    No participation
  • 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
Number Group
2 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*
1 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
1 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? Yes
  • 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.
  • Name of the working group: AG-Medikamentensicherheit

QM Handbuch und erweiterte Prozessbeschreibungen

01.07.2023

QM Handbuch und erweiterte Prozessbeschreibungen

01.07.2023

  • Zubereitung durch pharmazeutisches Personal
  • Fallbesprechungen
  • Maßnahmen zur Vermeidung von Arzneimittelverwechslung
  • 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

Der Ärztliche Direktor ist Lehrbeauftragter an der medizinischen Fakultät der Ludwig-Maximilians Universität München.

Explanation

Klinik für Psychiatrie und Psychotherapie der LMU München

Explanation

Regelmäßige Teilnahme an Anwendungsbeobachtungen/Studien der Phase 4 im Rahmen der Neueinführung, Wirksamkeitsbeurteilung, Sicherheits- und Verträglichkeitsbeurteilung von Neuroleptika und Antidepressiva

Explanation

Ausbildung von Studierenden der Medizin in Famulatur und praktischem Jahr, regelmäßig unter Leitung des Ärztlichen Direktors

Training in other healing professions
Comment

Im Schnitt besuchen 120 Schüler-/innen die Berufsfachschule. Die Ausbildungszeit beträgt drei Jahre. Die praktischen Einsätze erfolgen am Stammhaus und an somatischen Krankenhäusern aller Disziplinen. In Kooperation mit der Hochschule Rosenheim besteht die Möglichkeit eines dualen Studiums.

Comment

Unsere Berufsfachschule für Pflegefachhilfe bietet 16 Ausbildungsplätze an.

Marianne Deißenböck

Patientenfürsprecherin

von-Scala-Straße 1
85560 Ebersberg

Phone: 08071 -71-313
Mail: ed.obk@kceobnessied.ennairam

Kathrin Czernin

Zentrale Stelle Beschwerdemanagement

von-Scala-Straße 1
85560 Ebersberg

Phone: 08071 -71-550
Mail: ed.obk@ninrezc.nirhtak

Kathrin Czernin

Zentrale Stelle Beschwerdemanagement

von-Scala-Straße 1
85560 Ebersberg

Phone: 08071 -71-550
Mail: ed.obk@ninrezc.nirhtak

Kathrin Czernin

Qualitätsmanagementbeauftragte

von-Scala-Straße 1
85560 Ebersberg

Phone: 08071 -71-550
Mail: ed.obk@ninrezc.nirhtak

Prof. Dr. med. Peter Zwanzger

Ärztlicher Direktor und Chefarzt

von-Scala-Straße 1
85560 Ebersberg

Phone: --

Eike Förster

Apotheker kbo-IAK

von-Scala-Straße 1
85560 Ebersberg

Phone: 089 -4562-2994
Mail: ed.obk@retsreof.ekie

Manja Könnecke

Behindertenbeauftragte

von-Scala-Straße 1
85560 Ebersberg

Phone: 08071 -710-293
Mail: ed.obk@ekcenneok.ajnam

von-Scala-Straße 1
85560 Ebersberg

Phone: 08071-710
Fax: 08071-71-723
Mail: ed.obk@ofni-ksi

Kerstin Weinisch

Pflegedirektorin

von-Scala-Straße 1
85560 Ebersberg

Phone: 08071 -71-544
Mail: ed.obk@ofni-ksi

Dr. Karsten Jens Adamski

Geschäftsführer

von-Scala-Straße 1
85560 Ebersberg

Phone: 08071 -71-331
Mail: ed.obk@ofni-ksi

Dr. Karsten Jens Adamski

Geschäftsführer

von-Scala-Straße 1
85560 Ebersberg

Phone: 08071 -71-331
Mail: ed.obk@ofni-ksi

Prof. Dr. Peter Zwanzger

Ärztlicher Direktor

von-Scala-Straße 1
85560 Ebersberg

Phone: 08071 -71-215
Mail: ed.obk@ofni-ksi

IK: 260912070

Location number: 773205000

Old location number: 773205000