Back to the search results

Krankenhaus Spremberg

Karl-Marx-Straße 80
03130 Spremberg

Phone: 03563-52496
Mail: ed.grebmerps-suahneknark@ofni

http://www.krankenhaus-spremberg.de
  • Number of beds: 173
  • Number of specialist departments: 5
  • Number of inpatient cases: 4.477
  • Number of outpatient cases: 8.766
  • Hospital owners: Spremberger Krankenhausgesellschaft mbH
  • Type of provider: freigemeinnützig
External comparative quality assurance
Further information
  • External quality assurance according to state law
    No participation
Diabetes mellitus Typ 2

  • 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
21 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*
16 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
16 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.
  • Functional areas: Geschäftsführung, Leitender Chefarzt, Bereichsleitung Pflege, Betriebsrat, QM-Beauftragte der Pflege, QM-Beauftragte
  • Conference frequency: quartalsweise

übergreifende elektronische QM/RM-Dokumentation - QM-Handbuch im Intranet

20.12.2022

übergreifende elektronische QM/RM-Dokumentation - QM-Handbuch im Intranet

20.12.2022

übergreifende elektronische QM/RM-Dokumentation - QM-Handbuch im Intranet

20.12.2022

  • Bereitstellung einer geeigneten Infrastruktur zur Sicherstellung einer fehlerfreien Zubereitung
  • Zubereitung durch pharmazeutisches Personal
  • Anwendung von gebrauchsfertigen Arzneimitteln bzw. Zubereitungen
  • 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.
Job
Explanation

Explanation

Training in other healing professions
Comment

Comment

Comment

Dipl.-Med. Rosemarie Ahland

Ruhestand

Karl-Marx-Straße 80
03130 Spremberg

Phone: 01525 -7275006-
Mail: ed.teneerf@patorep

Dipl. Ing. Ök. Kathrin Möbius

Ruhestand

Karl-Marx-Straße 80
03130 Spremberg

Phone: 03563 -95024-
Mail: ed.xmg@grebmerps-rehcerpsreufnetneitap

Brigitte Laggai

QM-Beauftragte

Karl-Marx-Straße 80
03130 Spremberg

Phone: 03563 -52306-
Mail: ed.grebmerps-suahneknark@iaggal

Brigitte Laggai

QM-Beauftragte

Karl-Marx-Straße 80
03130 Spremberg

Phone: 03563 -52306-
Mail: ed.grebmerps-suahneknark@iaggal

Dr. med. Gunter Voskamp

Leitender Chefarzt

Karl-Marx-Straße 80
03130 Spremberg

Phone: 03563 -52400-
Mail: ed.grebmerps-suahneknark@pmaksov

Brigitte Laggai

Qualitätsmanagement

Karl-Marx-Straße 80
03130 Spremberg

Phone: 03563 -52306-
Mail: ed.grebmerps-suahneknark@iaggal

Karl-Marx-Straße 80
03130 Spremberg

Phone: 03563-52496
Mail: ed.grebmerps-suahneknark@ofni

Jörg Liebscher

Bereichsleiter IMC, Notaufnahme, OP, Anästhesie

Karl-Marx-Straße 80
03130 Spremberg

Phone: 03563 -521583-
Mail: ed.grebmerps-suahneknark@rehcsbeilj

Birgit Jansen

Bereichsleitung Operativer Bereich

Karl-Marx-Straße 80
03130 Spremberg

Phone: 03563 -521584-
Mail: ed.grebmerps-suahneknark@nesnaj

Susan Brandt

Bereichsleiterin Innere Medizin

Karl-Marx-Straße 80
03130 Spremberg

Phone: 03563 -521585-
Mail: ed.grebmerps-suahneknark@tdnarbs

Sabine Hutzschenreuter

Bereichsleiterin Psychiatrischer Bereich

Karl-Marx-Straße 80
03130 Spremberg

Phone: 03563 -52407-
Mail: ed.grebmerps-suahneknark@retuernehcsztuhs

Matthias Warmo

Bereichsleiter IMC, Notaufnahme, OP, Anästhesie

Karl-Marx-Straße 80
03130 Spremberg

Phone: 03563 -521583-
Mail: ed.grebmerps-suahneknark@omrawm

Ulrike Walinsky

Pflegedienstleitung

Karl-Marx-Straße 80
03130 Spremberg

Phone: 03563 -521541-
Mail: ed.grebmerps-suahneknark@yksnilawu

Marita Kraske

Prokuristin

Karl-Marx-Straße 80
03130 Spremberg

Phone: 03563 -52379-
Mail: ed.grebmerps-suahneknark@eksarkm

M.Sc. Tobias Grundmann

Geschäftsführer

Karl-Marx-Straße 80
03130 Spremberg

Phone: 03563 -52396-
Mail: ed.grebmerps-suahneknark@nnamdnurgt

Dipl.-Betriebswirt (VWA) Liane Pötsch

Geschäftsführerin

Karl-Marx-Straße 80
03130 Spremberg

Phone: 03563 -52396-
Mail: ed.grebmerps-suahneknark@hcsteopl

M.Sc. Tobias Grundmann

Geschäftsführer

Karl-Marx-Straße 80
03130 Spremberg

Phone: 03563 -52396-
Mail: ed.grebmerps-suahneknark@nnamdnurgt

Dr. med. Gunter Voskamp

Leitender Chefarzt

Karl-Marx-Straße 80
03130 Spremberg

Phone: 03563 -52400-
Mail: ed.grebmerps-suahneknark@pmaksov

Yes

IK: 261200594

Location number: 771472000

Old location number: 771472000

Hospital portrait for download