Number	Group
12	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*
8	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
8	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”

General information

Protection concept against (sexual) violence against children and young people

Advice on prevention and intervention in cases of violence and abuse

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

Commentary on the protection concept

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 therapy safety

Steering committee

Drug commission

Training of employees on AMTS related topics

Use of standardised forms for drug medical history

Die relevanten Verfahren und Checklisten sind im QM-Handbuch aufgeführt und beschrieben.

01.01.2021

Electronic support for the admission and anamnesis process (e.g. import of patient master data or medication plans, use of a drug knowledge database, input screen for drugs or anamnesis information)

Process description for an optimal medication process (e.g. drug anamnesis – prescription – patient information – drug delivery – drug application – documentation – therapy monitoring – result evaluation)

Die relevanten Verfahren und Checklisten sind im QM-Handbuch aufgeführt und beschrieben.

01.01.2021

SOP on good prescription practices

Die relevanten Verfahren und Checklisten sind im QM-Handbuch aufgeführt und beschrieben.

01.01.2021

Provision of one or more electronic drug information systems (e.g. Lauer-Taxe®, ifap klinikCenter®, Gelbe Liste®, Fachinfo-Service®)

Electronic documentation of the administration of drugs

Measures to minimise medication errors

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)

Measures to ensure seamless drug therapy after discharge

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

Instruments and measures

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.

Research & teaching

Job

FL04 - Project-related cooperation with colleges and universities

Explanation

FL07 - Initiation and management of uni-centric/multi-centric clinical/scientific studies

Explanation

FL09 - Doctoral supervision

Explanation

FL03 - Student training (clinical traineeship / internship year)

Explanation

Famulatur für Studenten der Medizin, Praktikum für Studierende der Psychologie

Training

Training in other healing professions

HB03 - Physical therapist / physiotherapist (m/f)

Comment

Nur Angebot von Praktikantenplätzen in der Bewegungstherapie

HB01 - Nurse and health care worker (m/f)

Comment

Kooperation mit Krankenpflegeschulen

HB18 - Emergency paramedics (m/f) (training period 3 years)

Comment

auf Kooperationsbasis

HB06 - Occupational therapist (m/f)

Comment

Nur Angebot von Praktikantenplätzen in der Kunsttherapie

Hospital staff
Pharmaceutical personnel
- Number of pharmacists: 1

Service contact persons

Patient advocates

Johannes Krautkrämer

Pfarrvikar im Ruhestand

Alteburger Straße 8 - 12
50678 Köln

Phone: 0221 -3394-211
Mail: ed.nleok-akp@ofni

Customer feedback management

Dr. med. Dipl. Psych. Elisabeth Rohrbach

Ärztliche Leiterin

Alteburger Straße 8 - 12
50678 Köln

Phone: 0221 -3394-153
Mail: ed.nleok-akp@ofni

Quality management

M. Sc. Anja Holländer

Stellv. Verwaltungsleiterin

Alteburger Straße 8 - 12
50678 Köln

Phone: 0221 -3394-155
Mail: ed.nleok-akp@ofni

M. Sc. Anja Holländer

Stellv. Verwaltungsleiterin

Alteburger Straße 8 - 12
50678 Köln

Phone: 0221 -3394-155
Mail: ed.nleok-akp@ofni

Hygiene officer

Dr. med. Dipl. Psych. Elisabeth Rohrbach

Ärztliche Leiterin

Alteburger Straße 8 - 12
50678 Köln

Phone: 0221 -3394-153
Mail: ed.nleok-akp@ofni

Responsible for drug therapy

Dr. med. Dipl. Psych. Elisabeth Rohrbach

Ärztliche Leiterin

Alteburger Straße 8 - 12
50678 Köln

Phone: 0221 -3394-153
Mail: ed.nleok-akp@ofni

Accessibility Officer

M. Sc. Anja Holländer

Stellv. Verwaltungsleiterin

Alteburger Straße 8 - 12
50678 Köln

Phone: 0221 -3394-155
Mail: ed.nleok-akp@ofni

M. Sc. Anja Holländer

Stellv. Verwaltungsleiterin

Alteburger Straße 8 - 12
50678 Köln

Phone: 0221 -3394-155
Mail: ed.nleok-akp@ofni

Company

General contact details of the hospital

Alteburger Straße 8 - 12
50678 Köln

Phone: 0221-3394-0
Fax: 0221-3394-170
Mail: ed.nleok-akp@ofni

Nursing service management

Gesundheits- und Krankenpflegerin Franca Römhild

Stationsleiterin Station G

Alteburger Straße 8 - 12
50678 Köln

Phone: 0221 -3394-0
Mail: ed.nleok-akp@ofni

Dipl.-Kff. Sabine Goetzke-Zimmermann

Geschäftsführerin

Alteburger Straße 8 - 12
50678 Köln

Phone: 0221 -3394-155
Mail: ed.nleok-akp@ofni

Gesundheits- und Krankenpflegerin Nadine Esser

Stationsleiterin Station F

Alteburger Straße 8 - 12
50678 Köln

Phone: 0221 -3394-0
Mail: ed.nleok-akp@ofni

Gesundheits- und Krankenpflegerin Franca Römhild

Stationsleiterin Station G

Alteburger Straße 8 - 12
50678 Köln

Phone: 0221 -3394-0
Mail: ed.nleok-akp@ofni

Gesundheits- und Krankenpflegerin Vera Twyhues

Stationsleiterin Station E

Alteburger Straße 8 - 12
50678 Köln

Phone: 0221 -3394-0
Mail: ed.nleok-akp@ofni

Dipl.-Kff. Sabine Goetzke-Zimmermann

Geschäftsführerin

Alteburger Straße 8 - 12
50678 Köln

Phone: 0221 -3394-155
Mail: ed.nleok-akp@ofni

Head of administration

Dipl.-Kff. Sabine Goetzke-Zimmermann

Verwaltungsleiterin

Alteburger Straße 8 - 12
50678 Köln

Phone: 0221 -3394-155
Mail: ed.nleok-akp@ofni

Responsible for the quality report in the hospital management

Dipl.-Kff. Sabine Goetzke-Zimmermann

Geschäftsführerin und Verwaltungsleiterin

Alteburger Straße 8 - 12
50678 Köln

Phone: 0221 -3394-155
Mail: ed.nleok-akp@ofni

Medical management

Dr. med. Dipl. Psych. Elisabeth Rohrbach

Ärztliche Leiterin

Alteburger Straße 8 - 12
50678 Köln

Phone: 0221 -3394-153
Mail: ed.nleok-akp@ofni

Regional care obligation for psychiatry?

IK number

IK: 260531569

Location number

Location number: 771063000

Old location number: 771063000

Hospital portrait for download