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Diakonie-Klinikum Stuttgart

Rosenbergstraße 38
70176 Stuttgart

Phone: 0711-991-0
Fax: 0711-991-1005
Mail: ed.mukinilk-einokaid@ofni

https://www.diakonie-klinikum.de/

Basic information

Number of beds: 400
Number of specialist departments: 22

Number of inpatient cases: 21.658
Number of partial inpatient cases: 84
Number of outpatient cases: 83.753

Hospital owners: Diakonie-Klinikum Stuttgart Diakonissenkrankenhaus und Paulinenhilfe gGmbH
Type of provider: freigemeinnützig

Specialist departments

Services

Quality

External comparative quality assurance

Further information

External quality assurance according to state law

Bezeichnung
Teilnahme externe Qualitätssicherung	yes
Bezeichnung
Teilnahme externe Qualitätssicherung	yes
Bezeichnung
Teilnahme externe Qualitätssicherung	does not apply

Quality of participation in the Disease Management Programme (DMP)
No participation

Participation in other external comparative quality assurance procedures

Implementation of the minimum quantity agreement

Treatment area

Quantity performed	42
Exception?	No exception

Knee joint total endoprostheses

Quantity performed	492
Exception?	No exception

Complex operations on the pancreatic organ system

Quantity performed	5
Exception?	No exception

Minimum quantities forecast

Overall result forecast presentation:	yes
Quantity performed reporting year:	42
Quantity forecast year:	23
Examination by state associations?	yes
Exemption?	yes
Result of the examination by the federal state authorities?	yes
Transitional arrangement?	no

Knee joint total endoprostheses

Overall result forecast presentation:	yes
Quantity performed reporting year:	492
Quantity forecast year:	550
Examination by state associations?	yes
Exemption?	yes
Result of the examination by the federal state authorities?	yes
Transitional arrangement?	no

Complex operations on the pancreatic organ system

Overall result forecast presentation:	yes
Quantity performed reporting year:	5
Quantity forecast year:	6
Examination by state associations?	yes
Exemption?	yes
Result of the examination by the federal state authorities?	yes
Transitional arrangement?	no

Surgical treatment of breast cancer (mamma surgery)

Overall result forecast presentation:	yes
Quantity performed reporting year:	347
Quantity forecast year:	281
Examination by state associations?	yes
Exemption?	yes
Result of the examination by the federal state authorities?	yes
Transitional arrangement?	no

Thoracic surgical treatment of lung cancer in adults

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

Implementation of resolutions of the Federal Joint Committee on quality assurance (G-BA)

No.	Explanation
CQ01	Quality assurance measures for inpatient care with the indication abdominal aortic aneurysm
CQ25	Measures for quality assurance in the performance of minimally invasive heart valve interventions pursuant to Article 136, para. 1, sentence 1, number 2 for hospitals licensed in accordance with Article 108 of the SGB V

Compliance with staffing requirements

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

Further training
pursuant to Article 136b, para. 1, sentence 1, no. 1 of the SGB

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*
100	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
92	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
Measures
- Prevention
  
  Training of employees
  
  Education
  Code of conduct with rules for treating children and young people with respect
  Last review of the measure
  25.07.2024 20:33:40
  Age-appropriate complaint options
  
  Special requirements for the selection of persons
  Other aspects of prevention
  Note on the measure
  Im Rahmen des Schutzkonzeptes werden Therapieeinheiten für Patientinnen und Patienten angeboten, um diese hinsichtlich Grenzüberschreitungen und Übergriffe zu sensibiliseren und für entsprechende Reaktionen und Maßnahmen zu befähigen.
- Intervention
  Intervention plan - Binding procedure for dealing with child protection cases and in particular suspected (sexual) violence
  Last review of the measure
  25.07.2024 20:33:40
- Review
  Recommendations for dealing with/processing cases that have occurred
  Last review of the measure
  25.07.2024 20:33:40

Im Rahmen des Schutzkonzeptes werden Therapieeinheiten für Patientinnen und Patienten angeboten, um diese hinsichtlich Grenzüberschreitungen und Übergriffe zu sensibiliseren und für entsprechende Reaktionen und Maßnahmen zu befähigen.

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

Availability of appropriate, topic-specific informational materials for patients on AMTS e.g. for chronic diseases, for high-risk drugs, for children

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)

SOP on good prescription practices

Nexus Curator

15.11.2024

Possibility of electronic prescription i.e. structured entry of active substances (or name of the preparation), form, dose, dose frequency (e.g. in the HIS, in prescription software)

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

Concepts for ensuring the error-free preparation of medications

Bereitstellung einer geeigneten Infrastruktur zur Sicherstellung einer fehlerfreien Zubereitung
Schulungen des Personals, welches die Medikation zubereitet
schriftliche Standards
Zubereitung durch pharmazeutisches Personal
Anwendung von gebrauchsfertigen Arzneimitteln bzw. Zubereitungen

Electronic support for the supply of patients with drugs

Vorhandensein von elektronischen Systemen zur Entscheidungsunterstützung (z.B. Meona®, Rpdoc®, AIDKlinik®, ID Medics® bzw. ID Diacos® Pharma)

Electronic documentation of the administration of drugs

Measures to minimise medication errors

Maßnahmen zur Vermeidung von Arzneimittelverwechslung
Teilnahme an einem einrichtungsübergreifenden Fehlermeldesystem (siehe Kapitel 12.2.3.2)
Spezielle AMTS-Visiten (z. B. pharmazeutische Visiten, antibiotic stewardship, Ernährung)

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 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.

Special instrument-based equipment

Research & teaching

Job

FL01 - Lectureships / teaching posts at colleges and universities

Explanation

Die meisten ärztlichen Direktoren bzw. Chefärzte am Diakonie-Klinikum Stuttgart nehmen Lehrbeauftragungen/Dozenturen an verschiedenen Universitätskliniken und Hochschulen deutschlandweit wahr.

FL03 - Student training (clinical traineeship / internship year)

Explanation

Das Diakonie-Klinikum Stuttgart ist akademisches Lehrkrankenhaus der Universität Tübingen.

FL04 - Project-related cooperation with colleges and universities

Explanation

Prof. Greiner: Forschung an d. Uni Ulm Prof. Schwentner: Forschung an d. Uni Tübingen Dr. Vazifehdan: Zusammenarbeit mit d. Institute for Modelling & Simulation of Biochemical Systems (Uni Stuttgart) OSP: Zusammenarbeit mit d. Institut f. Klin. Epidemiologie & angewandte Biometrie (Uni Tübingen)

FL06 - Participation in multi-centre phase III/IV studies

Explanation

Zahlreiche Phase-III-Studien werden in der Hämato-Onkologie, Urologie & Endokrinen Chirurgie durchgeführt. Sie erfassen Wirkung, Verträglichkeit und Interaktion mit anderen Medikamenten und den Vergleich mit Standardtherapien. Phase-IV-Studien erfolgen nach Marktzulassung unter Routinebedingungen.

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

Explanation

Die vom OSP Stuttgart initiierte und am Diakonie-Klinikum durchgeführte Versorgungsstudie „Langzeittoxizität und Lebensqualität nach adjuvanter Chemotherapie bei Mammakarzinom – eine prospektive Studie“ wurde abgeschlossen. Eine Nachfolgestudie ist in Planung.

FL09 - Doctoral supervision

Explanation

Die meisten Ärztlichen Direktoren und Chefärzte mit Lehrbeauftragungen und Dozenturen betreuen entsprechend ihrer Spezifikationen einzelne oder mehrere Doktoranden.

FL08 - Editors of scientific journals/textbooks

Explanation

Training

Training in other healing professions

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

Comment

Das Diakonie-Klinikum ist Mitträger des Evangelischen Bildungszentrums für Gesundheitsberufe Stuttgart (EBZ) mit 279 Schulplätzen. Die Pflegekräfte erhalten im Diakonie-Klinikum ihre praktische Ausbildung. (www.ebz-pflege.de)

HB07 - Surgical technical assistant (m/f)

Comment

In einer Kooperation mit der OTA-Schule in Tübingen wird die Ausbildung zur/zum Operationstechnischen Assistentin/Assistenten ermöglicht.

HB17 - Auxiliary nurse (m/f)

Comment

Das Diakonie-Klinikum ist Mitträger des Evangelischen Bildungszentrums für Gesundheitsberufe Stuttgart (EBZ). Krankenpflegehelfer und Krankenpflegehelferinnen erhalten im Diakonie-Klinikum ihre praktische Ausbildung.

HB15 - Anaesthesia technical assistant (m/f)

Comment

Für die theoretische Ausbildung arbeitet das Diakonie-Klinikum eng mit der ATA-Schule am Universitätsklinikum Tübingen zusammen. Um einen optimalen Theorie-Praxistransfer zu gewährleisten, werden die Praxiseinsätze in enger Anlehnung an den Unterrichtseinheiten geplant.

HB19 - Nursing professionals

Comment

Nach der Reformierung der Ausbildung in der Gesundheits- und Krankenpflege lautet die Berufsbezeichnung für Absolventen der Ausbildung nun Pflegefachfrau oder Pflegefachmann. Die Ausbildung findet in Kooperation mit dem EvangelischenBildungszentrum statt.

Hospital staff
Pharmaceutical personnel
- Number of pharmacists: 3
- Explanations: Das hier dargestellte Personal ist bei der Stadt Stuttgart im Katharinenhospital (KH) angestellt. Das Diakonie-Klinikum hat einen Versorgungsvertrag bzgl. der Arzneimittelversorgung mit dem KH geschlossen. Bestandteil hiervon ist u.a. die Abstellung von Krankenhausapothekerinnen im Diakonie-Klinikum
- Nursing staff regulation