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Kreisklinik Ebersberg gemeinnützige gGmbH

Kreisklinik Ebersberg gemeinnützige gGmbH
Kreisklinik Ebersberg gemeinnützige gGmbH

Pfarrer-Guggetzer-Straße 3
85560 Ebersberg

Phone: 08092-82-0
Fax: 08092-82-2224
Mail: ed.ebe-kinilk@mq

https://www.klinik-ebe.de
  • Number of beds: 328
  • Number of specialist departments: 14
  • Number of inpatient cases: 15.052
  • Number of partial inpatient cases: 216
  • Number of outpatient cases: 43.444
  • Hospital owners: Landkreis Ebersberg
  • Type of provider: öffentlich
  • Academic teaching hospital
      • Akademisches Lehrkrankenhaus der Technischen Universität München
External comparative quality assurance
Further information
Bezeichnung
Teilnahme externe Qualitätssicherung yes
  • Quality of participation in the Disease Management Programme (DMP)
    No participation
Quantity performed 72
Exception? No exception
Quantity performed 11
Exception? No exception
Overall result forecast presentation: yes
Quantity performed reporting year: 72
Quantity forecast year: 75
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: 11
Quantity forecast year: 4
Examination by state associations? yes
Exemption? yes
Result of the examination by the federal state authorities? yes
Transitional arrangement? no
  • 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
90 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*
65 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”

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
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 commission

Dokumentierte Informationen

24.06.2023

  • Bereitstellung einer geeigneten Infrastruktur zur Sicherstellung einer fehlerfreien Zubereitung
  • Anwendung von gebrauchsfertigen Arzneimitteln bzw. Zubereitungen
  • Vorhandensein von elektronischen Systemen zur Entscheidungsunterstützung (z.B. Meona®, Rpdoc®, AIDKlinik®, ID Medics® bzw. ID Diacos® Pharma)
  • Fallbesprechungen finden in den Fachabteilungen statt
  • 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
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

Abteilung für Gynäkologie & Geburtshilfe, Abteilung für Innere Medizin, Abteilung für Urologie

Explanation

Gynäkologie

Explanation

Brustzentrum, Darmzentrum

Explanation

Pflegedirektion

Training in other healing professions
Comment

In Kooperation mit anderen Krankenhäusern

Comment

Comment

Berufsfachschule für Krankenpflege https://www.berufsfachschule-ebe.de/

Angela Altmann-Göggerl

Patientenfürsprecher

Pfarrer-Guggetzer-Straße 3
85560 Ebersberg

Phone: 08092 -82-2022
Mail: ed.ebe-kinilk@ggeog-nnamtla.alegna

Oliver Jansen

Leiter Erlös- und Patientenmanagement

Pfarrer-Guggetzer-Straße 3
85560 Ebersberg

Phone: 08092 -82-2301
Mail: ed.ebe-kinilk@edrewhcseb

Kerstin Krahl

Stellv. Leitung Head Office und Beschwerdemanagement

Pfarrer-Guggetzer-Straße 3
85560 Ebersberg

Phone: 08092 -82-2252
Mail: ed.ebe-kinilk@edrewhcseb

Manuela Bothner

Leitung Head-Office

Pfarrer-Guggetzer-Straße 3
85560 Ebersberg

Phone: 08092 -82-2201
Mail: ed.ebe-kinilk@edrewhcseb

Jacqueline Giebel

QMB

Pfarrer-Guggetzer-Straße 3
85560 Ebersberg

Phone: 08092 -82-2607
Mail: ed.ebe-kinilk@mq

Dr. med. Peter Kreissl

Ärztlicher Direktor, Chefarzt der Abteilung Allgemein-, Visceral- und Gefäßchirurgie

Pfarrer-Guggetzer-Straße 3
85560 Ebersberg

Phone: 08092 -82-1210
Mail: ed.ebe-kinilk@rotkerid-rehciltzrea

Dr. Peter Lemberger

Ärztlicher Direktor, Chefarzt der Abteilung Allgemein-, Visceral- und Gefäßchirurgie

Pfarrer-Guggetzer-Straße 3
85560 Ebersberg

Phone: 08092 -82-2381
Mail: ed.ebe-kinilk@rotkerid-rehciltzrea

Dr. med. Peter Lemberger

Chefarzt Anästhesie

Pfarrer-Guggetzer-Straße 3
85560 Ebersberg

Phone: 08092 -82-2380
Mail: ed.ebe-kinilk@regrebmel.retep

Katja Geisweid

Diplom Sozialpädagogin (FH)/Sozialdienst/Pflegeüberleitung

Pfarrer-Guggetzer-Straße 3
85560 Ebersberg

Phone: 08092 -82-10136
Mail: ed.ebe-kinilk@diewsieg.ajtak

Pfarrer-Guggetzer-Straße 3
85560 Ebersberg

Phone: 08092-82-0
Fax: 08092-82-2224
Mail: ed.ebe-kinilk@mq

Peter Huber

Pflegedirektor

Pfarrer-Guggetzer-Straße 3
85560 Ebersberg

Phone: 08092 -82-2601
Mail: ed.ebe-kinilk@rebuh.retep

Stefan Huber

Geschäftsführer

Pfarrer-Guggetzer-Straße 3
85560 Ebersberg

Phone: 08092 -82-2200
Mail: ed.ebe-kinilk@rebuh.nafets

Stefan Huber

Geschäftsführer / Geschäftsführung

Pfarrer-Guggetzer-Straße 3
85560 Ebersberg

Phone: 08092 -82-2200
Mail: ed.ebe-kinilk@rebuh.nafets

Dr. med. Peter Kreissl

Ärztlicher Direktor / Chefarzt der Abteilung Allgemein,- Visceral- und Gefäßchirurgie

Pfarrer-Guggetzer-Straße 3
85560 Ebersberg

Phone: 08092 -82-1210
Mail: ed.ebe-kinilk@rotkerid-rehciltzrea

Dr. med. Peter Lemberger

Ärztlicher Direktor / Chefarzt der Abteilung Anästhesie und Intensivmedizin

Pfarrer-Guggetzer-Straße 3
85560 Ebersberg

Phone: 08092 -82-2380
Mail: ed.ebe-kinilk@rotkerid-rehciltzrea

No

IK: 260911171

Location number: 771388000

Old location number: 771388000

Kooperatives Brustzentrum Südostbayern

Certified until: 04.2026

CardiaArrestCenter

Certified until: 04.2027

Chest Pain Unit

Certified until: 02.0027

EndoProthetikZentrum Kreisklinik Ebersberg

Certified until: 07.2025

Gynäkologische Dysplasie-Einheit

Certified until: 05.2025

Heart Failure Unit

Certified until: 03.2025

Hernien Kompetenzzentrum

Certified until: 05.2025

Stroke Unit

Certified until: 07.2024

Regionales TraumaZentrum

Certified until: 02.2025

Hospital portrait for download