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HELIOS Klinikum Erfurt

Nordhäuser Straße 74
99089 Erfurt

Phone: 0361-7810
Mail: ed.nekinilk-soileh@trufre.ofni ed.nekinilk-soileh@trufre.ofni ed.nekinilk-soileh@trufre.ofni

https://www.helios-gesundheit.de/kliniken/erfurt/

Basic information

Number of beds: 1.261
Number of specialist departments: 31

Number of inpatient cases: 49.710
Number of partial inpatient cases: 922
Number of outpatient cases: 86.386

Hospital owners: Helios Klinikum Erfurt GmbH
Type of provider: privat

Academic teaching hospital

Specialist departments

Services

Quality

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

Participation in other external comparative quality assurance procedures

Implementation of the minimum quantity agreement

Treatment area

Care of premature and mature infants (with an admission weight < 1250g)

Quantity performed	24
Exception?	No exception

Complex interventions on the organ system esophagus for adults

Quantity performed	24
Exception?	No exception

Complex operations on the pancreatic organ system

Quantity performed	21
Exception?	No exception

Knee joint total endoprostheses

Quantity performed	77
Exception?	No exception

Minimum quantities forecast

Care of premature and mature infants (with an admission weight < 1250g)

Overall result forecast presentation:	yes
Quantity performed reporting year:	24
Quantity forecast year:	23
Examination by state associations?	yes
Exemption?	yes
Result of the examination by the federal state authorities?	yes
Transitional arrangement?	no

Complex interventions on the organ system esophagus for adults

Overall result forecast presentation:	yes
Quantity performed reporting year:	24
Quantity forecast year:	32
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:	21
Quantity forecast year:	26
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:	77
Quantity forecast year:	52
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:	224
Quantity forecast year:	243
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:	yes
Quantity performed reporting year:	88
Quantity forecast year:	92
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.	Explanation
CQ01	Quality assurance measures for inpatient care with the indication abdominal aortic aneurysm
CQ02	Quality assurance measures for the inpatient care of children and adolescents with haemato-oncological diseases
CQ03	Quality assurance measures for the implementation of positron emission tomography (PET) in hospitals for the indications non-small-cell lung cancer (NSCLC) and solid pulmonary nodules
CQ05	Measures for quality assurance in the care of pre-term and full-term neonates – Perinatal Centre LEVEL 1
CQ31	Guideline for the care of proximal femur fractures (QSFFx-RL)
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
CQ04	Measures for quality assurance in the implementation of proton therapy in hospitals for the indication rectal carcinoma

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: yes

Staffing levels in psychiatry and psychosomatics (PPP)

quarter Q1

No evidence of compliance has been provided

quarter Q2

Erwachsenenpsychiatrie

Day shift
Compliance with minimum requirements	yes
Level of implementation	95,0 %
Occupational group	Minimum requirements met	Level of implementation (%)
Ärztinnen und Ärzte, ärztliche Psychotherapeutinnen und Psychotherapeuten	nein	89,42 %
Pflegefachpersonen	ja	107,74 %
Psychotherapeutinnen und Psychotherapeuten (ohne ärztliche Psychotherapeutinnen und Psychotherapeuten), Psychologinnen und Psychologen	nein	59,85 %
Spezialtherapeutinnen und Spezialtherapeuten	nein	55,56 %
Bewegungstherapeutinnen und Bewegungstherapeuten, Physiotherapeutinnen und Physiotherapeuten	nein	48,36 %
Sozialarbeiterinnen und Sozialarbeiter, Sozialpädagoginnen und Sozialpädagogen, Heilpädagoginnen und Heilpädagogen	nein	80,97 %
Night shift
Compliance with minimum requirements	no
Minimum requirement (full-time staff)	45
Current staffing levels (full-time staff)	61
Number of nights, subject to the minimum requirement	87

Kinder und Jugendpsychiatrie

Day shift
Compliance with minimum requirements	yes
Level of implementation	80,0 %
Occupational group	Minimum requirements met	Level of implementation (%)
Ärztinnen und Ärzte, ärztliche Psychotherapeutinnen und Psychotherapeuten	nein	91,71 %
Pflegefachpersonen und Erziehungsdienst	nein	86,02 %
Psychotherapeutinnen und Psychotherapeuten (ohne ärztliche Psychotherapeutinnen und Psychotherapeuten), Psychologinnen und Psychologen (dazu zählen alle Kinder- und Jugendlichenpsychotherapeutinnen und -psychotherapeuten)	nein	76,46 %
Spezialtherapeutinnen und Spezialtherapeuten	nein	43,82 %
Bewegungstherapeutinnen und Bewegungstherapeuten, Physiotherapeutinnen und Physiotherapeuten	nein	59,52 %
Sozialarbeiterinnen und Sozialarbeiter, Sozialpädagoginnen und Sozialpädagogen, Heilpädagoginnen und Heilpädagogen	nein	60,67 %
Night shift
Compliance with minimum requirements	yes
Minimum requirement (full-time staff)	43
Current staffing levels (full-time staff)	45
Number of nights, subject to the minimum requirement	76

quarter Q3

Erwachsenenpsychiatrie

Day shift
Compliance with minimum requirements	yes
Level of implementation	86,0 %
Occupational group	Minimum requirements met	Level of implementation (%)
Ärztinnen und Ärzte, ärztliche Psychotherapeutinnen und Psychotherapeuten	nein	77,47 %
Pflegefachpersonen	ja	98,18 %
Psychotherapeutinnen und Psychotherapeuten (ohne ärztliche Psychotherapeutinnen und Psychotherapeuten), Psychologinnen und Psychologen	nein	74,19 %
Spezialtherapeutinnen und Spezialtherapeuten	nein	46,38 %
Bewegungstherapeutinnen und Bewegungstherapeuten, Physiotherapeutinnen und Physiotherapeuten	nein	54,49 %
Sozialarbeiterinnen und Sozialarbeiter, Sozialpädagoginnen und Sozialpädagogen, Heilpädagoginnen und Heilpädagogen	nein	59,07 %
Night shift
Compliance with minimum requirements	no
Minimum requirement (full-time staff)	45
Current staffing levels (full-time staff)	62
Number of nights, subject to the minimum requirement	92

Kinder und Jugendpsychiatrie

Day shift
Compliance with minimum requirements	yes
Level of implementation	91,0 %
Occupational group	Minimum requirements met	Level of implementation (%)
Ärztinnen und Ärzte, ärztliche Psychotherapeutinnen und Psychotherapeuten	ja	105,24 %
Pflegefachpersonen und Erziehungsdienst	ja	102,92 %
Psychotherapeutinnen und Psychotherapeuten (ohne ärztliche Psychotherapeutinnen und Psychotherapeuten), Psychologinnen und Psychologen (dazu zählen alle Kinder- und Jugendlichenpsychotherapeutinnen und -psychotherapeuten)	nein	73,16 %
Spezialtherapeutinnen und Spezialtherapeuten	nein	35,86 %
Bewegungstherapeutinnen und Bewegungstherapeuten, Physiotherapeutinnen und Physiotherapeuten	nein	47,34 %
Sozialarbeiterinnen und Sozialarbeiter, Sozialpädagoginnen und Sozialpädagogen, Heilpädagoginnen und Heilpädagogen	nein	59,16 %
Night shift
Compliance with minimum requirements	no
Minimum requirement (full-time staff)	43
Current staffing levels (full-time staff)	50
Number of nights, subject to the minimum requirement	92

quarter Q4

Erwachsenenpsychiatrie

Day shift
Compliance with minimum requirements	yes
Level of implementation	90,0 %
Occupational group	Minimum requirements met	Level of implementation (%)
Ärztinnen und Ärzte, ärztliche Psychotherapeutinnen und Psychotherapeuten	nein	82,45 %
Pflegefachpersonen	ja	98,66 %
Psychotherapeutinnen und Psychotherapeuten (ohne ärztliche Psychotherapeutinnen und Psychotherapeuten), Psychologinnen und Psychologen	nein	86,64 %
Spezialtherapeutinnen und Spezialtherapeuten	nein	35,38 %
Bewegungstherapeutinnen und Bewegungstherapeuten, Physiotherapeutinnen und Physiotherapeuten	nein	87,58 %
Sozialarbeiterinnen und Sozialarbeiter, Sozialpädagoginnen und Sozialpädagogen, Heilpädagoginnen und Heilpädagogen	ja	92,36 %
Night shift
Compliance with minimum requirements	no
Minimum requirement (full-time staff)	45
Current staffing levels (full-time staff)	62
Number of nights, subject to the minimum requirement	92

Kinder und Jugendpsychiatrie

Day shift
Compliance with minimum requirements	yes
Level of implementation	80,0 %
Occupational group	Minimum requirements met	Level of implementation (%)
Ärztinnen und Ärzte, ärztliche Psychotherapeutinnen und Psychotherapeuten	nein	86,2 %
Pflegefachpersonen und Erziehungsdienst	nein	87,81 %
Psychotherapeutinnen und Psychotherapeuten (ohne ärztliche Psychotherapeutinnen und Psychotherapeuten), Psychologinnen und Psychologen (dazu zählen alle Kinder- und Jugendlichenpsychotherapeutinnen und -psychotherapeuten)	nein	76,18 %
Spezialtherapeutinnen und Spezialtherapeuten	nein	35,11 %
Bewegungstherapeutinnen und Bewegungstherapeuten, Physiotherapeutinnen und Physiotherapeuten	nein	35,14 %
Sozialarbeiterinnen und Sozialarbeiter, Sozialpädagoginnen und Sozialpädagogen, Heilpädagoginnen und Heilpädagogen	nein	63,43 %
Night shift
Compliance with minimum requirements	no
Minimum requirement (full-time staff)	43
Current staffing levels (full-time staff)	48
Number of nights, subject to the minimum requirement	86

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

Number	Group
294	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*
201	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
193	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
  
  Information gathering on the topic
  
  Training of employees
  
  Education
  Code of conduct with rules for treating children and young people with respect
  Last review of the measure
  15.04.2023 19:41:37
  Age-appropriate complaint options
  
  Special requirements for the selection of persons
  
  Other aspects of prevention
- Intervention
  Intervention plan - Binding procedure for dealing with child protection cases and in particular suspected (sexual) violence
  Last review of the measure
  17.03.2025 18:41:37
- Review
  Recommendations for dealing with/processing cases that have occurred
  Last review of the measure
  14.02.2023 18:41:37
  Other information on recognition

Commentary on the protection concept

Gemäß Teil A § 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 Teil A § 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

Prozesskonzept Medikation 2.0

14.05.2025

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)

Prozesskonzept Medikation 2.0

14.05.2025

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
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)
Versorgung der Patientinnen und Patienten mit patientenindividuell abgepackten Arzneimitteln durch die Krankenhausapotheke (z.B. Unit-Dose-System)
Sonstige_elektronische_Unterstuetzung

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)
Andere_Massnahme

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.

Special instrument-based equipment

Research & teaching

Job

FL01 - Lectureships / teaching posts at colleges and universities

Explanation

Lehre und Lehrauftrag der HMU Erfurt, an den Universitäten Jena, München, Frankfurt, Freiburg, Regensburg, Greifswald, Technische Universität Ilmenau, Assiut Universität (Ägypten)

FL02 - Lectureships / teaching posts at universities of applied sciences

Explanation

Mentorenprojekt der LÄK Thüringen, EANS-Observership-Programm (mit internationalen Fachärzten und AiW)

FL03 - Student training (clinical traineeship / internship year)

Explanation

im Rahmen der HMU Lehre durch Fach-, Ober- und Chefärzte der jeweiligen Fachabteilungen

FL04 - Project-related cooperation with colleges and universities

Explanation

u.a.Uni Jena, Uni Leipzig, IMTEK Freiburg, Neurochirurgie Uni Freiburg, HNO Uni Saarbrücken, Psychologie Uni Giessen, Neurofibromatoseambulanz Uni Hamburg

FL05 - Participation in multi-centre Phase I/II studies

Explanation

u.a. ADRISK: Multicenter randomized Phase II study within the German interdisciplinary study group of German Cancer Society (IAG KHT) IMSTAR HN: Multicenter randomized controlled phase III study.

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

Explanation

Hemovent Studie, Einsatz einer pnematisch betriebenen ECMO zum regulären Einsatz für den Lungen-/Herzkreislaufersatz, PROCYSS Studie zum Einsatz von Cytosorb-Filtern im septischen Schock, multizentrisch deutschlandweit

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