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Westpfalz-Klinikum GmbH - Standort II Kusel

Im Flur 1
66869 Kusel

Phone: 0631-203-0
Fax: 06381-93-5702
Mail: ed.mukinilk-zlafptsew@ofni

  • Number of beds: 1.094
  • Number of specialist departments: 10
  • Number of inpatient cases: 6.248
  • Number of outpatient cases: 35.450
  • Hospital owners: Westpfalz-Klinikum GmbH
  • Type of provider: öffentlich
External comparative quality assurance
Further information
Bezeichnung
Teilnahme externe Qualitätssicherung yes
  • Quality of participation in the Disease Management Programme (DMP)
    No participation
Quantity performed 332
Exception? No exception
Overall result forecast presentation: yes
Quantity performed reporting year: 332
Quantity forecast year: 383
Examination by state associations? yes
Exemption? yes
Result of the examination by the federal state authorities? yes
Transitional arrangement? no
No. Explanation
CQ01 Quality assurance measures for inpatient care with the indication abdominal aortic aneurysm
  • 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
46 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*
42 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
23 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.
  • Drug commission

Organisationshandbuch der Westpfalz-Klinikum GmbH

12.11.2020

Betriebsanweisung zum sicheren Umgang mit Arzneimitteln im Westpfalz-Klinikum

15.05.2022

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

PJ nur für den Fachbereich Orthopädie/Wirbelsäulenchirurgie. Famulatur für alle Fachbereiche.

Explanation

Explanation

Training in other healing professions
Comment

Praktische Ausbildung

Comment

Das Westpfalz-Klinikum bietet Plätze für die praktische Ausbildung.

Comment

Praktische Ausbildung

Comment

Löst ab 2020 den Ausbildungsberuf zum/zur Gesundheits- und Krankenpfleger/in ab.

Frau Inge Lütz

Patientenfürsprecherin Standort II Kusel

Im Flur 1
66869 Kusel

Phone: 06381 -93-5160
Mail: ed.mukinilk-zlafptsew@ofni

Herr Reiner Beck

Regionaldirektor Geschäftsbereich Kusel

Im Flur 1
66869 Kusel

Phone: 06381 -93-5100
Mail: ed.mukinilk-zlafptsew@kcebr

Frau Silvia Ecker

Vorzimmer Regionaldirektor Geschäftsbereich Kusel

Im Flur 1
66869 Kusel

Phone: 06381 -93-5161
Mail: ed.mukinilk-zlafptsew@rekces

Frau Marina Massold-Deschtschenja

Vorzimmer Regionaldirektor Geschäftsbereich Kusel

Im Flur 1
66869 Kusel

Phone: 06381 -93-5161
Mail: ed.mukinilk-zlafptsew@dlossamm

Frau Paula Wynne

Qualitätsmanagementbeauftragte

Im Flur 1
66869 Kusel

Phone: 0631 -203-1877
Mail: ed.mukinilk-zlafptsew@ennywp

Priv.-Doz. Dr. Dr. habil. Christian Mönch

Ärztlicher Direktor

Im Flur 1
66869 Kusel

Phone: 0631 -203-1294
Mail: ed.mukinilk-zlafptsew@hcneomc

Frau Victoria Keßler

Chefapothekerin

Im Flur 1
66869 Kusel

Phone: 0631 -203-1368
Mail: ed.mukinilk-zlafptsew@relssekv

Herr Richard-Bernd Ludwig

Stv. Pflegedirektor Standort II Kusel

Im Flur 1
66869 Kusel

Phone: 06381 -93-5158
Mail: ed.mukinilk-zlafptsew@giwdulbr

Im Flur 1
66869 Kusel

Phone: 0631-203-0
Fax: 06381-93-5702
Mail: ed.mukinilk-zlafptsew@ofni

Herr Richard-Bernd Ludwig

Stv. Pflegedirektor

Im Flur 1
66869 Kusel

Phone: 06381 -93-5158
Mail: ed.mukinilk-zlafptsew@giwdulbr

Herr Reiner Beck

Regionaldirektor Geschäftsbereich Kusel

Im Flur 1
66869 Kusel

Phone: 06381 -93-5100
Mail: ed.mukinilk-zlafptsew@kcebr

Herr Peter Förster

Geschäftsführer

Im Flur 1
66869 Kusel

Phone: 0631 -203-1230
Mail: ed.mukinilk-zlafptsew@ofni

Herr Thorsten Hemmer

Geschäftsführer

Im Flur 1
66869 Kusel

Phone: 0631 -203-1230
Mail: ed.mukinilk-zlafptsew@ofni

Dr. Wolfgang Fischer

Stv. Ärztlicher Direktor

Im Flur 1
66869 Kusel

Phone: 06381 -93-5134
Mail: ed.mukinilk-zlafptsew@rehcsifjw

Dr. med. Harald Dinges

Stv. Ärztlicher Direktor ab Januar 2022

Im Flur 1
66869 Kusel

Phone: 06381 -93-51807
Mail: ed.mukinilk-lafptsew@tro

IK: 260730025

More IK: 260730423

Location number: 772989000

Old location number: 772989000