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München Klinik Neuperlach, München Klinik gGmbH

München Klinik Neuperlach, München Klinik gGmbH
München Klinik Neuperlach, München Klinik gGmbH

Oskar-Maria-Graf-Ring 51
81737 München

Phone: 089-6794-0
Mail: ed.kinilk-nehcneum@noitkeridkinilk klinikdirektion@muenchen-klini... ed.kinilk-nehcneum@noitkeridkinilk

https://www.muenchen-klinik.de/krankenhaus/neuperl...
  • Number of beds: 545
  • Number of specialist departments: 12
  • Number of inpatient cases: 19.388
  • Number of partial inpatient cases: 2.062
  • Number of outpatient cases: 31.399
  • Hospital owners: München Klinik gGmbH
  • Type of provider: öffentlich
  • Academic teaching hospital
      • Ludwig-Maximilians-Universität München
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
Quantity performed 31
Exception? No exception
Quantity performed 16
Exception? No exception
Quantity performed 63
Exception? No exception
Overall result forecast presentation: no
Quantity performed reporting year: 31
Quantity forecast year: 22
Examination by state associations? no
Exemption? no
Result of the examination by the federal state authorities? no
Transitional arrangement? no
Overall result forecast presentation: yes
Quantity performed reporting year: 63
Quantity forecast year: 64
Examination by state associations? yes
Exemption? yes
Result of the examination by the federal state authorities? yes
Transitional arrangement? no
Overall result forecast presentation: no
Quantity performed reporting year: 16
Quantity forecast year: 8
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 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

Full record of compliance maintained

Number of days shown 366
Days of non-performance 0
Number of minimum requirements not met 0
General minimum requirements
Minimum requirement Days of non-performance
Trauma room 0
Availability 0
Computed tomography (CT) 0
Intensive care beds 0
Department of Surgery 0
Forwarding by air 0
Department of Internal Medicine 0
Intensive care beds with ventilator facilities 0
Emergency care training courses 0
Treatment prioritisation system (triage) 0
Responsibility for emergency care 0
Specific minimum requirements
Minimum requirement Days of non-performance
Doctor on duty 0
Supervision by a medical specialist 0
Geriatric expertise 0
Operating room equipment 0
Post-operative physiotherapy 0
Independent organisational unit 0
Minimum requirements for process quality
Minimum requirement Days of non-performance
SOP: Surgical procedures 0
SOP: Perioperative Planning 0
SOP: Capacity to consent 0
Standard Operating Procedure for the Management of Anticoagulants 0
SOP: Ortho-geriatric Care 0
SOP: Physiotherapy Measures 0
SOP: Patient-centred blood management 0
Number Group
166 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*
129 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
129 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
      • Note on the measure

        Die Vorlage eines erweiterten Führungszeugnisses (§ 30 a Abs. 2 BZRG) vor Arbeitsaufnahme ist Pflicht, sofern es sich um kinder- und jugendnahe Tätigkeiten handelt.

      • Note on the measure

        Kinderschutzkonzept, das das Erkennen und Intervention bei Verdacht auf Kindeswohlgefährdung bei Aufnahme thematisiert, vorhanden, abrufbar im Dokumentenlenkungssystem, Information über Hilfsangebote (Jugendamt, Polizeidienststellen, lokale Hilfsangebote)

      • Note on the measure

        Interne Fortbildung "Kindeswohlgefährdung erkennen und handeln" wird angeboten. Zielgruppe: Kinderschutzgruppe, Pflegende, Ärzte und Psychologen, in Bereichen mit Versorgung von Kindern und Jugendlichen und Neonatologie/ Geburtshilfe, Lehrkräfte an der Schule für Kranke, Sozialarbeiter, Hebammen

      • Note on the measure

        Zentrales Beschwerdetelefon, zentrales Online-Formular, dezentrale Bescherdemanager*innen an den Standorten, dezentrale Patientenfürsprecher*innen an den Standorten, Zusammenarbeit mit Gesundheitsladen München e.V. Beschwerden können telefonisch, per Mail, persönlich eingereicht werden.

      • Note on the measure

        Neuen Mitarbeitenden wird das Kinderschutzkonzept in der Einarbeitungszeit vorgestellt, Sensibilisierung und Vorgehensweise bei V. a. (sexuelle) Gewalt wird vorgestellt

    • Intervention
      • Note on the measure

        Bei Verdacht auf Kindeswohlgefährdung bei Aufnahme: Interventionsplan und Ansprechpartner*innen liegen vor, letzte Überprüfung Januar 2023

    • Review
      • Note on the measure

        Bei Bedarf kann Supervision erfolgen, letzte Überprüfung Januar 2023

  • Die Vorlage eines erweiterten Führungszeugnisses (§ 30 a Abs. 2 BZRG) vor Arbeitsaufnahme ist Pflicht, sofern es sich um kinder- und jugendnahe Tätigkeiten handelt.
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.
  • Name of the working group: AG Arzneimitteltherapiesicherheit im Risikoausschuss der MüK
  • 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)
  • Spezielle AMTS-Visiten (z. B. pharmazeutische Visiten, antibiotic stewardship, Ernährung)
  • Teilnahme an einem einrichtungsübergreifenden Fehlermeldesystem (siehe Kapitel 12.2.3.2)
  • Aushändigung von arzneimittelbezogenen Informationen für die Weiterbehandlung und Anschlussversorgung der Patientin oder des Patienten im Rahmen eines (ggf. vorläufigen) Entlassbriefs
  • 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.
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Training in other healing professions
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In Kooperationen mit Münchener Hochschulen

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Creutzburg Marie-Luise

Unabhängige Patientenfürsprache

Oskar-Maria-Graf-Ring 51
81737 München

Phone: 089 -6794-2339
Mail: ed.kinilk-nehcneum@nk.ehcarpsreufnetneitap

Prof. Dr. Bernd Landauer Landauer

Unabhängige Patientenfürsprache

Oskar-Maria-Graf-Ring 51
81737 München

Phone: 089 -6794-2339
Mail: ed.kinilk-nehcneum@nk.ehcarpsreufnetneitap

Justine Dotschkat

Qualitätsmanagement

Oskar-Maria-Graf-Ring 51
81737 München

Phone: 089 -6794-2924
Mail: ed.kinilk-nehcneum@nk.tnemeganamedrewhcseb

Sabine Stögbauer

Qualitätsmanagement

Oskar-Maria-Graf-Ring 51
81737 München

Phone: 089 -6794-2924
Mail: ed.kinilk-nehcneum@nk.tnemeganamedrewhcseb

Albrecht Krabbe-Berndt

Qualitätsmanager

Oskar-Maria-Graf-Ring 51
81737 München

Phone: 089 -6794-3084
Mail: ed.kinilk-nehcneum@nk.tnemeganamsteatilauq

Dr. Steffen Amann

Chefapotheker

Oskar-Maria-Graf-Ring 51
81737 München

Phone: 089 -9270-2300
Mail: ed.kinilk-nehcneum@ekehtopa

Yvonne Schramm

Leitung Sozialdienst / Entlassungsmanagment

Oskar-Maria-Graf-Ring 51
81737 München

Phone: 089 -6794-2465
Mail: ed.kinilk-nehcneum@mmarhcs.ennovy

Oskar-Maria-Graf-Ring 51
81737 München

Phone: 089-6794-0
Mail: ed.kinilk-nehcneum@noitkeridkinilk

Christa Gottwald (bis 11/2024)

Pflegerische Klinikleitung

Oskar-Maria-Graf-Ring 51
81737 München

Phone: 089 -6794-2201
Mail: ed.kinilk-nehcneum@noitkeridkinilk

Dr. Stephanie Vogt (ab 5/2025)

Pflegedirektion

Oskar-Maria-Graf-Ring 51
81737 München

Phone: 089 -6794-2201
Mail: ed.kinilk-nehcneum@noitkeridkinilk

Phil Hill (bis 7/2025)

Kaufmännische Klinikleitung

Oskar-Maria-Graf-Ring 51
81737 München

Phone: 089 -6794-2201
Mail: ed.kinilk-nehcneum@noitkeridkinilk

Stefanie Kolada (ab 11/2025)

Kaufmännische Klinikdirektion

Oskar-Maria-Graf-Ring 51
81737 München

Phone: 089 -6794-2201
Mail: ed.kinilk-nehcneum@noitkeridkinilk

Dr. med. Götz Brodermann (GF), Dr. Stephanie Vogt (KD), Stefanie Kolada (KD)

Vorsitzender der Geschäftsführung, Klinikdirektion

Oskar-Maria-Graf-Ring 51
81737 München

Phone: 089 -5147-6701
Mail: ed.kinilk-nehcneum@noitkeridkinilk

Dr. med. Pascal Scher (bis 2/2025)

Ärztliche Klinikleitung

Oskar-Maria-Graf-Ring 51
81737 München

Phone: 089 -6794-2201
Mail: ed.kinilk-nehcneum@noitkeridkinilk

Dr. med. Markus Benicke (ab 2/2025)

Ärztliche Klinikdirektion

Oskar-Maria-Graf-Ring 51
81737 München

Phone: 089 -6794-2201
Mail: ed.kinilk-nehcneum@noitkeridkinilk

IK: 260913468

Location number: 771084000

Chirurgische Erkrankungen des Pankreas

Certified until: 09.2026

Hospital portrait for download