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Klinikum Neumarkt

Nürnberger Straße 12
92318 Neumarkt

Phone: 09181-420-0
Fax: 09181-420-3861
Mail: ed.tkramuen.mukinilk@ofni

https://www.klinikum-neumarkt.de

Basic information

Number of beds: 500
Number of specialist departments: 19

Number of inpatient cases: 21.515
Number of partial inpatient cases: 461
Number of outpatient cases: 45.330

Hospital owners: Landkreis Neumarkt i.d.OPf. - Kommunale Anstalt des öffentlichen Rechts des Landkreises Neumarkt i.d.OPf.
Type of provider: öffentlich

Specialist departments

Services

Quality

External comparative quality assurance

Further information

External quality assurance according to state law

Bezeichnung
Teilnahme externe Qualitätssicherung	yes

External quality assurance according to the DMP

Diabetes mellitus Typ 2

Implementation of the minimum quantity agreement

Treatment area

Complex operations on the pancreatic organ system

Quantity performed	30
Exception?	No exception

Knee joint total endoprostheses

Quantity performed	126
Exception?	No exception

Minimum quantities forecast

Knee joint total endoprostheses

Overall result forecast presentation:	yes
Quantity performed reporting year:	126
Quantity forecast year:	129
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:	30
Quantity forecast year:	35
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:	0
Quantity forecast year:	216
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
CQ07	Measures for quality assurance in the care of pre-term and full-term neonates – perinatal focus

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
154	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*
105	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
105	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
  Age-appropriate complaint options
  Note on the measure
  Ansprechpartner bei Beschwerden sind die Patientenfürsprecherin und das Beschwerdemanagement, sowie auf Station grundsätzlich alle Mitarbeitenden; Online-Beschwerdeformular auf der Homepage https://www.klinikum-neumarkt.de/1182-Beschwerdemanagement.html
  Training of employees
  Note on the measure
  Information und Kurzfortbildungen für die Stations- und Teamleitungen sowie bei Anfrage auch für die Stationen von der Beauftragten gegen sexuelle Belästigung am Arbeitsplatz
  Code of conduct with rules for treating children and young people with respect
  Note on the measure
  Schutzkonzept für vulnerable Gruppen im Klinikum Neumarkt
  Special requirements for the selection of persons
  Note on the measure
  Anforderung eines erweiterten Führungszeugnisses bei einer Beschäftigung im Bereich Pädiatrie und Geburtshilfe
  Education
  Note on the measure
  Information und Kurzfortbildungen für die Stations- und Teamleitungen sowie bei Anfrage auch für die Stationen von der Beauftragten gegen sexuelle Belästigung am Arbeitsplatz
  Information gathering on the topic
  Note on the measure
  Schutzkonzept für vulnerable Gruppen im Klinikum Neumarkt
- Intervention
  Intervention plan - Binding procedure for dealing with child protection cases and in particular suspected (sexual) violence
  Note on the measure
  Schutzkonzept für vulnerable Gruppen im Klinikum Neumarkt
  
  Last review of the measure
  13.08.2024 20:26:34
- Review
  Recommendations for dealing with/processing cases that have occurred
  Note on the measure
  Angebot der Supervision, Einbindung von Psychologen (hausintern)
  
  Last review of the measure
  09.08.2024 20:26:34

Ansprechpartner bei Beschwerden sind die Patientenfürsprecherin und das Beschwerdemanagement, sowie auf Station grundsätzlich alle Mitarbeitenden; Online-Beschwerdeformular auf der Homepage https://www.klinikum-neumarkt.de/1182-Beschwerdemanagement.html

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

Use of standardised forms for drug medical history

Dokumentation im Mitarbeiterportal, zentrale Server-Laufwerke, Handbücher (z. B. Qualitäts- und Risikomanagement, Risikobericht, Maßnahmenpläne, Standards, Verfahrensanweisungen) sowie in Rückmelde-Systemen (CIRS, Beschwerden, Verbesserungen) - fortlaufende Aktualisierung

09.08.2024

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)

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

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

Explanation

Elderly (AIO-KRK-0117), Phase II.

FL03 - Student training (clinical traineeship / internship year)

Explanation

Lehrkrankenhaus der Friedrich-Alexander Universität Erlangen-Nürnberg , Universität Groningen, Universität Utrecht, Evangelische Hochschule Nürnberg - Kooperationspartner Studiengang Pflege (R. Sossau), Uni Witten/Herdecke, Technische Hochschule Nürnberg und Technische Hochschule Regensburg

FL01 - Lectureships / teaching posts at colleges and universities

Explanation

FAU (Apl. Prof. Dr. H. Scholz, Apl. Prof. Dr. R. Handschu, Apl. Prof. Dr. M. Ritt), JMU (Apl. Prof. Dr. U. Schwemmer), LMU (Apl. Prof. Dr. C. Schäfer), RU Bochum (Apl. Prof. Dr. P. Grewe), Rostock (Apl. Prof. Dr. B. M. Rau), Bayreuth (Apl. Prof. Dr. R. Handschu), Regensburg (Apl. Prof. Dr. P. Grewe)

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

Explanation

FIRE-4(AIO-KRK-0114), Phase III; Renaissance (FLOT5), Phase III; Onkotrakt (Psychoonkologie), Register; EDIUM, Beobachtungsstudie; PANCALYZE, chirurgische Studie; DigiDem (FAU); AZURITE, Register

FL08 - Editors of scientific journals/textbooks

Explanation

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

Explanation

Perioperative Darmdekontamination bei elektiver colorectaler Chirurgie (Klinikum Neumarkt, Klinikum Agatharied, LMU München - Prof. Dr. B.M. Rau, Dr. J. Gumpp); WIZEN Studie (Co-Investigator Klinikum Neumarkt, Prof. Dr. B.M. Rau)

FL04 - Project-related cooperation with colleges and universities

Explanation

Universität Groningen, Universität Utrecht, Universität Dublin, Hanze Institut Oldenburg, Steinbeis Hochschule Essen, Evangelische Hochschule Nürnberg und Technische Hochschule Nürnberg, Universität Regensburg (Prof. Dr. B. M. Rau), FAU Erlangen (Prof. Dr. R. Handschu), OTH -Projekt 5G4HealthCare

FL09 - Doctoral supervision

Explanation

FAU Erlangen-Nürnberg (Prof. Dr. R. Handschu), LMU München (Prof. Dr. C. Schäfer), Universität Rostock (Prof. Dr. B. M. Rau), Universität Regensburg (Prof. Dr. B. M. Rau)

Training