Overall result forecast presentation:	yes
Quantity performed reporting year:	227
Quantity forecast year:	262
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

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
73	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*
54	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
54	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? No
No care for children and young people

Die Schön Klinik Bad Aibling Harthausen versorgt keine Kinder. Die Behandlung erfolgt in Einzelfällen ab dem 14. Lebensjahr. 2022 waren 0,5 Prozent aller behandelten Patienten in der Schön Klinik Bad Abiling minderjährig. Davon über 60 % in der Orthopädie. Die Schön Klinik Bad Aibling Harthausen hat im Jahr 2022 kein gesondertes Schutzkonzept für Jugendliche. Derzeit wird an einem übergreifenden Schutzkonzept für alle Schön Kliniken vom zentralen Qualitätsmanagement gearbeitet.

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

Name of the working group: Klinikinterne Arzneimittelkommission

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

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)

Zentrales Dokumentenlenkungssystem; enthält die einzelnen Verfahrensanweisungen

21.01.2020

SOP on good prescription practices

Zentrales Dokumentenlenkungssystem; enthält die einzelnen Verfahrensanweisungen

21.01.2020

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 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)

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

FL02 - Lectureships / teaching posts at universities of applied sciences

Explanation

FL03 - Student training (clinical traineeship / internship year)

Explanation

FL04 - Project-related cooperation with colleges and universities

Explanation

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

Explanation

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

Explanation

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

Explanation

FL08 - Editors of scientific journals/textbooks

Explanation

FL09 - Doctoral supervision

Explanation

Training

Training in other healing professions

HB15 - Anaesthesia technical assistant (m/f)

Comment

In Kooperation mit dem Akademischen Institut in Rosenheim

HB06 - Occupational therapist (m/f)

Comment

HB01 - Nurse and health care worker (m/f)

Comment

In Kooperation mit dem GGSD Bildungszentrum für Pflege, Gesundheit und Soziales Rosenheim und BFZ in Rosenheim

HB03 - Physical therapist / physiotherapist (m/f)

Comment

HB09 - Speech therapist (m/f)

Comment

HB07 - Surgical technical assistant (m/f)

Comment

In Kooperation mit dem Akademischen Institut in Rosenheim

Hospital staff
- Nursing staff regulation

Service contact persons

Customer feedback management

Gerda Hellmiß

Rezeption / Beschwerdemanagement

Kolbermoorer Straße 72
83043 Bad Aibling

Phone: 08061 -903-0
Mail: ed.kinilk-neohcs@gnilbiAdaBgnunieMerhI

Quality management

Monika Erpenbeck-Höhl

ltd. Oberärztin Gelenkzentrum, Qualitätsbeauftragte

Kolbermoorer Straße 72
83043 Bad Aibling

Phone: 08061 -903-0
Mail: ed.kinilk-neohcs@lheoH-kcebneprEM

Maximilian Schüller

Qualitätsmanagement

Kolbermoorer Straße 72
83043 Bad Aibling

Phone: 08061 -9030-
Mail: ed.kinilk-neohcs@relleuhcSM

Lisa Gabriel

Qualitäts- und Risikomanagement

Kolbermoorer Straße 72
83043 Bad Aibling

Phone: 08061 -9030-3408
Mail: ed.kinilk-neohcs@leirbaGiL

Hygiene officer

PD Dr. med. Volker Huge

Chefarzt Intensivmedizin

Kolbermoorer Straße 72
83043 Bad Aibling

Phone: 08061 -903-3124
Mail: ed.kinilk-neohcs@eguHV

Responsible for drug therapy

Dr. Thomas Weber

Internistischer Oberarzt

Kolbermoorer Straße 72
83043 Bad Aibling

Phone: 08061 -903-1515
Mail: ed.kinilk-neohcs@rebeWT

Accessibility Officer

Simone Hintermeier

Teamleitung Bettendisposition

Kolbermoorer Straße 72
83043 Bad Aibling

Phone: 08061 -903-1654
Mail: ed.kinilk-neohcs@reiemretnihs

Britta Kaufmann

Vertrauensfrau der Schwerbehinderten

Kolbermoorer Straße 72
83043 Bad Aibling

Phone: 08061 -903-1571
Mail: ed.kinilk-neohcs@nnamfuaKB

Company

General contact details of the hospital

Kolbermoorer Straße 72
83043 Bad Aibling

Phone: 08061-9030
Fax: 08061-903602
Mail: ed.kinilk-neohcs@gnilbiadabkinilk

Nursing service management

Lidija Franzkewitsch

Pflegedienstleitung

Kolbermoorer Straße 72
83043 Bad Aibling

Phone: 08061 -9030-
Mail: ed.kinilk-neohcs@gnilbiAdaBkinilK

Gabriele Seifert-Wimmer

Pflegedienstleitung

Kolbermoorer Straße 72
83043 Bad Aibling

Phone: 08061 -9030-
Mail: ed.kinilk-neohcs@gnilbiAdaBkinilK

Sandra Loncaric

Pflegedienstleitung

Kolbermoorer Straße 72
83043 Bad Aibling

Phone: 08061 -9030-
Mail: ed.kinilk-neohcs@gnilbiAdaBkinilK

Head of administration

Daniela Cleven

Klinikgeschäftsführung

Kolbermoorer Straße 72
83043 Bad Aibling

Phone: 08061 -9030-
Mail: ed.kinilk-neohcs@gnilbiAdaBkinilK

Anja Dieterle

Klinikgeschäftsführung

Kolbermoorer Straße 72
83043 Bad Aibling

Phone: 08061 -9030-
Mail: ed.kinilk-neohcs@gnilbiAdaBkinilK

Responsible for the quality report in the hospital management

Anja Dieterle

Klinikgeschäftsführung

Kolbermoorer Straße 72
83043 Bad Aibling

Phone: 08061 -903-1600
Mail: ed.kinilk-neohcs@elreteiDA

Medical management

Dr. med. Sebastian Altenberger

Chefarzt Zentrum für Fuß- und Sprunggelenkchirurgie

Kolbermoorer Straße 72
83043 Bad Aibling

Phone: 08061 -9030-
Mail: ed.kinilk-neohcs@gnilbiAdaBkinilK

Dr. med. Ariane Burtscher

Chefärztin Zentrum für Schmerztherapie

Kolbermoorer Straße 72
83043 Bad Aibling

Phone: 08061 -9030-
Mail: ed.kinilk-neohcs@gnilbiAdaBkinilK

PD Dr. med. Volker Huge

Chefarzt Intensivmedizin

Kolbermoorer Straße 72
83043 Bad Aibling

Phone: 08061 -9030-
Mail: ed.kinilk-neohcs@gnilbiAdaBkinilK

Prof. Dr. med. Klaus Jahn

Chefarzt Akutneurologie und Akutgeriatrie

Kolbermoorer Straße 72
83043 Bad Aibling

Phone: 08061 -9030-
Mail: ed.kinilk-neohcs@gnilbiAdaBkinilK

Prof. Dr. med. Vladimir Martinek

Chefarzt Gelenkzentrum

Kolbermoorer Straße 72
83043 Bad Aibling

Phone: 08061 -9030-
Mail: ed.kinilk-neohcs@gnilbiAdaBkinilK

Dr. med. Dipl. Psych. Friedemann Müller

Chefarzt Neurologische Frührehabilitation und Rehabilitation

Kolbermoorer Straße 72
83043 Bad Aibling

Phone: 08061 -9030-
Mail: ed.kinilk-neohcs@gnilbiAdaBkinilK

Dr. med. Michael Riffelmacher

Chefarzt Anästhesie

Kolbermoorer Straße 72
83043 Bad Aibling

Phone: 08061 -9030-
Mail: ed.kinilk-neohcs@gnilbiAdaBkinilK

Dr. med. Roland Rusz

Chefarzt Zentrum für Wirbelsäulenchirurgie

Kolbermoorer Straße 72
83043 Bad Aibling

Phone: 08061 -9030-
Mail: ed.kinilk-neohcs@gnilbiAdaBkinilK

Dr. med Matthias Schaupp

Chefarzt Neurologische Frührehabilitation und Rehabilitation

Kolbermoorer Straße 72
83043 Bad Aibling

Phone: 08061 -9030-
Mail: ed.kinilk-neohcs@gnilbiAdaBkinilK

Dr. med. Stephan Schill

Chefarzt Gelenkzentrum

Kolbermoorer Straße 72
83043 Bad Aibling

Phone: 08061 -9030-
Mail: ed.kinilk-neohcs@gnilbiAdaBkinilK

Dr. med. Peter Kreidler

Chefarzt Gelenkzentrum

Kolbermoorer Straße 72
83043 Bad Aibling

Phone: 08061 -9030-
Mail: ed.kinilk-neohcs@gnilbiAdaBkinilK

Regional care obligation for psychiatry?

IK number

IK: 260913823

Location number

Location number: 772484000

Old location number: 772484000