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Delme-Klinikum Delmenhorst GmbH

Wildeshauser Straße 92
27753 Delmenhorst

Phone: 04221-99-3
Fax: 04221-99-5405
Mail: ed.mukinilk-emled@ofni

  • Number of beds: 289
  • Number of specialist departments: 13
  • Number of inpatient cases: 14.010
  • Number of outpatient cases: 34.743
  • Hospital owners: Stadt Delmenhorst
  • Type of provider: öffentlich
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 96
Exception? No exception
Quantity performed 21
Exception? No exception
Overall result forecast presentation: yes
Quantity performed reporting year: 96
Quantity forecast year: 89
Examination by state associations? yes
Exemption? yes
Result of the examination by the federal state authorities? yes
Transitional arrangement? no
Overall result forecast presentation: yes
Quantity performed reporting year: 21
Quantity forecast year: 24
Examination by state associations? yes
Exemption? yes
Result of the examination by the federal state authorities? yes
Transitional arrangement? no
No. Explanation
CQ07 Measures for quality assurance in the care of pre-term and full-term neonates – perinatal focus
  • 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
75 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*
59 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
57 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.

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

antibiotic stewardship

09.10.2020

  • 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
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

Kooperation mit der UMCH, Klinische Ausbildung von Studenten der UMCH Campus Hamburg Famulatur, Kursangebote in der Unfallchirurgie für Studenten der Universität Oldenburg

Explanation

Traumazentrum, Traumanetzwerk, Herausgabe vondiverse Veröffentlichungen in Zusammenarbeit mit der Universität Bremen

Explanation

Professur an der Huazhong-Universität für Wissenschaft und Technologie Wuhan (HUST), Tongji-Hospital Lehrauftrag an der European Medical Scool Oldenburg

Training in other healing professions
Comment

Kooperation mit dem Krankenhaus LDW Bremen in der Fachweiterbildung Intensiv / Anästhesie, Austausch für praktische Einsätze mit den dazugehörigen Kooperationshäusern; zusätzlich an der Krankenpflegeschule Fachweiterbildung Praxisanleitung möglich

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Ute Diekmann

Patientenfürsprecherin

Wildeshauser Straße 92
27753 Delmenhorst

Phone: 0162 -7870262-
Mail: ed.mukinilk-emled@rehcerpsreufnetneitap

Ute Diekmann

Patientenfürsprecherin

Wildeshauser Straße 92
27753 Delmenhorst

Phone: 0162 -7870262-
Mail: ed.mukinilk-emled@rehcerpsreufnetneitap

Silvia Kramer

Krankenhausseelsorgerin

Wildeshauser Straße 92
27753 Delmenhorst

Phone: 04221 -99-5003
Mail: ed.mukinilk-emled@rehcerpsreufnetneitap

Tomke Hammerl

Öffentlichkeitsarbeit

Wildeshauser Straße 92
27753 Delmenhorst

Phone: 04221 -99-56945
Mail: ed.tsrohnemled-mukinilk@kitirkdnubol

Tomke Hammerl

Öffentlichkeitsarbeit

Wildeshauser Straße 92
27753 Delmenhorst

Phone: 04221 -99-56945
Mail: ed.tsrohnemled-mukinilk@kitirkdnubol

Christina Schmock

Qualitätsmanagerin

Wildeshauser Straße 92
27753 Delmenhorst

Phone: 04221 -99-5566
Mail: ed.mukinilk-emled@kcomhcs.c

Dr. Frank Starp

Ärztlicher Direktor, leitender Hygienebeauftragter Arzt

Wildeshauser Straße 92
27753 Delmenhorst

Phone: 04221 -99-4204
Mail: ed.mukinilk-emled@prats.f

Dr. Klaus Gutberlet

Chefarzt der Klinik für Innere Medizin

Wildeshauser Straße 92
27753 Delmenhorst

Phone: 04221 -99-4103
Mail: ed.mukinilk-emled@telrebtug.k

Pia Lissy

Schwerbehindertenbeauftragte

Wildeshauser Straße 92
27753 Delmenhorst

Phone: 04221 -99-56968
Mail: ed.mukinilk-emled@yssil.p

Wildeshauser Straße 92
27753 Delmenhorst

Phone: 04221-99-3
Fax: 04221-99-5405
Mail: ed.mukinilk-emled@ofni

Winfried Königs

Pflegedirektor

Wildeshauser Straße 92
27753 Delmenhorst

Phone: 04221 -99-56870
Mail: ed.mukinilk-emled@sgineok.w

Christa Ibelings

Pflegebereichsleitung

Wildeshauser Straße 92
27753 Delmenhorst

Phone: 04221 -99-5321
Mail: ed.mukinilk-emled@sgnilebi.c

Alexandra Huschenbett-Bürgel

Pflegebereichsleitung

Wildeshauser Straße 92
27753 Delmenhorst

Phone: 04221 -99-56873
Mail: ed.mukinilk-emled@legreub-ttebnehcsuh.a

Wolfgang Steiner

Pflegebereichsleitung

Wildeshauser Straße 92
27753 Delmenhorst

Phone: 04221 -99-4154
Mail: ed.mukinilk-emled@reniets.w

Josef Jürgens

Geschäftsführer

Wildeshauser Straße 92
27753 Delmenhorst

Phone: 04221 -99-5403
Mail: ed.mukinilk-emled@snegreuj.j

Josef Jürgens

Geschäftsführer

Wildeshauser Straße 92
27753 Delmenhorst

Phone: 04221 -99-5403
Mail: ed.mukinilk-emled@snegreuj.j

Dr. Christian Peters

Geschäftsführer

Wildeshauser Straße 92
27753 Delmenhorst

Phone: 04221 -99-5403
Mail: ed.mukinilk-emled@sretep.c

Dr. Christian Peters

Geschäftsführer

Wildeshauser Straße 92
27753 Delmenhorst

Phone: 04221 -99-5403
Mail: ed.mukinilk-emled@sretep.c

Dr. Frank Starp

ärztlicher Direktor

Wildeshauser Straße 92
27753 Delmenhorst

Phone: 04221 -99-4204
Mail: ed.mukinilk-emled@prats.f

Dr. Ales Stanek

stellv. ärztlicher Direktor

Wildeshauser Straße 92
27753 Delmenhorst

Phone: 04221 -99-4203
Mail: ed.mukinilk-emled@kenats.a

IK: 260300332

Location number: 771245000

Old location number: 771245000