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Marienhaus Klinikum St. Elisabeth Neuwied

Friedrich-Ebert-Straße 59
56564 Neuwied

Phone: 02631-82-0
Fax: 02631-82-1243
Mail: ed.mukinilk-.suahneiram@ofni

  • Number of beds: 451
  • Number of specialist departments: 18
  • Number of inpatient cases: 19.705
  • Number of partial inpatient cases: 209
  • Number of outpatient cases: 59.467
  • Hospital owners: Marienhaus Kliniken GmbH Waldbreitbach
  • Type of provider: freigemeinnützig
External comparative quality assurance
Further information
Bezeichnung
Teilnahme externe Qualitätssicherung yes
Quantity performed 147
Exception? No exception
Overall result forecast presentation: yes
Quantity performed reporting year: 34
Quantity forecast year: 39
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: 147
Quantity forecast year: 160
Examination by state associations? yes
Exemption? yes
Result of the examination by the federal state authorities? yes
Transitional arrangement? no
No. Explanation
CQ25 Measures for quality assurance in the performance of minimally invasive heart valve interventions pursuant to Article 136, para. 1, sentence 1, number 2 for hospitals licensed in accordance with Article 108 of the SGB V
CQ05 Measures for quality assurance in the care of pre-term and full-term neonates – Perinatal Centre LEVEL 1
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: yes
Number Group
156 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*
107 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
101 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.

  • Vorlage eines erweiterten Führungszeugnisses
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.
  • No working group set up

VA Anordnung und Verabreichung Medikamente im stationären Setting

15.06.2021

  • Vorhandensein von elektronischen Systemen zur Entscheidungsunterstützung (z.B. Meona®, Rpdoc®, AIDKlinik®, ID Medics® bzw. ID Diacos® Pharma)
  • Fallbesprechungen
  • Spezielle AMTS-Visiten (z. B. pharmazeutische Visiten, antibiotic stewardship, Ernährung)
  • Teilnahme an einem einrichtungsübergreifenden Fehlermeldesystem (siehe Kapitel 12.2.3.2)
  • Leitfaden antibiotic stewardship
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

Prof. Dr. Richard Berger, Prof. Dr. Carsten Maik Naumann, Dr. Walter Richter, Dr. Burkhard Hügl, Peter Wack, PD Dr. Christoph G. Wölfl, Dr. Knut Schäfer, Frau Dr. Louise Kastor (1. Neo Cam Care Studie 2020-2022 2. Neo Milk Studie seit 2023)

Explanation

Prof. Dr. Richard Berger, Dr. Burkhard Hügl, Dr. Walter Richter

Explanation

Prof. Berger, Dr. Fresenius (Repetitorium Anästhesiologie, Repetitorium Intensivmedizin, Repetitorium Schmerztherapie), PD Dr. Wölfl (“Schwerverletztenversorgung – Diagnostik und Therapie der ersten 24 Stunden" uvm.)

Explanation

Prof. Dr. Richard Berger, PD Dr. Götz Lutterbey, Prof. Dr. Carsten Maik Naumann, Dr. Burkhard Hügl

Explanation

Prof. Dr. Richard Berger, Dr. Claus Schneider, PD Dr. Götz Lutterbey, Dr. Burkhard Hügl, Prof. Dr. Carsten Maik Naumann, Dr. Knut Schäfer, Dr. Walter Richter, Dr. Michael Fresenius, Peter Wack, PD Dr. Christoph Wölfl, Dr. Sven Arcan, Frau Dr. Louise Kastor, Dr. Kai Zbieranek

Explanation

Prof. Dr. Richard Berger, PD Dr. Götz Lutterbey, Dr. Claus Schneider, Dr. Michael Fresenius, Prof. Dr. Carsten Maik Naumann, Dr. Walter Richter, PD Dr. Christoph G. Wölfl

Training in other healing professions
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Rita Schuhen

Patientenfürsprecherin St. Elisabeth Neuwied

Friedrich-Ebert-Straße 59
56564 Neuwied

Phone: 02631 -82-0
Mail: ed.mukinilk-suahneiram@ofni

Therese Schneider

Krankenhausoberin

Friedrich-Ebert-Straße 59
56564 Neuwied

Phone: 02631 -82-1340
Mail: ed.mukinilk-suahneiram@ofni

Birgit Blumenthal

Leitung Qualitätsmanagement

Friedrich-Ebert-Straße 59
56564 Neuwied

Phone: 02631 -82-1907
Mail: ed.suahneiram@lahtnemulb.tigrib

Birgit Blumenthal

Leiterin Qualitätsmanagement, Zertifizierte Klinische Risikomangerin

Friedrich-Ebert-Straße 59
56564 Neuwied

Phone: 02631 -82-1907
Mail: ed.suahneiram@lahtnemulb.tigrib

Dr. med. Margareta Müller-Mbaye

Ärztliche Direktorin / Chefärztin / Fachärztin für Psychiatrie, Psychotherapie

Friedrich-Ebert-Straße 59
56564 Neuwied

Phone: 02638 -923-5531
Mail: ed.suahneiram@eyabm-relleum.ateragram

Dr. med. Claus Schneider

Chefarzt der Klinik für Allg.-, Visceral- & Gefäßchirurgie

Friedrich-Ebert-Straße 59
56564 Neuwied

Phone: 02631 -82-1216
Mail: ed.suahneiram@redienhcS.sualC

Christel Heil

Fachkrankenschwester

Friedrich-Ebert-Straße 59
56564 Neuwied

Phone: 02631 -82-1941
Mail: ed.suahneiram@lieh.letsirhc

Friedrich-Ebert-Straße 59
56564 Neuwied

Phone: 02631-82-0
Fax: 02631-82-1243
Mail: ed.mukinilk-.suahneiram@ofni

Oliver Schömann

Pflegedirektor

Friedrich-Ebert-Straße 59
56564 Neuwied

Phone: 02631 -82-1484
Mail: ed.suahneiram@nnameohcs.revilo

Dr. Wioletta Osko

Pflegedirektorin

Friedrich-Ebert-Straße 59
56564 Neuwied

Phone: 02631 -82-1484
Mail: ed.suahneiram@okso.atteloiw

Therese Schneider

Krankenhausoberin

Friedrich-Ebert-Straße 59
56564 Neuwied

Phone: 02631 -82-1340
Mail: ed.mukinilk-suahneiram@ofni

Günter Iking

Kaufmännischer Direktor

Friedrich-Ebert-Straße 59
56564 Neuwied

Phone: 02631 -82-1340
Mail: ed.suahneiram@gniki.retneug

Gaby Frömbgen

Krankenhausoberin

Friedrich-Ebert-Straße 59
56564 Neuwied

Phone: 02631 -82-1340
Mail: ed.suahneiram@negbmeorf.ybag

Sarah Wallpott

Stellv. Kaufmännische Direktorin

Friedrich-Ebert-Straße 59
56564 Neuwied

Phone: 02631 -82-1340
Mail: ed.suahneiram@ttopllaw.haras

Dr. med. Margareta Müller-Mbaye

Ärztliche Direktorin

Friedrich-Ebert-Straße 59
56564 Neuwied

Phone: 02638 -923-5531
Mail: ed.suahneiram@eyabm-relleum.ateragram

Dr. med. Margareta Müller-Mbaye

Ärztliche Direktorin

Friedrich-Ebert-Straße 59
56564 Neuwied

Phone: 02638 -923-5531
Mail: ed.suahneiram@eyabm-relleum.ateragram

Dr. med. Claus Schneider

Ärztliche Direktor St. Elisabeth Neuwied

Friedrich-Ebert-Straße 59
56564 Neuwied

Phone: 02631 -82-1211
Mail: ed.suahneiram@redienhcs.sualc

IK: 260711658

Location number: 771924000

Old location number: 771924000