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KLW St. Paulus GmbH St. Christophorus Krankenhaus Werne

Am See 1
59368 Werne

Phone: 02389-787-1191
Fax: 02306-772229-2229
Mail: ed.enrew-suahneknark@ofni

  • Number of beds: 241
  • Number of specialist departments: 9
  • Number of inpatient cases: 8.145
  • Number of outpatient cases: 19.136
  • Hospital owners: KLW St. Paulus GmbH
  • Type of provider: freigemeinnützig
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 403
Exception? No exception
Overall result forecast presentation: yes
Quantity performed reporting year: 403
Quantity forecast year: 442
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
  • 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
50 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*
50 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
50 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

        Es befinden sich Aushänge mit Notfalltelefonkontakten in den sanitären Räumlichkeiten für Frauen.
        Wir verfügen ferner in unserm Haus über eine kollegiale Beratung für berufliche Extremsituationen in Form der betrieblichen Ansprechpartner (BAP), die jederzeit erreichbar sind.

      • Note on the measure

        Die Mitarbeitenden haben über die Innerbetriebliche Fort- und Weiterbildung die Möglichkeit an Schulungen zum Thema teilzunehmen.

  • Es befinden sich Aushänge mit Notfalltelefonkontakten in den sanitären Räumlichkeiten für Frauen. Wir verfügen ferner in unserm Haus über eine kollegiale Beratung für berufliche Extremsituationen in Form der betrieblichen Ansprechpartner (BAP), die jederzeit erreichbar sind.
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
  • Bereitstellung einer geeigneten Infrastruktur zur Sicherstellung einer fehlerfreien Zubereitung
  • 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)
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

Explanation

Explanation

Explanation

Explanation

Explanation

Training in other healing professions
Comment

in Kooperation mit der Bildungsakademie für Therapieberufe in Bestwig

Comment

in Kooperation mit dem Canisius Campus Dortmund

Comment

Comment

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in Kooperation mit der Ausbildungsstätte St. Barbara-Klinik in Hamm Heessen

Comment

Die Canisius Campus Dortmund gGmbH ist eine staatlich anerkannte Pflegeschule und gehört ebenfalls zur Kath. St. Paulus GmbH. Sie bildet für die Krankenhäuser der Kath. St. Paulus Gesellschaft, dazu gehört auch das Marien Hospital, Fachpersonal in der Pflege aus.

Christa Matz-Tönnies

Patienten-Fürsprecherin

Am See 1
59368 Werne

Phone: 02389 -7871301-
Mail: ed.enrew-suahneknark@ofni

BA Pflegemanagement Mario Bergmann

Pflegedirektor /Standortleiter

Am See 1
59368 Werne

Phone: 02389 -7871181-
Mail: ed.enrew-suahneknark@oiraM.nnamgreB

Ina Broß

Leiterin des Qualitätsmanagements

Am See 1
59368 Werne

Phone: 02306 -775760-
Mail: ed.neneul-mukinilk@ani.ssorb

Ina Broß

Leiterin des Qualitätsmanagements

Am See 1
59368 Werne

Phone: 02306 -775760-
Mail: ed.neneul-mukinilk@ani.ssorb

Dr. med. Franz-Josef Hegge

Chefarzt Kardiologie

Am See 1
59368 Werne

Phone: 02389 -787-1351
Mail: ed.enrew-suahneknark@eggeh.rd

Chefapotheker Bernd Scharfenkamp

Chefapotheker und Bereichsleiter Materialwirtschaft

Am See 1
59368 Werne

Phone: 02306 -77-5716
Mail: ed.neneul-mukinilk@dnreb.pmaknefrahcs

BA Pflegemanagement Mario Bergmann

Pflegedirektor / Standortleiter

Am See 1
59368 Werne

Phone: 02389 -787-1181
Mail: ed.enrew-suahneknark@oiraM.nnamgreB

Am See 1
59368 Werne

Phone: 02389-787-1191
Fax: 02306-772229-2229
Mail: ed.enrew-suahneknark@ofni

BA Pflegemanagement Mario Bergmann

Pflegedirektor/Standortleiter

Am See 1
59368 Werne

Phone: 02389 -787-1181
Mail: ed.enrew-suahneknark@oiraM.nnamgreB

BA Innovative Pflegepraxis Stefanie Neuhaus

Pflegedienstleitung

Am See 1
59368 Werne

Phone: 02389 -787-1181
Mail: ed.enrew-suahneknark@einafetS.suahueN

Dipl.-Ökonom Axel Weinand

Geschäftsführer

Am See 1
59368 Werne

Phone: 02306 -77-2221
Mail: ed.neneul-mukinilk@fg

Dipl.-Kfm. Clemens Galuschka

Geschäftsführer

Am See 1
59368 Werne

Phone: 02306 -77-2221
Mail: ed.neneul-mukinilk@fg

Dipl.-Ökonom Axel Weinand

Geschäftsführer

Am See 1
59368 Werne

Phone: 02389 -7871181-
Mail: ed.neneul-mukinilk@lexa.dnaniew

Chefarzt Dr. med. Josef Hegge

Chefarzt Kardiologie

Am See 1
59368 Werne

Phone: 02389 -787-1351
Mail: ed.enrew-suahneknark@eggeh.rd

IK: 260591506

Location number: 771396000

Old location number: 771396000

  • https://www.klinikum-luenen.de/startseite Das St. Christophorus-Krankenhaus Werne und das St.-Marien-Hospital Lünen haben fusioniert. Weiterführende Informationen zu unserem Partner-Krankenhaus erhalten Sie unter der angegebenen URL.
  • https://www.paulus-gesellschaft.de Seit Juni 2021 sind wir Mitglied der Kath. St. Paulus Gesellschaft. Weiterführende Informationen zur Kath. St. Paulus Gesellschaft und ihren Einrichtungen finden Sie unter der angegebenen URL.