Overall result forecast presentation:	yes
Quantity performed reporting year:	332
Quantity forecast year:	321
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
CQ31	Guideline for the care of proximal femur fractures (QSFFx-RL)

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
58	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*
7	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
7	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
  Information gathering on the topic
  Note on the measure
  Plakate und Flyer in sechs Sprachen
  Training of employees
  Note on the measure
  Verschiedene Fortbildungs- und Informationsveranstaltungen für Führungskräfte und Beschäftigte des Unternehmens fanden statt.
  Ein Projekt zur Weiterentwicklung des Konzeptes läuft.
  Education
  Note on the measure
  Infomaterial und Kontaktvermittlung zu Beratungsstellen
  Age-appropriate complaint options
  Note on the measure
  Verschiedene Beschwerdewege (auch anonym) stehen zur Verfügung: persönlich, telefonisch, schriftlich oder per E-Mail, über Google-Bewertungen oder Klinikbewertungen.de.
  Code of conduct with rules for treating children and young people with respect
  Last review of the measure
  09.08.2023 21:44:06
  Special requirements for the selection of persons
  Other aspects of prevention
  Note on the measure
  Eine Begehung der InnKlinik Mühldorf durch einen Experten der Polizei - inkl. der Identifikation von Gefahrenpunkten und der Ableitung von Verbesserungsmaßnahmen - fand 2025 statt.
- Intervention
  Intervention plan - Binding procedure for dealing with child protection cases and in particular suspected (sexual) violence
  Last review of the measure
  09.08.2023 21:44:06

Plakate und Flyer in sechs Sprachen

Commentary on the protection concept

Gemäß Teil A § 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 Teil A § 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

Use of standardised forms for drug medical history

Es existiert eine übergreifende Qualitäts- und Risikomanagementdokumentation. Die entsprechenden Dokumente werden allen Mitarbeitern per Dokumentenlenkungssoftware elektronisch zur Verfügung gestellt und mindestens 3-jährlich überprüft und ggf. aktualisiert.

06.10.2025

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)

06.10.2025

SOP on good prescription practices

06.10.2025

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
Anwendung von gebrauchsfertigen Arzneimitteln bzw. Zubereitungen
Schriftliche Standards zur Zubereitung von Arzneimitteln.

Electronic support for the supply of patients with drugs

Vorhandensein von elektronischen Systemen zur Entscheidungsunterstützung (z.B. Meona®, Rpdoc®, AIDKlinik®, ID Medics® bzw. ID Diacos® Pharma)
Software "CGM Muse" zur Medikamentenbestellung

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 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

FL03 - Student training (clinical traineeship / internship year)

Explanation

FL08 - Editors of scientific journals/textbooks

Explanation

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

Explanation

FL09 - Doctoral supervision

Explanation

FL04 - Project-related cooperation with colleges and universities

Explanation

Training

Training in other healing professions

HB19 - Nursing professionals

Comment

HB17 - Auxiliary nurse (m/f)

Comment

HB16 - Dietician (m/f)

Comment

Die InnKlinik Mühldorf bietet im Rahmen der praktischen Ausbildung zum/zur Diätassistent/in Praktikumsstellen an.

HB18 - Emergency paramedics (m/f) (training period 3 years)

Comment

Die InnKlinik Mühldorf bietet im Rahmen der praktischen Ausbildung zum/zur Notfallsanitäter/in Praktikumsstellen an.

HB20 - Nursing professional B. Sc.

Comment

In Kooperation mit der Technischen Hochschule Rosenheim und der Technischen Hochschule Deggendorf.

HB15 - Anaesthesia technical assistant (m/f)

Comment

HB13 - Medical technical assistant for functional diagnostics (MTAF) (m/f)

Comment

HB07 - Surgical technical assistant (m/f)

Comment

HB03 - Physical therapist / physiotherapist (m/f)

Comment

Die InnKlinik Mühldorf bietet im Rahmen der praktischen Physiotherapie-Ausbildung Praktikumsstellen an.

HB06 - Occupational therapist (m/f)

Comment

Die InnKlinik Mühldorf bietet im Rahmen der praktischen Ergotherapie-Ausbildung Praktikumsstellen an.

HB09 - Speech therapist (m/f)

Comment

Die InnKlinik Mühldorf bietet im Rahmen der praktischen Logopädie-Ausbildung Praktikumsstellen an.

Hospital staff
Pharmaceutical personnel
- Number of pharmacists: 8
- Additional staff: 10
- Nursing staff regulation

Service contact persons

Patient advocates

Dr. med. Roswitha Sobotka

Patientenfürsprecherin / Beschwerdemanagement

Krankenhausstr. 1
84453 Mühldorf a. Inn

Phone: 08631 -613-0
Mail: ed.mukinilknni@eum.ofni

Customer feedback management

Georg Forster

Qualitätsmanagement, Beschwerdemanagement, betriebliches Risikomanagement

Krankenhausstr. 1
84453 Mühldorf a. Inn

Phone: 08631 -613-0
Mail: ed.mukinilknni@mb

Quality management

Anke Engel

Ltg. Stabsstelle Qualitätsmanagement, Compliance, Datenschutz

Krankenhausstr. 1
84453 Mühldorf a. Inn

Phone: 08671 -509-1315
Mail: ed.mukinilknni@mq

Responsible for drug therapy

Dr. med. Thomas Parnitzke

Krankenhaushygieniker, Arzneimittelbeauftragter

Krankenhausstr. 1
84453 Mühldorf a. Inn

Phone: 08631 -613-4338
Mail: ed.mukinilknni@eum.ofni

Accessibility Officer

Annemarie Denkl

Pflegedirektorin

Krankenhausstr. 1
84453 Mühldorf a. Inn

Phone: 08631 -613-2300
Mail: ed.mukinilknni@eum.ofni

Company

General contact details of the hospital

Krankenhausstr. 1
84453 Mühldorf a. Inn

Phone: 08671-5090
Mail: ed.mukinilknni@ofni

Nursing service management

Annemarie Denkl

Pflegedirektorin

Krankenhausstr. 1
84453 Mühldorf a. Inn

Phone: 08631 -613-2300
Mail: ed.mukinilknni@eum.ofni

Head of administration

Stefan Blanke

Klinikleitung

Krankenhausstr. 1
84453 Mühldorf a. Inn

Phone: 08631 -613-2100
Mail: ed.mukinilknni@eum.ofni

Responsible for the quality report in the hospital management

Thomas Ewald

Vorstandsvorsitzender

Krankenhausstr. 1
84453 Mühldorf a. Inn

Phone: 08671 -509-1195
Mail: ed.mukinilknni@ofni

Medical management

Dr. med. Wolfgang Richter

Medizinvorstand / Ärztlicher Direktor

Krankenhausstr. 1
84453 Mühldorf a. Inn

Phone: 08631 -613-4100
Mail: ed.mukinilknni@eum.ofni

IK number

IK: 260910693

Location number

Location number: 773372000

Hospital portrait for download