Number	Group
136	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
104	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
  Berufsübergreifende Informationsweitergabe in regelmäßigen Besprechungsterminen
  Training of employees
  
  Education
  Code of conduct with rules for treating children and young people with respect
  Note on the measure
  wird reevaluiert
  
  Last review of the measure
  07.08.2024 19:44:42
  Age-appropriate complaint options
  Note on the measure
  Weiterentwicklung findet kontinuierlich statt
  Special requirements for the selection of persons
  Note on the measure
  Weiterentwicklung findet kontinuierlich statt
  Other aspects of prevention
  Note on the measure
  Weitere Präventionsmaßnahmen: z.B. Information über Kinderrechte für Patienten und deren Begleitung, Ampelsystem für die Kinder- und Jugendpsychiatrie
- Intervention
  Intervention plan - Binding procedure for dealing with child protection cases and in particular suspected (sexual) violence
  Note on the measure
  Überprüfung und Weiterentwicklung findet kontinuierlich statt
  
  Last review of the measure
  07.08.2024 19:44:42
- Review
  Recommendations for dealing with/processing cases that have occurred
  Note on the measure
  Überprüfung und Weiterentwicklung findet kontinuierlich statt
  
  Last review of the measure
  07.08.2024 19:44:42

Berufsübergreifende Informationsweitergabe in regelmäßigen Besprechungsterminen

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

Drug commission

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

Process description for an optimal medication process (e.g. drug anamnesis – prescription – patient information – drug delivery – drug application – documentation – therapy monitoring – result evaluation)

Dienstanweisung: Umgang mit Betäubungsmittel

08.12.2023

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 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)
Versorgung der Patientinnen und Patienten mit patientenindividuell abgepackten Arzneimitteln durch die Krankenhausapotheke (z.B. Unit-Dose-System)
Arzneimittelliste

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)
Konzept zur Implementierung von Sicherheitsbeauftragten Ärzten/-innen für Arzneimitteltherapie sowie Sicherheitsbeauftragten in der Pflege für Arzneimittel auf Station

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

Hr. Dr. Dr. med. Bagus Hr. Prof. Dr. med. Lemke Hr. PD. Dr. med. Papanagiotou Hr. Dr. med. T.Hilmer Prof. Dr. med. Carmen Loquai Prof. Dr. med. Duning

FL02 - Lectureships / teaching posts at universities of applied sciences

Explanation

FL03 - Student training (clinical traineeship / internship year)

Explanation

Allgemein- und Viszeralchirurgie Anästhesie,Intensivmedizin/Schmerztherapie Geriatrie Innere Medizin Kinder-u. Jugendpsychiatrie/Psychotherapie Neurologie Pneumologie/Beatmungsmedizin Psychiatrie/Psychotherapie/Psychosomatik Thoraxchirurgie Radiologie Dermatologie. -chirurgie,-onk.

FL04 - Project-related cooperation with colleges and universities

Explanation

Klinik für Psychiatrie u. Psychother. und Klinik für Psychosomatische Medizin u.Psychother. Neurophysiologie Allg.-und Viszeralchirurgie Anästhesie/Intensivm./Schmerztherapie Innere Med. Pneumologie Geriatrie KIJU Psych:Prof.T.Storck, Psychologische Hochschule Berlin Dermatologie Thorax-CH

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

Explanation

Klinik für Pneumologie und Beatmungsmedizin (Schwerpunkt Onkologie)

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

Explanation

Institut für Neurophysiologie Klinik für Innere Medizin Klinik für Pneumologie u. Beatmungsmedizin Klinik für Thoraxchirurgie Zentrum für Radiologie

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

Explanation

Klinik für Allgemein- und Viszeralchirurgie Klinik für Neurologie Klinik für Pneumologie und Beatmungsmedizin Klinik für Thoraxchirurgie

FL08 - Editors of scientific journals/textbooks

Explanation

DabbertD et al.:„Clozapin aus Sicht des Projekts „Arzneimittelsicherheit in der Psychiatrie“ InFo Neurol Psychiatrie 2022 Handbuch Psychopharmaka.2022. Hogrefe-Verlag

FL09 - Doctoral supervision

Explanation

Herr Prof. Dr. med. Lemke Prof. Dr. med. Carmen Loquai Herr PD Dr. med. Papanagiotou

Training

Training in other healing professions

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

Comment

Ausbildung Ende 2023 ausgelaufen

HB03 - Physical therapist / physiotherapist (m/f)

Comment

praktische Ausbildung

HB05 - Medical technical radiology assistant (MTRA) (m/f)

Comment

neue Berufsbezeichnung: Medizinische Technologin bzw. medizinischer Technologe für Radiologie, praktische Ausbildung Zusätzlich werden medizinische Fachangestellte/r (MFA) praktisch ausgebildet

HB06 - Occupational therapist (m/f)

Comment

praktische Ausbildung

HB07 - Surgical technical assistant (m/f)

Comment

praktische Ausbildung

HB09 - Speech therapist (m/f)

Comment

praktische Ausbildung

HB12 - Medical technical laboratory assistant (MTLA) (m/f)

Comment

neue Berufsbezeichnung: Medizinische Technologin bzw. medizinischer Technologe für Laboratoriumsanalytik: praktische Ausbildung

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

Comment

HB15 - Anaesthesia technical assistant (m/f)

Comment

praktische Ausbildung

HB17 - Auxiliary nurse (m/f)

Comment

praktische Ausbildung

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

Comment

nur teilpraktische Ausbildung

HB19 - Nursing professionals

Comment

Praktische Ausbildung auch für Vertiefung Psychiatrie

HB20 - Nursing professional B. Sc.

Comment

praktische Ausbildung

HB21 - Geriatric nurse (m/f)

Comment

praktische Ausbildung im Rahmen des PflBG

Hospital staff
Pharmaceutical personnel
- Explanations: Die Zentralapotheke ist im Klinikum Bremen Mitte verortet und versorgt die Klinika der Gesundheit Nord gGmbH mit allen benötigten Arzneimitteln und diversen Medizinprodukten.
- Nursing staff regulation