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Krankenhaus Agatharied

Krankenhaus Agatharied
Krankenhaus Agatharied

Norbert-Kerkel-Platz 1
83734 Hausham

Phone: 08026-393-0
Fax: 08026-393-4600
Mail: ed.deirahtagahk@ofni

http://www.khagatharied.de
  • Number of beds: 350
  • Number of specialist departments: 12
  • Number of inpatient cases: 17.454
  • Number of outpatient cases: 20.857
  • Hospital owners: Landkreis Miesbach
  • Type of provider: öffentlich
External comparative quality assurance
Further information
Bezeichnung
Teilnahme externe Qualitätssicherung yes
  • Quality of participation in the Disease Management Programme (DMP)
    No participation
Quantity performed 13
Exception? No exception
Quantity performed 108
Exception? No exception
Overall result forecast presentation: yes
Quantity performed reporting year: 108
Quantity forecast year: 112
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: 0
Quantity forecast year: 110
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: 13
Quantity forecast year: 9
Examination by state associations? yes
Exemption? yes
Result of the examination by the federal state authorities? yes
Transitional arrangement? no
No. Explanation
CQ01 Quality assurance measures for inpatient care with the indication abdominal aortic aneurysm
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
138 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*
82 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
82 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
  • Bereitstellung einer geeigneten Infrastruktur zur Sicherstellung einer fehlerfreien Zubereitung
  • Zubereitung durch pharmazeutisches Personal
  • Anwendung von gebrauchsfertigen Arzneimitteln bzw. Zubereitungen
  • Vorhandensein von elektronischen Systemen zur Entscheidungsunterstützung (z.B. Meona®, Rpdoc®, AIDKlinik®, ID Medics® bzw. ID Diacos® Pharma)
  • Maßnahmen zur Vermeidung von Arzneimittelverwechslung
  • Spezielle AMTS-Visiten (z. B. pharmazeutische Visiten, antibiotic stewardship, Ernährung)
  • 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
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

Regelmäßige Ausbildung von Famulanten verschiedener Universitäten und Studenten der Ludwig-Maximilians-Universität (praktisches Jahr)

Explanation

Ludwig-Maximilians-Universität München

Explanation

Ludwig-Maximilians-Universität München, regelmäßige Lehrtätigkeit

Explanation

Explanation

Explanation

Training in other healing professions
Comment

In Kooperation mit der Schule für Gesundheitsberufe (San-ak) in München

Comment

Berufsfachschule für Pflegefachhilfe für Krankenpflege (1 Zug mit 25 Ausbildungsplätzen) am Krankenhaus Agatharied

Comment

Comment

Berufsfachschule für Gesundheits- und Krankenpflege (3 Züge mit 30 Ausbildungsplätzen) am Krankenhaus Agatharied

Comment

In Kooperation für praktische Einsatze

Comment

Praktischer Einsatz in der Praxis Radiologie Oberland an den Standorten Krankenhaus Agatharied und der Praxis Holzkirchen

Rudolf Artmann

Patientenfürsprecher

Norbert-Kerkel-Platz 1
83734 Hausham

Phone: 08026 -393-3108
Mail: ed.deirahtagahk@nnamtra.flodur

Gabriele Broszonn

Beschwerdemanagement und Patientenzufriedenheit

Norbert-Kerkel-Platz 1
83734 Hausham

Phone: 08026 -393-4379
Mail: ed.deirahtagahk@nnozsorb.eleirbag

Jutta Sauer

Qualitätsmanagementbeauftragte

Norbert-Kerkel-Platz 1
83734 Hausham

Phone: 08026 -393-2903
Mail: ed.deirahtagahk@reuas.attuj

Prof. Dr. med. Hans Martin Schardey

Chefarzt für Allgemein-, Viszeral- und Gefäßchirurgie / Ärztlicher Direktor

Norbert-Kerkel-Platz 1
83734 Hausham

Phone: 08026 -393-2444
Mail: ed.deirahtagahk@yedrahcs.snah

Prof. Dr. med. Markus Rehm

Chefarzt für Anästhesie und Intensivmedizin / Ärztlicher Direktor

Norbert-Kerkel-Platz 1
83734 Hausham

Phone: 08026 -393-2666
Mail: ed.deirahtagahk@mher.sukram

Drug commission

Gabriele Broszonn

Leitung Patientenmanagement, Beschwerdemanagement

Norbert-Kerkel-Platz 1
83734 Hausham

Phone: 08026 -393-2114
Mail: ed.deirahtagahk@nnozsorb.eleirbag

Norbert-Kerkel-Platz 1
83734 Hausham

Phone: 08026-393-0
Fax: 08026-393-4600
Mail: ed.deirahtagahk@ofni

Sven Steppat

Pflegedirektor

Norbert-Kerkel-Platz 1
83734 Hausham

Phone: 08026 -393-2750
Mail: ed.deirahtagahk@tappets.nevs

Michael Kelbel

Geschäftsführer

Norbert-Kerkel-Platz 1
83734 Hausham

Phone: 08026 -393-3001
Mail: ed.deirahtagahk@fg

Benjamin Bartholdt

Vorstand (ab 01.02.2022)

Norbert-Kerkel-Platz 1
83734 Hausham

Phone: 08026 -393-3001
Mail: ed.deirahtagahk@dnatsrov

Michael Kelbel

Geschäftsführer

Norbert-Kerkel-Platz 1
83734 Hausham

Phone: 08026 -393-3000
Mail: ed.deirahtagahk@fg

Benjamin Bartholdt

Vorstand

Norbert-Kerkel-Platz 1
83734 Hausham

Phone: 08026 -393-3000
Mail: ed.deirahtagahk@dnatsrov

Prof. Dr. med. Hans Martin Schardey

Chefarzt für Allgemein-, Viszeral- und Gefäßchirurgie / Ärztlicher Direktor

Norbert-Kerkel-Platz 1
83734 Hausham

Phone: 08026 -393-2444
Mail: ed.deirahtagahk@yedrahcs.snah

Dr. med. Peter Wellner

Chefarzt für Innere Medizin - Schwerpunkt Geriatrie

Norbert-Kerkel-Platz 1
83734 Hausham

Phone: 08026 -393-2222
Mail: ed.deirahtagahk@renllew.retep

Prof. Dr. med. Ulrich Brunner

Chefarzt für Unfallchirurgie

Norbert-Kerkel-Platz 1
83734 Hausham

Phone: 08026 -393-2444
Mail: ed.deirahtagahk@rennurb.hcirlu

Prof. Dr. med. Markus Rehm

Chefarzt für Anästhesie und Intensivmedizin

Norbert-Kerkel-Platz 1
83734 Hausham

Phone: 08026 -393-2666
Mail: ed.deirahtagahk@mher.sukram

Dr. med. Steffen Herdtle

Chefarzt des Integrierten Notfall- und Behandlungszentrum (INBZ) und Beobachtungsstation

Norbert-Kerkel-Platz 1
83734 Hausham

Phone: 08026 -393-4135
Mail: ed.deirahtagahk@eltdreh.neffets

No

IK: 260913798

Location number: 773438000

Old location number: 773438000

Hospital portrait for download