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St. Vinzenz-Hospital

Merheimer Str. 221-223
50733 Köln

Phone: 0221-7712-0
Fax: 0221-733498
Mail: ed.nennitillec@znezniv-hk.ofni

http://www.vinzenz-hospital.de/
  • Number of beds: 370
  • Number of specialist departments: 12
  • Number of inpatient cases: 15.050
  • Number of outpatient cases: 35.861
  • Hospital owners: St. Vinzenz-Hospital 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 25
Exception? No exception
Overall result forecast presentation: yes
Quantity performed reporting year: 25
Quantity forecast year: 27
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
CQ28 Guideline on quality assurance measures for liposuction procedures for stage III lipedema (QS-RL Liposuction)
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: no
Number Group
90 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*
72 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
64 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.

  • Es existiert ein schriftlich ausgearbeitetes "Institutionelles Schutzkonzept zur Prävention gegen sexualisierte Gewalt", welches Maßnahmen für besonders Schutzbedürftige enthält. Dieses ist im konzernweiten Intranet niederschwellig verfügbar.
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

Apothekenheft Tabellen für die Praxis. 5. Auflage, HSM Antiinfektivafibel. 4. Auflage.

02.07.2020

  • Bereitstellung einer geeigneten Infrastruktur zur Sicherstellung einer fehlerfreien Zubereitung
  • Zubereitung durch pharmazeutisches Personal
  • Anwendung von gebrauchsfertigen Arzneimitteln bzw. Zubereitungen
  • Anwendung von Spillkits bei verschütteten Zytostatika, Standard zum Umgang mit Zytostatika, Schulung Sicherer Umgang mit Zytostatika
  • 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)
  • Aushändigung von arzneimittelbezogenen Informationen für die Weiterbehandlung und Anschlussversorgung der Patientin oder des Patienten im Rahmen eines (ggf. vorläufigen) Entlassbriefs
  • Aushändigung des Medikationsplans
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

Zusammenarbeit im Rahmen von Forschungsprojekten

Explanation

Explanation

Duale Studiengänge und Master-Studiengänge werden angeboten.

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In der Anästhesie, Intensivmedizin und Schmerztherapie, in der Innere Medizin III - Kardiologie und Rhythmologie und in der Innere Medizin IV - Hämatologie und Onkologie

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Herausgabe von eigenen Lehrbüchern

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Training in other healing professions
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Im Verbund mit 9 weiteren Krankenhäusern wird die Louise von Marillac-Schule als kath. Bildungsstätte für Berufe im Gesundheitswesen mit Ausbildungsplätzen für 140 Pflegefachfrauen/-männern im Jahr und 50 Pflegefachassistenten im Jahr.

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In Zusammenarbeit mit der Hochschule Fresenius

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In Kooperation mit dem Rettungsdienst der Stadt Köln

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Renate Luttenberger

Patientenfürsprecherin

Merheimer Str. 221-223
50733 Köln

Phone: 0221 -7712-0
Mail: ed.nennitillec@znezniv-hk.rehcerpsreufnetneitap

Christina Sander

Leitung Qualitäts- und Risikomanagement

Merheimer Str. 221-223
50733 Köln

Phone: 0221 -7712-4665
Mail: ed.nennitillec@rednaS.anitsirhC

Christina Sander

Leitung Qualitäts- und Risikomanagement

Merheimer Str. 221-223
50733 Köln

Phone: 0221 -7712-4665
Mail: ed.nennitillec@rednaS.anitsirhC

Prof. Dr. med. Jürgen Lutz

Ärztliche Direktion

Merheimer Str. 221-223
50733 Köln

Phone: 0221 -7712-0
Mail: ed.nennitillec@znezniv-hk.ofni

Christina Lorenz

Apotheke/Klinische Pharmazie

Merheimer Str. 221-223
50733 Köln

Phone: 02234 -9675-256
Mail: ed.ekehtopa-hfs@znerol.c

Renate Luttenberger

Patientenfürsprecherin

Merheimer Str. 221-223
50733 Köln

Phone: 0221 -7712-0
Mail: ed.nennitillec@znezniv-hk.rehcerpsreufnetneitap

Merheimer Str. 221-223
50733 Köln

Phone: 0221-7712-0
Fax: 0221-733498
Mail: ed.nennitillec@znezniv-hk.ofni

Charlotte Schwedes

Pflegedirektion

Merheimer Str. 221-223
50733 Köln

Phone: 0221 -7712-0
Mail: ed.nennitillec@znezniv-hk.ofni

Antonia Gans-Karcz

Kaufmännische Direktion

Merheimer Str. 221-223
50733 Köln

Phone: 0221 -7712-0
Mail: ed.nennitillec@znezniv-hk.ofni

Pit Zimmermann

Geschäftsführung

Merheimer Str. 221-223
50733 Köln

Phone: 0221 -7712-0
Mail: ed.nennitillec@znezniv-hk.ofni

Prof. Dr. med Jürgen Lutz

Ärztliche Direktion

Merheimer Str. 221-223
50733 Köln

Phone: 0221 -7712-0
Mail: ed.nennitillec@znezniv-hk.ofni

No

IK: 260530443

Location number: 771696000

Old location number: 771696000

Hospital portrait for download