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Westpfalz-Klinikum GmbH - Standort I Kaiserslautern

Hellmut-Hartert-Straße 1
67655 Kaiserslautern

Phone: 0631-203-0
Fax: 0631-203-1925
Mail: ed.mukinilk-zlafptsew@ofni

https://www.westpfalz-klinikum.eu
  • Number of beds: 1.094
  • Number of specialist departments: 23
  • Number of inpatient cases: 29.270
  • Number of partial inpatient cases: 83
  • Number of outpatient cases: 74.017
  • Hospital owners: Westpfalz-Klinikum GmbH
  • Type of provider: öffentlich
External comparative quality assurance
Further information
Bezeichnung
Teilnahme externe Qualitätssicherung yes
Chronische Herzinsuffizienz

Quantity performed 74
Exception? No exception
Quantity performed 18
Exception? No exception
Quantity performed 25
Exception? No exception
Quantity performed 29
Exception? No exception
Quantity performed 30
Exception? No exception
Overall result forecast presentation: yes
Quantity performed reporting year: 74
Quantity forecast year: 74
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: 18
Quantity forecast year: 19
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: 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
Overall result forecast presentation: yes
Quantity performed reporting year: 29
Quantity forecast year: 35
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: 153
Quantity forecast year: 174
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: 25
Quantity forecast year: 23
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: 30
Quantity forecast year: 32
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
CQ05 Measures for quality assurance in the care of pre-term and full-term neonates – Perinatal Centre LEVEL 1
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
  • Clarifying chat completed: no
  • Clarifying chat not completed: no
  • No participation in clarifying chat: no
  • Notification of non-fulfilment of nursing care not made: yes
Number Group
235 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*
172 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
59 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.

  • Konzept zur Gewährleistung des Kinderschutzes im Westpfalz-Klinikum
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

Organisationshandbuch Westpfalz-Klinikum GmbH

12.11.2020

Organisationshandbuch Westpfalz-Klinikum GmbH

12.11.2020

Betriebsanweisung zum sicheren Umgang mit Arzneimitteln im Westpfalz-Klinikum

15.05.2022

  • 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)
  • Versorgung der Patientinnen und Patienten mit patientenindividuell abgepackten Arzneimitteln durch die Krankenhausapotheke (z.B. Unit-Dose-System)
  • 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 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.
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Training in other healing professions
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Das Westpfalz-Klinikum bietet Plätze für die praktische Ausbildung

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Das Westpfalz-Klinikum bietet Plätze für die praktische Ausbildung

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Das Westpfalz-Klinikum bietet Plätze für die praktische Ausbildung

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Das Westpfalz-Klinikum bietet Plätze für die praktische Ausbildung

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Löst ab 2020 den Ausbildungsberuf zum/zur Gesundheits- und Krankenpfleger/in ab.

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Herr Michael Krauß

Patientenfürsprecher Standort Kaiserslautern

Hellmut-Hartert-Straße 1
67655 Kaiserslautern

Phone: 0631 -203-1365
Mail: ed.mukinilk-zlafptsew@ofni

Frau Isabelle Rutz

Vorzimmer der Geschäftsführung

Hellmut-Hartert-Straße 1
67655 Kaiserslautern

Phone: 0631 -203-1230
Mail: ed.mukinilk-zlafptsew@zturi

Frau Kerstin Weidler

Abteilung Qualitäts-, Risiko-, Prozess- und Projektmanagement Lob- und Beschwerdemanagement

Hellmut-Hartert-Straße 1
67655 Kaiserslautern

Phone: 0631 -203-2010
Mail: ed.mukinilk-zlafptsew@reldiewk

Frau Paula Wynne

Teamleitung Qualitäts-u. Risikomanagement

Hellmut-Hartert-Straße 1
67655 Kaiserslautern

Phone: 0631 -203-1877
Mail: ed.mukinilk-zlafptsew@ennywp

Frau Paula Wynne

Qualitätsmanagementbeauftragte

Hellmut-Hartert-Straße 1
67655 Kaiserslautern

Phone: 0631 -203-1877
Mail: ed.mukinilk-zlafptsew@ennywp

Frau Victoria Keßler

Chefapothekerin

Hellmut-Hartert-Straße 1
67655 Kaiserslautern

Phone: 0631 -203-1368
Mail: ed.mukinilk-zlafptsew@relssekv

Frau Heike Guttenbacher

Qualitätsbeauftragte für Pflege

Hellmut-Hartert-Straße 1
67655 Kaiserslautern

Phone: 0631 -203-1849
Mail: ed.mukinilk-zlafptsew@rehcabnettugh

Hellmut-Hartert-Straße 1
67655 Kaiserslautern

Phone: 0631-203-0
Fax: 0631-203-1925
Mail: ed.mukinilk-zlafptsew@ofni

Frau Andrea Bergsträßer

Pflegedirektorin

Hellmut-Hartert-Straße 1
67655 Kaiserslautern

Phone: 0631 -203-1498
Mail: ed.mukinilk-zlafptsew@resseartsgreba

Herr Thorsten Hemmer

Geschäftsführer

Hellmut-Hartert-Straße 1
67655 Kaiserslautern

Phone: 0631 -203-1230
Mail: ed.mukinilk-zlafptsew@ofni

Herr Thorsten Hemmer

Geschäftsführer

Hellmut-Hartert-Straße 1
67655 Kaiserslautern

Phone: 0631 -203-1230
Mail: ed.mukinilk-zlafptsew@ofni

Prof. Dr. med. Hagen Loerzter

Stv. Ärztlicher Direktor

Hellmut-Hartert-Straße 1
67655 Kaiserslautern

Phone: 0631 -203-1279
Mail: ed.mukinilk-zlafptsew@reztreolh

Prof. Dr. Karlhein Seidl

Ärztlicher Direktor

Hellmut-Hartert-Straße 1
67655 Kaiserslautern

Phone: 0631 -203-1884
Mail: ed.mukinilk-zlafptsew@ldiesk

No

IK: 260730025

More IK: 260730423

Location number: 772988000

Old location number: 772988000

Hospital portrait for download