CLINIC AND O U TPATIE NT CLINIC
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1 CLINIC AND O U TPATIE NT CLINIC FO R PAE D IATR IC S U R GE R Y
2 FACTS AND FIGURES Clinic and Outpatie nt Clinic for Pae diatric Surge ry Fe rdinand- Saue rbruch - Straße Gre ifs w ald Te le ph one : Te le fax: E- m ail: k inde rch uni- gre ifs w ald.de H om e page : w w w.k linik um.uni- gre ifs w ald.de H e ad of de partm e nt: Se nior ph ys icians : Univ.- Prof. D r. m e d. O.- A. Fe s tge OA D r. m e d. R. Foe s t OÄ D r. m e d. K. Knös e l OA D r. m e d. T. Sch e ltz OÄ D r. m e d. S. Lich e y H e ad of nurs ing s taff: QM re pre s e ntative : Frau I. Bie ble r OÄ D r. m e d. S. Lich e y In th e ye ar of th e re port 2006 th e re w e re 9 69 patie nts w h o re ce ive d inpatie nt tre atm e nt and 4568 patie nts w h o re ce ive d outpatie nt tre atm e nt. Th e Clinic and Outpatie nt Clinic for Pae diatric Surge ry h as 25 be ds. QUALITY REPORT FOR PATIENTS 2006 UNIVERSITY CLINIC GREIFSW ALD
3 T M ED ICAL CARE SERVICES h e Clinic and Outpatie nt Clinic for Pae diatric Surge ry is th e ce ntre of pae diatric s urge ry in W e s te rn Pom e rania and provide s th e w h ole s pe ctrum of m e dicalcare s e rvice s. Th e h e ad of th e clinic, Prof. D r. Fe s tge, is auth orize d to fu ly train s pe cialis ts for pae diatric s urge ry. Th e clinic is re s pons ible for th e tre atm e nt of pre m ature infants, babie s, toddle rs and ch ildre n of s ch oolage. Be s ide an inpatie nt de partm e nt w ith 25 be ds w e als o h ave an outpatie nt de partm e nt for pae diatric s urge ry w ith an ope rating room. In th e clinic s pe cia ly traine d pae diatric nurs e s tak e care of th e ch ildre n. W e als o tak e care of ch ildre n from oth e r de partm e nts (orth opae dics, oralm axi lo- facials urge ry, oph th alm ology). For ch ildre n w h o h ave to s tay in h os pitalfor a longe r pe riod of tim e, w e h ave te ach e rs w h o w ork w ith th e ch ildre n and th us h e lp to m inim ize th e am ount of le s s ons th e ch ildre n h ave m is s e d. UNIVERSITY CLINIC GREIFSW ALD QUALITY REPORT FOR PATIENTS 2006
4 B SPECIAL AREAS OF M ED ICAL CARE e s ide s th e ge ne ralcons ultation h ours w e offe r s pe ciale m e rge ncy s e rvice s for ch ildre n w ith dis e as e s and m alform ations of th e ce ntralne rvous s ys te m (e.g. h ydroce ph alus ), of th e back (bifid s pine ), of th e k idne ys and th e e xcre tory urinary tract (e.g. e nure s is, dis orde rs of ure a trans port) and of th e s k in (las e r tre atm e nt). W e als o tre at ch ildre n w ith injurie s of th e locom otive s ys te m caus e d by accide nts, including D - doctor and - 6 proce dure s. W ith in th e s cope of th e Pae diatric Ce ntre w e w ork in clos e co- ope ration w ith th e Clinic of Pae diatrics. A lne w born and pre m ature infants w ith s urgicaldis e as e s s tay th e re but are m ainly tre ate d by our de partm e nt. Ch ildre n w h o, afte r s e ve re dis e as e s or injurie s, ne e d inte ns ive care are als o tre ate d in th e Clinic for Pae diatrics but are re gularly ch e ck e d by us. Th e doctors of th e Clinic for Pae diatric Surge ry w ork on clinicaland s cie ntific re s e arch proje cts, focus ing e s pe cia ly on th e s pe cialfie lds of th e clinic. Our doctors are m e m be rs of s cie ntific s ocie tie s and s upe rvis e s cie ntific proje cts (s tudy conce rning ure te ropath y caus e d by m e tabolic de ficie ncie s, s tudy conce rning th e e ffe ctive ne s s and s afe ne s s of propive rin in com paris on to oxybutinin for th e tre atm e nt of ne uroge ne tic dys function of th e bladde r, s upe rvis ion of Ph D th e s e s ). QUALITY REPORT FOR PATIENTS 2006 UNIVERSITY CLINIC GREIFSW ALD
5 M EASURES OF INTERNAL QUALITY M ANAGEM ENT > Standardis e d w ork ing orde rs for nurs ing and m e dicalproce dure s > Standardis e d orde r of ope rations > Inte rnalq uality as s urance conce rning th e de gre e of s e ve rity of th e bas ic dis e as e and th e h e aling proce s s (localdiagnos is ) > D aily rounds of th e w ard by th e h e ad or th e de puty h e ad of th e de partm e nt > D octors of th e Clinic for Pae diatric Surge ry pay daily vis its to ch ildre n w h o h ad s urge ry and s tay in th e Clinic for Pae diatrics > Eve ry tw o w e e k s m e e ting w ith radiologis ts and pae diatricians to dis cus s radiology tre atm e nt and individualcas e s > Eve ry four w e e k s m icrobiologicalco loq uium > Re gular inte rnaltraining m e as ure s and re gular participation in and vis its to confe re nce s > Organization of s cie ntific and cons ultative confe re nce s for pae diatric s urge ons in M e ck le nburg- W e s te rn Pom e rania (tw ice a ye ar) > M onth ly controlof drug cons um ption > Exte rnalq uality as s urance according to 137 Ge rm an SocialSe curity Code V > Various m e as ure s to im prove th e inform ation policy and th e contact tow ards th e pare nts UNIVERSITY CLINIC GREIFSW ALD QUALITY REPORT FOR PATIENTS 2006
6 M ain diagnos e s according to ICD in 2006 RANKING ICD NAM E CASES 1 S06 Intracranialinjury K56 Paralytic ile us and inte s tinalobs truction w ith outh e rnia D18 H ae m angiom a and lym ph angiom a, any s ite 47 4 S52 Fracture of fore arm 44 5 S42 Fracture of s h oulde r and uppe r arm 39 6 K40 Inguinalh e rnia Q53 Unde s ce nde d te s ticle K52 Oth e r noninfe ctive gas troe nte ritis and colitis Q62 Conge nitalobs tructive de fe cts ofre nalpe lvis and conge nitalm alform ations of ure te r S82 Fracture of low e r le g, including ank le 25 Com pe te ncy proce dure s according to ICD in 2006* ICD D NAM E Lym ph angiom a, any s ite Q62.2 Conge nitalm e galoure te r Q82.5 Conge nitalnon- ne oplas tic nae vus Q54 R15 H ypos padias Fae calincontine nce C78.0 Se condary m alignant ne oplas m ofre s piratory and dige s tive organs Q62.7 Conge nitalve s ico- ure te ro-re nalre flux Q62.1 Atre s ia and s te nos is of ure te r Q42 Conge nitalabs e nce, atre s ia and s te nos is oflarge inte s tine Q43.1 H irs ch s prung's dis e as e R32 Uns pe cifie d urinary incontine nce Q64.2 Conge nitalpos te rior ure th ralvalve s Q05 Spina bifida Q67.6 Pe ctus e xcavatum Q64.1 Exs troph y of urinary bladde r Q33.2 Se q ue s tration oflung Q39 Conge nitalm alform ations ofoe s oph agus Q03 Conge nitalh ydroce ph alus P77 Ne crotizing e nte rocolitis offe tus and ne w born Q79.3 Gas tros ch is is C64 M alignant ne oplas m of k idne y, e xce pt re nalpe lvis Inform ation s tate d h e re are additionalcom pe te nce s for th e m ain diagnos e s m e ntione d above (inde pe nde nt of th e cas e s tre ate d in th e re port ye ar 2006) QUALITY REPORT FOR PATIENTS 2006 UNIVERSITY CLINIC GREIFSW ALD
7 M ain proce dure s according to OPS in 2006* RANKING OPS NAM E CASES EEG Surgicallas e r tre atm e nt of affe cte d tis s ue ofs k in or h ypode rm is Surgicaltre atm e nt of w ounds and re m ovalofaffe cte d tis s ue ofs k in or 68 h ypode rm is affe cte d by com bus tion or acid burns Se tting of a bone and fixation ofbone parts w ith th e h e lp ofs cre w s or s h e e ts from th e outs ide Im aging diagnos tic proce dure to s h ow th e k idne ys us ing radioactive radiation (s cintigraph y) Clos ure ofinguinalh e rnia Exam ination ofure a trans portand urinary e vacuation Re duction of a fracture w ith out s urgicalfixation of bone parts th rough s cre w s or s h e e ts Las e r tre atm e nt ofs upe rficiallaye rs of th e s k in Re m ovalof tools us e d for fixating bone parts * Th e s urve i lance of vitals igns during ope rations and anae s th e s ia/s e dations, anae s th e s ia on its ow n and blood trans fus ions during th e proce dure s are not s tate d s e parate ly. Com pe te ncy proce dure s according to OPS in 2006 OPS NAM E Attach ing te s ticle s to s crotum th rough ope rative proce dure Exam ination ofure th ra and bladde r th rough an e ndos copy Re parative s urge ry to ure te r Proce dure in conne ction to artificialbladde r cons trictor m us cle Re m ovalof pulm onary tis s ue Intra- abdom inalm anipulation ofinte s tine s 5-45 Surge ry to inte s tine and colon (re m ovalof affe cte d parts ) Ope rative corre ction of h ypos padias (in m e n) Re parative s urge ry to ch e s t w a l Im plantation of artificialbladde r cons trictor m us cle Im plantation and e xch ange of indw e ling cath e te r 5-55 Kidne y s urge ry Re parative s urge ry to k idne y Exam ination ofre taine d te s tis th rough laparos copy Ope rative s plitting of cons trictor m us cle w ith H irs ch s prung s dis e as e Drainage of urine th rough ure te rals tom a in abdom inalw a ls Drainage of ce re bros pinalfluid into abdom e n in cas e ofh ydroce ph alus Ope rative corre ction of innate obs truction of anus Re cte ctom y w ith k e e ping of cons trictor m us cle Ope rative obs truction of innate abdom inalw a lde fe cts (om ph aloce le, Laparos ch is is ) Re parative s urge ry at oe s oph agus in cas e ofinnate obs truction Plas tic obs truction of dys raph ia Plas tic obs truction of bladde r m alform ation (cys tos ch is is ) Inform ation s tate d h e re are additionalcom pe te nce s for th e m ain diagnos e s m e ntione d above (inde pe nde nt ofth e cas e s tre ate d in th e re port ye ar 2006) UNIVERSITY CLINIC GREIFSW ALD QUALITY REPORT FOR PATIENTS 2006
8 RESEARCH In our re s e arch data bas e you can alw ays find curre nt re s e arch re ports of our clinic: h ttp://fodb.uni- gre ifs w ald.de /inde x.ph p. QUALITY REPORT FOR PATIENTS 2006 UNIVERSITY CLINIC GREIFSW ALD
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