LVR-Klinikum Düsseldorf Hospital of the Heinrich-Heine University ...
LVR-Klinikum Düsseldorf Hospital of the Heinrich-Heine University ...
LVR-Klinikum Düsseldorf Hospital of the Heinrich-Heine University ...
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Table 1: Number <strong>of</strong> inpatients <strong>of</strong> <strong>the</strong> <strong>LVR</strong>-<strong>Klinikum</strong> <strong>Düsseldorf</strong> (2001–2009; forensic cases excluded)<br />
HealtHcare<br />
2001 2002 2003 2004 2005 2006 2007 2008 2009<br />
General Psychiatry I (Sector III) 699 628 765 956 902 898 873 1,011 1,079<br />
General Psychiatry II (Sector II+III) 1,301 1,332 1,408 1,647 1,761 1,708 1,818 2,033 2,045<br />
Addiction Disorders 1,427 1,430 1,507 1,436 1,463 1,719 1,692 1,779 1,905<br />
Gerontopsychiatry 916 1,001 923 1,132 1,027 1,092 1,093 1,157 1,163<br />
Child & Adolescent Psychiatry and<br />
Psycho<strong>the</strong>rapy<br />
Percent<br />
326 309 274 375 359 417 399 394 450<br />
Neurology 418 453 516 608 605 544 593 572 583<br />
Psychosomatic Medicine 168 177 183 198 188 190 202 206 193<br />
Rehabilitation 16 9 19 15 11 18 9 14 9<br />
Total 5,271 5,339 5,595 6,367 6,316 6,586 6,679 7,166 7,427<br />
40<br />
35<br />
30<br />
25<br />
20<br />
15<br />
10<br />
5<br />
3.0<br />
23.9<br />
19.6<br />
0<br />
F0 F1 F2 F3 F4 F5<br />
ICD-10 Codes<br />
F6 F7 F8 F9 O<strong>the</strong>rs<br />
Figure 2: Relative proportion <strong>of</strong> diagnoses <strong>of</strong> inpatients in <strong>the</strong> <strong>LVR</strong>-<strong>Klinikum</strong> <strong>Düsseldorf</strong> 2009<br />
increase in <strong>the</strong> total number <strong>of</strong> annual inpatient admissions,<br />
primarily due to increasing numbers <strong>of</strong> people with affective<br />
disorders seeking inpatient treatment, accompanied by<br />
a decrease in <strong>the</strong> average length <strong>of</strong> inpatient stay. These<br />
trends led to a marked increase in <strong>the</strong> clinical workload<br />
density, which was aggravated by increasing documentation<br />
requirements. In order to relieve <strong>the</strong>se pressures from <strong>the</strong><br />
system and staff, a dedicated working group continuously<br />
improves <strong>the</strong> computer-based <strong>Hospital</strong> Information System.<br />
For some time now, <strong>the</strong> <strong>LVR</strong>-<strong>Klinikum</strong> <strong>Düsseldorf</strong> has been<br />
addressing quality assurance issues, resulting in 2006 in<br />
certification in accordance with KTQ standards and re-<br />
34.6<br />
1.5<br />
0.3<br />
2.6<br />
0.4<br />
0.0<br />
2.6<br />
11.6<br />
certification in 2009. In 2006, <strong>the</strong> <strong>Klinikum</strong> also received its<br />
initial EMAS certification in accordance with <strong>the</strong> European<br />
Eco Management and Audit Scheme (re-certification in<br />
2009). In order to fur<strong>the</strong>r optimise <strong>the</strong> specialty training<br />
for young psychiatrists, <strong>the</strong> necessary steps were taken to<br />
obtain a special certification by <strong>the</strong> German Association for<br />
Psychiatry and Psycho<strong>the</strong>rapy (which was awarded in March<br />
2010).<br />
In 2004, <strong>the</strong> German Medical Associations decided to extend<br />
<strong>the</strong> requirement that <strong>of</strong>fice-based medical doctors regularly<br />
attend Continuing Medical Education (CME) courses to<br />
medical doctors working in hospitals. As a consequence,<br />
19