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GOOD HOSPITAL PRACTICE

GOOD HOSPITAL PRACTICE

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The QM manual for the entire hospital

3.1 Responsibility of the management

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The tasks, responsibilities and competences of the hospital management must be defined. This includes

  • Creation of the quality policy
  • Identification of priority intentions for setting quality objectives, including environmental protection objectives
  • Definition of the responsibility and authorisation of personnel in managerial, executive and supervisory functions
  • Regulation of professional and administrative management and formal authorisation of the tasks and objectives of the individual hospital departments
  • Ensuring cooperation between professional groups and departments
  • Ensuring the timely and continuous provision of hospital services
  • Responsibilities for environmental protection
  • Appointment of a member of the management who is authorised to define, implement and maintain the QM system and assess its performance
  • Setting up and implementing the elements of the QM system
  • Setting short, medium and long-term quality targets. From this, drawing up a quality development plan and monitoring its realisation
  • Establishment of a QM group with organisational independence and circumscribed powers
  • Assessment of the effectiveness of the QM system at fixed intervals
  • Determination of general equipment and catering standards (requirement class)
  • Selection, deployment and development of personnel
  • Provision of the necessary and appropriate resources, such as rooms, equipment and materials
  • Checking the quality of all medical services provided by other service providers on behalf of the company
  • Realisation of official requirements
  • Securing financing by drawing up an annual budget and medium to long-term planning of fixed capital
  • Establishment of a procedure for early risk detection.

The financial basis of the hospital must be planned through sound planning of the annual budget, medium to long-term investments and replacement requirements. The statutory regulations must be observed.

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3.1 Responsibility of the management

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