Quality/Safety

Quality and Risk Management Policy

NCN would like to be a high-performance centre for health and has been committed to a quality and risk management approach for more than 10 years.

In 1998, the medical community and the management confirmed the commitment of the establishment to a structured, coordinated quality approach.
A mutual quality and risk management department for the NCN and the Catherine de Sienne Centre was set up in February 1998. Today it is staffed by 2 people, Mrs Berhamel, Quality and Risk Management Manager, and Miss Coueffic, Quality and Risk Management Assistant.

Quality and Risk Management Steering Committee was also set up. It is made up of practitioners and department managers. Each year it draws up a programme taking into account:- projects announced by the management, the various authorities (CLIN, CRUQ, CLUD, etc.) and the department managers
- new statutory powers
- inspection reports from the control organisations
- actions to deliver improvement set during certification procedures
- results of external and internal audits and assessments.

In collaboration with the risk management operational cell this committee also provides coordination and monitoring of risk management and problems within the establishment.

The establishment, desirous of guaranteeing the quality of patient treatment, patient safety and that of professionals, is committed to an assessment approach both by setting up an internal audit team and by participating in the COMPAQH project.

A team of internal auditors has been in existence since 2000. It is made up of 16 professionals: doctors, nurses, and nursing auxiliaries from the treatment units and theatre suite, department managers, and administrative personnel. On average they perform 5 to 6 audits per year.

In 2003 NCN volunteered to take part in the COMPAQH project, a project for the Coordination of Performance Measurement and the Improvement of Hospital Quality. Amongst others the objective of this project is to select a battery of indicators and to develop performance management principles for quality. In this way the establishment has been able to implement about fifteen indicators (patient satisfaction, compliance of patient files, pain management, control of nocosomial infections: ICALIN, ICSHA, etc.).