| | NOVEMBER 202219Employees need to understand the necessity and usefulness of an integrated quality management system within the complex management of a hospital organization. To achieve this acceptance, our employees participated in quality groups in order to contribute to an environment of continuous improvement. Furthermore, the management encouraged employees to think about innovative solutions, to exchange knowledge and learn from (almost) errors. For reporting incidents or unintended events, a unique Incident reporting system was developed, which provided insight into the risks in the care processes. Several strategies were used in the regular strategy & policy cycle to promote a result-oriented approach to activities. It also included the policy revisions, management reviews, internal and external audits, quality assurance reports and reports from reported incidents. At Medanta, audits and transparent reporting have been the strong and important tools in the design of continuous improvement processes.Hospitals operate in a dynamic environment with unforeseen challenges and unpredictable events. The strict requirements and regulations for the prevention of risks implied that risk management should be an intrinsic part of the strategy & policy. For this a robust Risk Management System was developed and implemented at Medanta. The Risk Management system consists of quarterly Risk Assessment Audits, MEDANTA ENSURED THAT COMPETENCE AND QUALITY OF SPECIFIC AREAS OF A HOSPITAL ARE PERIODICALLY REVIEWED ON THE BASIS OF GUIDELINES AND RELEVANT REQUIREMENTS AND THE ACTIONS ARE FOLLOWED UP FOR CLOSURE OF THE IDENTIFIED GAPS
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