Accreditation and Designation User Manual - OECI

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1.5.5. Quality assurance in all areas Does the cancer centre promote and develop the practice of quality assurance in all areas? 1.5.5.1. The quality assurance programmes are included in the global policy for quality and risk management 1.5.5.1.1. There is one quality assurance programme in each oncology healthcare area (chemotherapy, surgery, radiotherapy) and at risk units (anaesthesiology, critical care, etc) 1.5.5.1.2. There is at least one quality assurance programme in areas other than the oncology healthcare area 1.5.5.1.3. All activities of cancer centre follow, when applicable, the guidelines of Good clinical Practice, Good laboratory Practice and Good manufacturing Practice Yes Mostly Partially No not applicable 1.5.6. Quality assurance in all areas (HR) 1.5.6.1. 1.5.6.1.1. Evaluation of the employees is a part of the human resources(HR) management, from bottom to top, including directors, Chief Officers (heads of departments) and physicians. 1.5.6.1.2. The results of evaluation are documented and used for building future strategies of the institution, with alignment of the departments 1.5.6.1.3. Relevant training is provided to all staff according to their level of responsibility 1.5.6.1.4. HR policy includes a formal individual evaluation at least once or twice a year 1.5.6.1.5. Training records of all staff are available 1.5.6.1.6. Skills, competences and expertises are assessed in case of recruitment at managerial level 1.5.6.1.7. Specific psychological support is available for the cancer centre’s employees including physicians. Yes Mostly Partially No not applicable 1.5.7. Privacy, protection of personal data Are there procedures for privacy, protection of personal data? 1.5.7.1. 1.5.7.1.1. There is a Patient Charter: an official set of principles, a document defining the commitments of both the cancer centre AND the patient. In this Charter the cancer centre commits itself to respect and to guarantee the patient’s privacy 1.5.7.1.2. There is a secure procedure for the storage, preservation, consultation and transmission of personal data according to the national/European regulations 1.5.7.1.3. Protocols for clinical trials guarantee the protection of the patient’s personal data. This point is checked and validated by an Ethical Committee Yes Mostly Partially No not applicable 12 / OECI Accreditation and Designation / Appendix II
2. Screening and primary prevention and health education 2.4. Process control 2.4.1. Availability of screening programmes In the setting of private health policy, does the cancer centre organise or participate in screening programmes? 2.4.1.1. 2.4.1.1.1. The cancer centre participates in structured regional (province/county) screening programmes. 2.4.1.1.2. The cancer centre participates in structured national screening programmes. 2.4.1.1.3. The cancer centre organises screening programmes. Yes Mostly Partially No not applicable 2.4.2. Participation in prevention and health education initiatives Does the cancer centre organise or participate in prevention and health education initiatives that meet the needs of the population? 2.4.2.1. 2.4.2.1.1. The cancer centre organises prevention programmes. 2.4.2.1.2. The cancer centre organises health education initiatives/programmes. 2.4.2.1.3. The cancer centre participates in prevention programmes 2.4.2.1.4. The cancer centre participates in health education initiatives/programmes. Yes Mostly Partially No not applicable 2.4.3. Availability of primary prevention clinics Does the institution have one or more specific primary prevention clinics? 2.4.3.1. 2.4.3.1.1. The cancer centre has a specific primary prevention clinic or at least one specific primary prevention programme Yes Mostly Partially No not applicable 2.4.4. Oncogenetic clinic / outpatient department Does the institution have an oncogenetic clinic? 2.4.4.1. 2.4.4.1.1. The cancer centre has an oncogenetic clinic for identifying high-risk individuals by molecular genetics. ((e.g. breast cancer, ovarian cancer, colo-rectal cancer, endocrine tumours) 2.4.4.1.2. Formal relationships exist between the cancer centre and reference genetic laboratories Yes Mostly Partially No not applicable Appendix II / OECI Accreditation and Designation / 13
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ORGANISATION OF EUROPEAN CANCER INS
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OECI Accreditation and Designation
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THE OECI Accreditation and Designat
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Owner: OECI Organisation of Europea
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2.1.1 General explanation of the te
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OECI General Assembly Member Instit
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3.3 Cancer institute Obviously all
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2 / OECI Accreditation and Designat
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