Certification of breast centres in Germany: proof of concept for a prototypical example of quality assurance in multidisciplinary cancer care

<p>Abstract</p> <p>Background</p> <p>The main study objectives were: to develop a set of requirements of comprehensive breast centres; to establish a nationwide voluntary certification programme for breast centres based on such requirements, a certified quality management system (QMS), and scheduled independent, external audits and periodic recertification; and to demonstrate the general acceptance of such a certification programme with a view to introducing similar certification programmes for other major cancers.</p> <p>Methods</p> <p>Breast centres introduced a QMS and voluntarily participated in an external certification procedure based on guideline-derived Requirements of Breast Centres specifically developed for the application procedure, all subsequent audits and recertification. All data (numbers of pending and successful applications, sites/centre, etc.) were collected by a newly founded, independent organisation for certification of cancer services delivery. Data analysis was descriptive.</p> <p>Results</p> <p>Requirements of Breast Centres were developed by the German Cancer Society (DKG), the German Society of Senology (DGS) and other relevant specialist medical societies in the form of a questionnaire comprising 185 essential items based on evidence-based guidelines and the European Society of Breast Cancer Specialists' (EUSOMA) requirements of specialist breast units. From late 2002 to mid 2008, the number of participating breast centres rose from 1 to 175. As of mid 2008, 77% of an estimated 50,000 new breast cancers in Germany were diagnosed and treated at certified breast centres, 78% of which were single-site centres.</p> <p>Conclusion</p> <p>Nationwide voluntary certification of breast centres is feasible and well accepted in Germany. Dual certification of breast centres that involves certification of breast services to guideline-derived requirements in conjunction with independent certification of a mandatory QMS can serve as a model for other multidisciplinary site-specific cancer centres.</p

Entwicklungspolitik - Hilfe oder Ausbeutung Die entwicklungspolitische Praxis der Bunderepublik Deutschland und ihre wirtschaftlichen Hintergruende

SIGLEBibliothek Weltwirtschaft Kiel A160143 / FIZ - Fachinformationszzentrum Karlsruhe / TIB - Technische Informationsbibliothek8. ed.DEGerman

Aktion der Deutschen Juden für Erziehung und Arbeit.

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Internationales Symposium: Konzepte zur Abwasserbehandlung im laendlichen Raum Europas Tagungsband

In the first part of the symposium, experts reviewed the state of the art of decentralized waste water treatment in Europe. In the second part, exemplary solutions in Poland and the Czech Republic were presented. The final part was dedicated to future concepts and strategies.Im Herbst letzten Jahres hat die Kommunale Umwelt-AktioN U.A.N. in einer Abfolge von drei Abwasserfachsymposien Expertenrunden zum Austausch ueber den aktuellen Stand des Wissens zum Thema dezentrale Abwasserbehandlung veranstaltet. Mit dem Internationalen Symposium 'Konzepte zur Abwasserbehandlung im laendlichen Raum Europas' in Celle hat das Projekt der U.A.N. seinen Abschluss gefunden. Der Konzeption des Projektes entsprechend haben im 1. Teil des Symposiums Experten ueber den Stand der Entwicklung auf dem Sektor der dezentralen Abwasserbehandlung in Deutschland berichtet. Im 2. Teil unserer Fachtagung wurden europaeische Beispiele fuer dezentrale Loesungen aus Polen und Tschechien vorgestellt. Zukunftsweisende Bedeutung fuer die dezentrale Abwasserreinigung kennzeichneten schliesslich die Themen, die den Schlussteil der Veranstaltung gepraegt haben. (orig.)SIGLEAvailable from TIB Hannover / FIZ - Fachinformationszzentrum Karlsruhe / TIB - Technische InformationsbibliothekDeutsche Bundesstiftung Umwelt, Osnabrueck (Germany)DEGerman