Avoiding incidents and improvement measures

Avoiding incidents and improvement measures

Have you been involved in an incident?

We have an internal reporting system for incidents and near-incidents To be able to set up improvement actions, it is important that we are aware of these incidents. Do you think that you yourself have been affected by an incident? Make sure that your health care provider is informed.

If you wish to, you can also indicate this via the ombudsperson.

Treatment and hospital stays are not always risk-free. There may be side effects, complications or other undesirable events. The approach of our hospital is to limit this as much as possible.

Patient safety is about reducing accidental and avoidable harm in the hospital. In our care processes, we try to prevent errors as much as possible. If they nevertheless happen, we try to learn from them in order to avoid similar incidents happening again.

Contribute to your own safety

Contribute to your own safety


When you register, you will receive a wristband. Always bring your identity card. The wristband makes it clear who you are under all circumstances. The wristband shows your last name, first name and date of birth. Remember to:

  • check the data on the wristband and to report errors immediately;
  • wear this wristband throughout your hospital stay;
  • inform a nurse if the wristband comes loose or you lose it as soon as possible.


  • Provide an accurate and complete list of the medications you take at home. This list can be found in the information package you received. If necessary, ask your GP or pharmacist for help with filling in your list of medications. Take these drugs, in their original packaging, to the hospital. Put your medications into the paper medicine bag.
  • On arrival at the ward, a nurse will go over the form with you. If you are allergic to certain drugs, please report this during this conversation.
  • The medication brought from home is kept at the nursing station. You will get it back when you are discharged from the hospital.

Reporting infections

Tell us when:

  • you are or were a carrier of a multi-resistant germ (Methicillin Resistant Staphylococcus Aureus (MRSA), Carbapenemase Producing Enterobacteriaceae (CPE)...);
  • you work or live on a cattle farm (pigs or veal calves);
  • there is a chance that you currently have MRSA or another germ that is not susceptible to multiple antibiotics.

Let your attending physician know and report this to the nurse upon admission. In this way we want to prevent bacteria from spreading in the hospital and causing infections that are difficult to control in some patients. Also report this information at each consultation after you have been discharged from the hospital.

Only available in Dutch:

Only available in Dutch:

Avoiding falling

The risk of falling after surgery or when taking certain medications is high.

Reduce the chance of falling by observing the following:

  • be careful and ask for help if necessary;
  • if necessary, use an appropriate aid when you take a step;
  • always wear suitable and good footwear;
  • check that the bedside table is close to you and that the call system is within easy reach;
  • report it if you have recently fallen or if you nearly fell;
  • keep moving if your physician allows it.

Hand hygiene

Pathogenic germs can be transferred from one patient to another through the hands of health professionals. That is why a lot of attention is paid to good hand hygiene. Hands should preferably be rubbed with hand alcohol. This is fast, efficient and safe. A bottle of hand alcohol is available in every patient's room. To underline the importance of hand hygiene, the hospital participates in national campaigns to promote hand hygiene (‘You are in good hands’).

Jewellery and piercings

Jewels and other jewellery (e.g. piercings) are not allowed in the operating room for hygienic reasons and can also cause serious problems during the operation. Leave them at home, if possible.

Follow advice conscientiously and dare to ask.

Is any information not clear? Do you have any questions or doubts? Ask our nurses or your physician for an explanation.

Safety limiting measures

Safety limiting measures

Low-fixation policy

Maria Middelares General Hospital stands for experiential care that tries to support the rights, values and convictions of our patients. Our health care providers take into account the personality of each individual and try to find out what is behind every kind of behaviour.

The hospital therefore applies a low-fixation policy, which means that this is only applied if the patient poses a danger to him or herself or others. Fixation is defined as ‘any procedure, material or equipment on or near the patient that cannot be easily removed and which restricts the patient's freedom of movement’.

Such a decision is taken jointly by team members and is reconsidered by the treating team during each patient meeting. The duration of fixation is kept as short as possible. The family of the patient, if they are known, are informed within 24 hours.

Only available in Dutch:


Maria Middelares General Hospital provides care to psychologically vulnerable patients in an atmosphere of trust and safety, and with the maximum degree of self-determination for the patient.

Nevertheless, situations can occur in which the psychological suffering is so great that the safety of the patient can no longer be guaranteed. If, during a crisis, the patient proves to be a danger to him or herself and others, the patient can be isolated in a secure room.

Separation is an exceptional measure that is only applied in extreme situations, always in consultation with the treating team and with the patient and for the shortest possible time. Our care providers act according to a fixed procedure that is integrated into the crisis development model, which focuses on the integrity of the patient within the context of freedom-restricting measures. The family of the patient, if they are known, are informed within 24 hours.

Coercive medication

Maria Middelares General Hospital is fully committed to multidisciplinary care that is customised for the patient. Patient participation regarding the treatment is an important aspect here. In acute crisis situations, it is possible that medication may have to be administered during treatment without the patient's consent. This measure is part of the medication policy and therefore only takes place after definite stipulation on the part of the physician.

The administration of coercive medication is covered by the freedom-restricting measures described in an established procedure. This stresses the exceptional nature of the measures that are only applied when there are no other options. The family of the patient, if they are known, are informed within 24 hours.

Electrical appliances

Electrical appliances
  • For your safety and that of your fellow patients, we ask that you do not bring any unnecessary equipment with you when you are admitted. The hospital is not responsible for accidents caused by or involving electrical appliances brought from home.
  • The use of mobile phones is permitted, except in the places where it is indicated that use is not permitted.

Theft prevention; aggression or suspicious behaviour?

Theft prevention; aggression or suspicious behaviour?

A hospital is a public building. Theft of valuables and money can never be completely ruled out. Therefore, please keep the following tips in mind:

  • do not leave valuables in your car and lock it carefully;
  • do not keep valuables or large sums of money in your room. Bank cards, jewellery and important documents can be deposited in a safe. Please ask a nurse about this. If you do become the victim of theft, report it immediately to the nurses or internal security.

If you notice that someone is behaving suspiciously or if you have been the victim of violence, harassment or unwanted (sexual) behaviour, report this immediately to a hospital staff member. The hospital management will be informed and will take the necessary measures.