Improve quality

Designing a hospital strategic plan with the guidance of the hospital management team
Determination and publication of hospital mission statement at the level of different hospital units
Establishing an annual operational plan ,advancing , coordinating and intergrating quality improvement programs , improving patient safety in line with the accreditation model
Continuous monitoring of the operational program , data , actions and management interventions by analyzing indicators
Tracking and coordinating the implementation of accreditation standards and improving quality in different departments and units of the hospital
The development of hospital systems and processes is in accordance with principle of quality improvement
Compilation in monitoring of the prominent functional , measurable ,achievable , and timed indicators of the hospital
Distribute index data forms to section and track their results
Identify the challenges and problems in implementation and improvement of quality , improvement programs and improve patient safety in the hospital ,analyze the relevant causes and provide solutions to the quality improvement committee and the hospitals chief executive officer
The collection of guidelines and procedures and the instruction received from the various units and departments of the hospital to make available to the staff and monitor its correct implementation
Annual policy review , implementation procedures and guidelines compilation of annual report on staff training needs
Planning for education and culture to establish accreditation requirements
Establishing a system for reporting medical errors ( recording , analyzing, corrective actions announcing corrective actions at hospital level and sharing them )
Establish a comprehensive risk management system (culture building , hazard identification ,evaluation ,analysis , corrective , action ,continuous monitoring , effective communication and counseling
Analyzing the forms of monitoring the main indicators and processes of the hospital
Analyzing patient and personnel satisfaction forms and sending it to the hospital management executive provide audit report and corrective action tracking
Follow up of meetings of the quality improvement and executive management committee
Continuous monitoring of the formation and implementation of other hospital committee
Review and track complaints analysis and submit it to the executive management committee
Review and track the analysis of suggestions and submit it to the hospital management
Formulating policy and flow chart creating a complaints system on satisfaction
Upgrading your knowledge and knowledge in line with concepts of quality management and accreditation
Follow up and scheduling to update the hospital documentation
Design implementation of internal audit program

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