Description of the general duties of the office of quality improvement
- Coordination and integration of quality improvement activities in the hospital
Compiling the hospital’s comprehensive quality improvement program in clinical and non-clinical subjects (management, financial affairs,
medical services, nursing services, general and support services, paraclinic services)
- Compilation of hospital devices and processes in accordance with the principles of quality improvement
Compilation of specific, attainable and timely performance indicators for various hospital processes
Continuous monitoring of the quality improvement program, data, actions and management interventions through the analysis of indicators
- Preparation of the annual report of the hospital’s quality improvement program
- Preparation of the hospital’s strategic plan under the guidance of the hospital’s executive management team
- Determining and publishing the mission statement of the hospital at the level of different hospital units
- Follow up and coordinate the implementation of accreditation standards in different hospital units
- Preparation of the annual operational plan for coordinated and integrated promotion of quality improvement programs, improvement of patient safety
In line with the accreditation model
- Creating a comprehensive hospital risk management system
- Creating a medical error reporting system in the hospital
- Cooperation in compiling, approving and reporting and revising policies and methods received from different hospital units
- Implementation and monitoring of the hospital’s comprehensive audit program
Coordination in the implementation of clinical medicine guidelines at the level of different hospital units
Human resources manager of hospital management