Quality & Patient Safety Department
Patient safety is the absence of preventable harm to a patient during the process of healthcare, while Healthcare quality refers to the degree to which patient care services increases the probability of desired outcomes and reduce the probability of undesired outcomes, given the current state of knowledge. Thus, it is the mission of Quality & Patient Safety Department (QPSD) to support and facilitate SKMCH&RC efforts to provide our patients and their families with a safe, appropriate, consistent healthcare in a respectable environment, by innovating strategies, and implementation of system improvement solutions.
The Quality & Patient Safety program primarily focuses on JCIA Accreditation, Clinical Governance, Comprehensive Risk Management & Patient Safety, Performance improvement, Clinical Performance Indicators, Patient Comments handling, and Patient Satisfaction surveys.
Accreditation is a process in which an entity, separate and distinct from the health care organization, usually nongovernmental, assesses the health care organization to determine if it meets a set of requirements designed to improve quality of care. The initial accreditation survey by the US based Joint Commission International (JCI) will be conducted from April 23 to 27, 2018. QPSD facilitates and supports SKMCH&RC to achieve, sustain and exceed international accreditation standards.
Clinical Governance is a framework through which SKMCH&RC is accountable for continuously improving the quality of our services and safeguarding high standards by creating an environment in which excellence in clinical care will flourish. Some of the main ingredients of this framework are as follows:
- Mortality & Morbidity (M & M) Reviews
- Clinical Audits
- Medical Charts Audit
- Improve Quality through Performance Improvement
- Clinical Risk Management
Patients Comments and Suggestions
The Patients Relations section in QPSD caters to patients’ and their family’s comments, appreciations, and suggestions, and there is a prescribed process to address and resolve any complaints a patient may have. QPSD also conducts a patient satisfaction survey on a yearly basis.
Patient Safety Culture Survey
We have conducted a patient safety culture survey that was distributed to all nurses and doctors in the patient care areas as well as clinical departments. The response rate was 60%. Results after tabulation and analysis will be presented to the leadership for their necessary action.
Patients’ Rights and Responsibilities
Special care is given to the rights of the patients at SKMCH & RC. Patients are educated and informed about disease process, and having their informed consent for treatment is of utmost importance. Patient’s privacy & confidentiality is respected.
ISO 9000 Quality Management Systems
Eighteen departments at SKMCH&RC are 9001:2008 ISO certified. Currently SKMCH&RC is working on ISO 15189 (Laboratory specific certification) for the Pathology Laboratory. External proficiency test system from College of American Pathologists is also being carried out to ensure the credibility of pathology laboratory results.