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The Quality Improvement & Patient Safety Department

The Quality Improvement & Patient Safety Department plays a critical role in enhancing clinical care within the KAAUH health system. It is comprised of three distinct units:

  • Accreditation Readiness and Policy Management.
  • Patient Safety and Risk Management.
  • Continuous Improvement.

Each unit contributes to the overarching goal of integrating quality and patient safety into clinical practices.

The focus on reconnecting these elements with patient care aligns with national healthcare initiatives, underscoring the commitment of KAAUH to uphold high standards of quality and safety. This collaborative approach not only fosters a culture of continuous improvement but also ensures that patient care remains at the forefront of all efforts. By working together, the units can effectively address challenges and implement best practices that enhance the overall health system.

The Quality Improvement & Patient Safety Department focuses on the following:

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Accreditation Readiness and Policy Management

This unit is essential for overseeing and controlling all Administrative and Interdepartmental Policies and Procedures (APP and IPP) within KAAUH and its affiliated facilities. Its key responsibilities include:

  • Policy Management: Developing, reviewing, and updating policies and procedures to ensure alignment with best practices and regulatory standards.
  • Compliance Guidance: Providing support and expertise to ensure that KAAUH, its systems, and its employees maintain compliance with the highest standards of quality care and patient safety as set by organizations such as the Joint Commission International (JCI), Central Board for Accreditation of Healthcare Institutions (CBAHI), the College of American Pathologists (CAP), and other relevant regulatory agencies.
  • Continuous Monitoring: Regularly assessing policies and procedures to adapt to changing regulations and to improve patient outcomes.

Through these efforts, the unit not only supports accreditation readiness but also fosters a culture of excellence and accountability throughout the organization.

Patient Safety and Risk Management

The Patient Safety and Risk Management unit is dedicated to minimizing risks and enhancing safety across KAAUH for patients, visitors, and employees. Key aspects of this unit include:

  • Patient Safety Program: We work to improve safety for everyone, encouraging all employees to take part in creating a safe environment.
  • Culture of Safety: We promote open communication to reduce medical errors and ensure staff can report safety concerns freely.
  • Clinical Risk Management: We identify and address risks to patients, using data to enhance the quality of care.
  • Patient-Centric Focus: Our top priority is putting patients first, ensuring safety is integral to our work.

Through these efforts, we aim to maintain a safe healthcare environment at KAAUH.

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Continuous Improvement

The Continuous Improvement Unit is part of the quality improvement and patient safety department at King Abdullah Bin Abdul-Aziz University Hospital, collaborating with other units to support the commitment to quality and patient safety. The focus is on enhancing clinical and supportive services by measuring performance and addressing any gaps.

  • Education and Training: Offering training on continuous improvement concepts, tools, and techniques to empower staff.
  • Standardization of Care: Developing or adopting guidelines, pathways, and protocols to ensure consistent clinical care.
  • Performance Indicators: Facilitating the creation and use of performance indicators, analysis, and reporting to track progress.
  • Coaching: Providing guidance to staff and teams on quality improvement activities, both in clinical and non-clinical areas.
  • Sharing Achievements: Encouraging reflection on successes and lessons learned from improvement initiatives.
  • Support for Accreditation: Assisting the organization in meeting accreditation and regulatory requirements related to performance measurement and quality improvement.

Through these efforts, the aim is to foster a culture of continuous improvement throughout KAAUH.

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