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Quality Improvement & Patient Safety Unit

Towards Better Quality

We place patient safety at the heart of every decision, transforming performance indicators and recognized practices into continuous improvement that advances the efficiency and quality of healthcare.

Towards Better Quality

Safe Healthcare, Clear Standards, Measurable Results

The Quality Improvement and Patient Safety Unit is a core hospital unit that works with all departments to ensure safe, high-quality healthcare. It monitors performance indicators, identifies improvement opportunities, manages risks, and supports recognized standards and best practices to improve the patient experience and raise service efficiency and quality.

Our Mission

To improve the quality of healthcare services by applying best practices, strengthening patient safety, and enhancing institutional performance.

Our Vision

To achieve the highest levels of quality and patient safety at Shmeisani Hospital.

Quality Improvement Unit Areas of Work

The unit supports the hospital’s journey toward institutional excellence by monitoring performance, strengthening patient safety, and embedding a culture of continuous improvement.

Performance Monitoring & Continuous Improvement

Identifying and monitoring priority performance indicators, analyzing results and gaps, overseeing improvement initiatives, and measuring their impact to sustain results.

Patient Safety & Risk Management

Managing incident and event reports, analyzing causes, following corrective and preventive actions, and maintaining an up-to-date risk register to prevent recurrence.

Governance & Committee Support

Monitoring hospital committees and their compliance with assigned duties and terms of reference, documenting decisions, and following recommendations to reinforce governance.

Document & Institutional Policy Management

Managing the lifecycle of policies, procedures, plans, and forms—from preparation and review to approval and updates—through a consistent documentation process.

Enhancing Clinical Service Quality

Supporting medical and nursing service development, reviewing related policies, monitoring quality indicators, and promoting adherence to professional standards with relevant departments.

Capacity Building & Quality Culture

Delivering training and awareness programs in quality, patient safety, risk management, and improvement methods while preparing the hospital for accreditation requirements.

Quality & Performance Indicators

We measure performance regularly to understand results, identify improvement opportunities, and enhance the quality of care and the patient experience.

Outpatient and Emergency Patient Satisfaction

Average Length of Stay in Days

Inpatient Satisfaction

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