Improve quality

Improve quality

The quality improvement unit of the hospital is located in the office building of the first floor of the hospital and started working with the announcement of the hospital accreditation program by the relevant ministry in 1991.
In addition to establishing and implementing quality improvement measures, this unit is also responsible for coordinating all accreditation activities in the hospital. And monitors and monitors them.

Ms. Mansoureh Majlisi

Responsible for quality improvement

  • Develop a quality improvement plan and an annual hospital action plan In clinical and non-clinical topics
  • Planning, scheduling and attending all hospital committees
  • Develop a quality improvement plan and annual hospital action plan for clinical and non-clinical issues
  • Development of internal regulations of committees and executive management team with the participation of relevant secretaries
  • Attend all safety management and field visits
  • Coordination and integration of quality improvement activities in the hospital
  • Continuous monitoring of quality improvement program, data, management actions and interventions through analysis of indicators
  • Continuous monitoring of quality improvement program, data, management actions and interventions through analysis of indicators
  • Development of important specific, measurable, achievable and timely performance indicators for various hospital processes
  • Prepare an annual report on the hospital quality improvement program
  • Approval and communication of policies and methods received from different units of the hospital
  • Supervise all accreditation of wards through the hospital application
  • Monitoring the process and implementation of hospital policies and procedures
  • Follow up and coordinate the implementation of accreditation standards in different units of the hospital
  • Coordination and integration of quality improvement activities throughout the hospital
  • Continuous supervision over the formation and implementation of approvals of other hospital committees
  • Follow up on referrals from the hospital quality improvement unit
  • Doing other things according to the order of the superior authority
  • Reviewing and analyzing the existing conditions and proposing scientific and practical solutions In order to eliminate the shortcomings and failures of the system
  • Gather information about the general needs of the hospital In terms of building, supplies and equipment and the need for major repairs Or reconstruction and preparation of related reports For relevant officials
  • Participate in the internal audit of the hospital in line with various standards
  • Prepare an audit report and follow up on corrective actions
  • Monitoring the analysis of indicators and operational plans

Contact

No. 173-175, Shams Abadi Street, Isfahan, Iran.

(+98) 3133125 - (+98) 3132205025

info@sinahospital.com

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