MINISTRY OF HEALTH

AL JOUF- DIRECTORATE OF HEALTH AFFAIRS

KING ABDUL AZIZ SPECIALIST HOSPITAL

PERFORMANCE IMPROVEMENT PROJECT

PDCA CYCLE
PLAN
WHAT ASSIGNED TASK RESPONSIBLE DUE DATE STATUS REMARKS
1. It has been noticed Schedule an empathy April San December 20, Not
from previous surveys class for all nursing staff Buenaventura 2018 Completed
that nurses act Empathy Commitment Sherrie Ann Amaro December 20, Not
harshly towards Card for all nursing staffs 2018 Completed
patients
2. It has been noticed Daily meeting for Dr Essam Mokthar December 31, Not
from previous surveys Physicians to remind 2018 Completed
that physicians act them on how to
harshly towards approach patients
patients
3. It has been noticed Schedule an empathy Fahad Alenezi December 31, Not
from previous surveys class for employees 2018 Completed
that employees
(receptionist/technici
ans) act like they are
not interested to
work.
4. Patients should be Create a “questionnaire” Dr Essam Mokthar December 20, Not
involved their plan of card to remind April San 2018 Completed
care physicians to include Buenaventura
patients in their plan of
care
5. Daily checklist Inpatient Khalid Alshammari Daily starting from Not
Patients that are Seham Alfhgi December 16, Completed
Yusra Alroali 2018
 MINISTRY OF HEALTH
AL JOUF- DIRECTORATE OF HEALTH AFFAIRS
KING ABDUL AZIZ SPECIALIST HOSPITAL

PERFORMANCE IMPROVEMENT PROJECT

admitted after 24 hours Fatima Mohammad
are seen and are Sulaiman
surveyed to ensure their Alshammari
needs/issues are
attended to in real time.
Muhannad
Outpatient Albuhairan

Ahad Alroali
Emergency Department
6. Feedback from Daily Create a coordinator for Fahad Alenezi Daily starting from Not
Checklist each department to December 16, Completed
liaise with surveyors to 2018
ensure timely resolution
of issues
7. Feedback from Daily To resolve issues real Dr Essam Mokthar Daily starting from Not
Checklist time April San December 16, Completed
Buenaventura 2018
8. Inpatient Waiting To create waiting areas Mohammad Albiyali December 31, Not
Areas that is conducive for rest 2018 Completed
for patients and their
relatives.
To provide inpatient Majid Albuhairan December 31, Not
waiting areas with 2018 Completed
refreshments and
ensure that is available
at all times
9. Inpatient A summary of Fahad Alenezi December 31, Not
Refrigerator refrigerator for patients Mr. Mohammad 2018 Completed
is sent to team members Albiyali
 MINISTRY OF HEALTH
AL JOUF- DIRECTORATE OF HEALTH AFFAIRS
KING ABDUL AZIZ SPECIALIST HOSPITAL

PERFORMANCE IMPROVEMENT PROJECT

to completed
10. Weekly Meeting with To ensure project is on Team members Weekly starting Not
the team members track and to discuss from December Completed
every Thursday at issues that are 20, 2018
1pm unresolved

DO
 Empathy classes for nurses has already started last December 12 and will conclude on December 19
 Empathy card has been created and will be distributed on December 16, 2018
 Questionnaire card has been created will be distributed on December 16, 2018
 Checklist has been created and was sent for review, will start on December 16, 2018

CHECK
 One week from the start of this improvement project, the progress will be checked/reviewed and shared to the members.
 First follow up will be on December 27, 2018

ACT
 Act according to the result.
 MINISTRY OF HEALTH
AL JOUF- DIRECTORATE OF HEALTH AFFAIRS
KING ABDUL AZIZ SPECIALIST HOSPITAL

PERFORMANCE IMPROVEMENT PROJECT