Quality Works at PAMGH

Content

• Definition of Quality Management

• Quality Dimensions /concepts

• Quality Department Roles

 Definitions

“Doing the right thing right,

the first time,
better next time“
Quality Dimensions/concepts

STEEEP

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 Accreditation

• Oversees the accreditation process across PAMGH.

• Manages and monitors all initiatives towards
accreditation program/s.
• Support tracers activities to maintain and support
compliance with standards and policies.
 Risk Management & Patient Safety

• Risk Management : is a process of identify factors that

provide excellent ,efficient ,effective and safe patient care
• Patient Safety : is freedom from injury or illness resulting
from the process of healthcare
• Collect/receive and analyze data regarding the
Occurrence Variance Report (OVR) in the PAMGH.
• Risk register.
• Mortality Audits.
• Sentinel events.
• failure mode and effects analysis
 Performance Improvement &monitoring
“Turning data to useful information”
• It’s the continues study of Organization function and
process to increase the probability of achieving the
desired outcome & meet the need of service users.

• Spearheads and coordinates Performance Improvement

Activities, Plans and Projects.
 Document control

• Review, update, maintain and store documents

pertaining to policies, processes and guidelines.
 Quality Service

• Who is responsible?

Why Quality?

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