GENERAL FORM

ACCOMPLISHMENT REPORT

Name : Khristine Camela M. Mendoza

Position : Clinical Quality Associate Manager
Date Covered : October 02-06, 2023

Accomplishment Report
Date Activity Remarks
Distribution of souvenirs to Inpatient and
SBU- Global Handwashing Day Outpatient

October 02, 2023  Telephone Order

Chart Audit for September 16-30 cut off
 Medication Error
Finalization of data
QMAM MANCOM Report for October 04, 2023
Report done
 Surgical Safety Checklist
Clinical Metrics Monitoring  Orange Towel Project
100 % compliance rate observed
October 03, 2023 Jingle Recordings
SBU- Global Handwashing Day
 Visited stations
Doctor’s Order Compliance
 Charts checked
Via Zoom
MANCOM Report
Time: 1:00 PM
October 04, 2023
Sorting of charts
Home Against Medical Advice
- 30 cases of HAMA
Rounds Stations/Wards
 ICU
End of Shift Hand Off Sheet
 S5
October 05, 2023 September 16-30, 2023
Telephone Order 45 charts checked
20% of total census
Spot checking done to units and patient
Medication Error
charts
Charts randomly checked
Fall Risk Assessment Tool
100% compliance
 Consolidation of data
QMAM MANCOM Report
 Finalization of report
 Visited stations
Doctor’s Order Compliance
 Charts checked
October 06, 2023 September 2023
- Continuously checked charts w/
HAMA
HAMA Data - Sorted reasons
- Mode of payment
- Financial Status
- Comparison of 3 months data

COR-GEN-FR-019 Rev 00
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