QUALITY IMPROVEMENT AND CLINICAL AUDIT UNIT
Introduction: Quality is a measure of excellence or a state of being free from defects, deficiencies and significant variations. It is brought about by strict and consistent commitment to certain standards that achieve uniformity of a product in order to satisfy specific customer or user requirements. According to ISO 8402-1986 standard, quality is the totality of features and characteristics of a product or service that bears its ability to satisfy stated or implied needs. In nutshell quality is proactive other than being reactive.
Based on the above aspect, the hospital embedded Quality Improvement and Clinical Audit Unit in its hospital wide transformation plan in 2013 with an aim to act as a nerve centre for relaying impulses that signal the need to respond proactively to issues that may be a threat to upholding quality of service so desired. Besides, Quality improvement Unit sees to it that the hospital integrity and publicity is consistent with the credibility of its services.
Hence the Unit believes that Improving quality is about making healthcare safe, effective, patient-centered, timely, efficient and equitable thus concomitant with the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge. Precisely, these six dimensions can be explicitly narrowed as below:
- Safe: Avoiding harm to patients from care that is intended to help clients.
- Timely: Reducing waits and sometimes harmful delays.
- Effective: Providing services based on evidence and which produce a clear benefit.
- Efficient: Avoiding waste.
- Person-centered: Establishing a partnership between practitioners and patients to ensure care respects patients’ needs and preferences.
- Equitable: Providing care that does not vary in quality because of a person’s characteristics.
Our Primary Undertakings
The unit since then has been dealing with:
- Operational Research such as Patient and Staff satisfaction survey
- Resource mobilization through proposal write ups which so comprise of Concept papers such as:
- Augmenting MDR-TB Patient Care through Spirometry application, Achieving sustainable development goals through Patient Satisfaction Survey, Revitalization of health care services through empowerment of staff on tenets of corruption and improving patients adherence to treatment through spiritual sustainability.
- Training and Sensitizing staffs on issues related to quality Improvement for instance Infection Prevention Control, OPRAS Implementation
- Supportive Supervision focusing on
- Hospital waste management, Scrutiny on documentation related to patients clinical parameters, Management responses to Planned Preventive Maintenance principles, Human Resource undertakings by the Human resource section, 5S-KAIZEN implementation, Resource availability for service delivery and Good Governance aspects of the organization,
- Participation in Quality Improvement Forums in which the unit have been attending National Quality Improvement Forums and of late Tanzania Health Summits under support of LHL International since 2015 to date
- Review of the hospital own generated SOP which are in harmony with international and national SOPs
It’s our utmost ambition that our service will ever meet the needs of our clients as desired in the hospital strategic plan of 2013-2018 and Nationwide Strategic Plan especially the HHSPIV and Tanzania Development Vision 2025
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