QUALITY & RISK MANAGEMENT DEPT.
by Nick Carter-Meadows
1. Special Projects
1.1. UEMedical Clinical Integration
1.1.1. Cloposcopy service (Dr Neha Gami & Nick)
1.1.2. Urogynaecology (Dr Zakia Habib, Nick & Dr Faiza
1.2. Risk Management & Incident Reporting enterprise wide
2. Continuous Improvement
3. Policies, Procedures, CPG's & other Controlled Documents
3.1. Document Control of all DAE policies and other documentation (Joan)
3.1.1. Document Control & Tracking
4. Risk Management & Incident Reporting
4.1. DEPARTMENTAL RISK REGISTERS
4.2. Executive Committee Risk Register
4.3. PATIENT INCIDENT REPORTING & INVESTIGATIONS
4.3.1. CASE REVIEWS
4.3.2. MANAGEMENT OF INCIDENT LOG & ANALYSIS
4.4. FAILURE MODE & EFFECT ANALYSIS
5. Data Management & Performance Indicators
5.1. Departmental Indicators
5.2. JAWDA Indicators collection & Validation
5.3. quality, bariatric, medical tourism, maternal & Perinatal
5.4. TASNEEF audit
6. Infection Control & Prevention
7. DAE Committees & Clinical Governance Framework
7.1. coordinate and management organisational committees
7.1.1. Management Quality & Patient Safety Committee (NIck)
7.1.2. Management & Coordinate Medical Affairs Committee (Nick)
7.1.3. Management and Chair Clinical Effectiveness Committee (Nick)
7.1.4. Clinical Risk (Lisa)
7.1.5. Mortality & Morbidity (lisa)
7.2. scheduling of DAE committees (Joan)
7.3. review of DAE committee, terms of reference and membership
7.4. UEMedical Quality & Patient Safety Committee (Nick)
7.5. COVID-19 TASKFORCE
7.6. REDUCING REJECTED CLAIMS TASKFORCE
8. Accreditations, Audits & Certifications
8.1. Department of Health (DoH) audits and service activation audits (Nick)
8.2. Centre of Excellence certification management (Nick)
8.3. coordination and management of JCI inspections
9. Clinical Audit & Clinical Practice Guideline development
9.1. Clinical Audit Program (Dr Faiza)
9.1.1. nursing clinical audits
9.1.2. Medical Audit
9.1.3. clinical audit training and support