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Quality Improvement and Patient Safety

The Quality Improvement & Patient Safety Department is made up of the following units: Accreditation Readiness and Policy Management, Patient Safety and Risk Management, and Continuous Improvement. We focus on reconnecting quality and patient safety with clinical care. This collaboration supports KAAUH health system’s commitment to quality and patient care, which parallels major healthcare initiatives nationwide

Scope of Service

The Quality Improvement & Patient Safety Department focuses on the following: 

1. Accreditation Readiness and Policy Management: 

This unit manages and control all Administrative and Interdepartmental Policies and Procedures (APP and IPP) developed across KAAUH and affiliated facilities, it also provides guidance to ensure KAAUH (system, policies and employees) is continually in compliance with the highest level of quality care and patient safety standards as set by JCI, CBAHI, CAP and other regulatory agencies. 

2. Patient Safety and Risk Management:

Reducing risk and ensuring safety requires increased attention to systems that prevent and mitigate errors. Patient Safety Program focuses on continuous enhancement of safety for all patients, visitors and employees. Every employee plays a critical role in ensuring patient, visitor and employee safety. Additionally, the program strives for a culture of safety by implementing strategies to reduce medical errors. Moreover, Clinical Risk Management approaches improving the quality and safe delivery of healthcare by identifying situations that may put patients at risk and acting to prevent or control those risks. Our role, like that of all KAAUH employees, is to put patients first. Safety is a priority at KAAUH. 

3. Continuous Improvement: The Continuous Improvement Unit is a part of the QI&PS Department in KAAUH. We collaborate with other units of the department to support KAAUH commitment to quality and patient safety. Our focus is to help improve clinical and supportive services, through measuring their performance and closing any gaps.

Services Provided: 

• Education and training on continuous improvement concepts, tools and techniques, and other related subjects. 

• Standardization of clinical care through adoption or development of guidelines

pathways or protocols.

• Facilitating the development and the use of performance indicators, performance analysis, and reporting. 

• Coaching staff and teams on quality improvement activities, both clinical and non-clinical.

• Sharing and reflection on achievements and lessons learned from improvement activities.

• Supporting the organization to meet accreditation and regulatory requirements in performance measurement and quality improvement.