HEALTH OASIS HOSPITAL

Riyadh, Kingdom of Saudi Arabia

Standard International Patient Safety Goals 1. Policies and procedures support consistent practice (related to use of two patient identifiers) in all situations and locations.

Things to be done/ Duties and Responsibilities/ Type of Documentation Policies and Procedures Policies and Procedures Policies and Procedures

Person Responsible Nursing Director Quality Management Quality Management Quality Management

1. Policies and procedures support consistent practice in verifying the accuracy of verbal and telephone communications. 2. When two or more professionals are providing services, policies and/or procedures require a care leader or coordinator to be designated.
1. Policies and/or procedures developed to address the identification, location, labeling, administration, and storage of high-alert medications when these medications are stored within the long term care organization. 2. The policies and/or procedures are implemented and compliance is monitored. 1. The long term care organization uses a checklist or other process to verify prior to the start of the procedure, the correct site, correct procedure, and correct resident and that all documents and equipment needed are on hand, correct, and functional. 2. Policies and procedures are developed that will support uniform processes to ensure the correct site, correct procedure, and correct resident, including medical and dental procedures done in the long term care setting. 1. Policies and/or procedures are developed, implemented, and monitored to support continued reduction of health care-associated infections. 1. Policies and/or procedures support continued reduction of risk of patient harm resulting from falls in the long term care organization.

Policies and Procedures

Medical Director (Pharmacist)

Policies and Procedures List

Medical Director (Pharmacist) Nursing Director (Nurses)

Policies and Procedures

Nursing Director (Nurses)

Policies and Procedures

Infection Prevention & Control

Policies and Procedures

Nursing Director Quality Management