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CQSO : Michel Mansour, MD

The Quality and Patient Safety Department at SGHUMC serves as the cornerstone for ensuring optimal care delivery while prioritizing patient safety, staff well-being, and overall operational excellence. Established in 1998, the department has evolved to integrate quality improvement initiatives with comprehensive safety protocols, reflecting international standards and accreditation requirements.

Mission:

To enhance healthcare outcomes by fostering a culture of continuous improvement, risk mitigation, and patient-centered care within SGHUMC.

Key Responsibilities:

1.Quality Management System (QMS):

-Develop and maintain a robust QMS based on established quality criteria, benchmarks, and best practices.
-Conduct internal assessments across various operational domains to drive performance improvement initiatives.
-Establish and document policies, procedures, and protocols to ensure adherence to accreditation standards.

2.Patient Safety:

-Implement strategies to safeguard patients, families, and staff at every stage of care delivery.
-Foster a culture of safety through effective communication, collaborative learning, and transparent incident management.
-Investigate and address root causes of adverse events to prevent future occurrences and promote organizational learning.

3.Infection Control and Prevention:

-Spearhead infection control initiatives aimed at minimizing nosocomial infections among patients, staff, and visitors.
-Monitor and enforce hand hygiene protocols, disinfection standards, waste management practices, and vaccination campaigns.
-Provide continuous education and training to staff on infection prevention best practices.

4.Occupational Health and Safety (OHS):

-Ensure the well-being of all personnel by identifying and mitigating workplace hazards.
-Develop safety protocols and conduct audits to assess risks and implement corrective measures.
-Promote a safe and healthy work environment through education, training, and collaborative efforts across departments.

Collaborative Approach:
The department operates through a multidisciplinary framework, engaging stakeholders from various divisions and units to address safety and quality concerns collaboratively. Regular committee meetings facilitate discussions on pertinent issues and drive collective problem-solving efforts.

Contact Information:
The Quality and Patient Safety Department is located in the Annex building (2nd floor). For inquiries or assistance, please contact us at Extensions: 1677-1696.

By consolidating the Quality Improvement and Safety and Risk Management functions into a unified department, SGHUMC aims to streamline efforts, enhance coordination, and reinforce its commitment to delivering high-quality, safe, and patient-centered care.