Who Should Attend?

• Hospital and healthcare center managers.

• Heads of medical and administrative departments in healthcare institutions.

• Quality and accreditation officers in the healthcare sector.

• Professionals working in risk management and patient safety.

Knowledge and Benefits:

After completing the program, participants will be able to master the following:

• Understand the fundamental principles of quality management in hospitals.

• Apply local and international healthcare accreditation standards effectively.

• Develop systems and procedures that ensure high-quality healthcare services.

• Improve patient experience through performance monitoring and evaluation.

• Promote a culture of quality and continuous improvement in medical settings.

• Principles of Quality Management in Hospitals

  • Definition of quality and its importance in healthcare.

  • Relationship between quality and patient safety.

  • Levels and dimensions of quality in healthcare institutions.

• Differences Between Traditional and Total Quality Management

  • Process quality versus outcome quality.

  • Concept of Continuous Improvement.

  • Role of leadership in achieving quality.

• Healthcare Accreditation Concepts

  • Goals and benefits of hospital accreditation.

  • Differences between local and international accreditation.

  • Impact of accreditation on overall performance improvement.

• Internationally Recognized Quality Standards

  • JCI (Joint Commission International) standards.

  • ISO standards in healthcare.

  • Compliance with Ministry of Health and regulatory authorities.

• Key Performance Indicators (KPIs) in Hospitals

  • Clinical care quality indicators.

  • Patient satisfaction and support services indicators.

  • Using data for performance analysis.

• Essential Quality Tools

  • Flowcharts and root cause analysis.

  • Pareto chart and cause-and-effect diagram.

  • Improvement models (PDCA – FOCUS).

• Hospital Risk Management Systems

  • Identifying and analyzing risks in medical procedures.

  • Mechanisms for reporting medical incidents.

  • Emergency plans and rapid response procedures.

• Patient Safety as a Core Quality Element

  • Safety culture and staff role in achieving it.

  • Reducing medical errors and hospital-acquired infections.

  • Effective communication in healthcare teams.

• Embedding a Quality Culture Among Staff

  • Raising awareness among medical and administrative teams.

  • Continuous training and motivation to adhere to quality standards.

  • Periodic evaluation and individual performance measurement.

• Continuous Improvement Strategies

  • Implementing development plans based on feedback.

  • Managing change in the healthcare work environment.

  • Leadership role in sustaining quality initiatives.