it is a lecture of policy and procedure ,what is difference between policy,procedure and process,how to write policy and procedure,

2. • You need policies and
procedures for the
simple reason that
without them nothing
can be achieved.
• Organizations will
plunge into chaos
without them and daily
operations will halt.
• Policies and
procedures reflect the
way an organization
operates.

3. policies and procedures
valus
• Establish the system.
• Decrease variation among staff.
• Staff execute their duties without managerial
oversight.
• Legal protection for staff
• Assign responsibilities.
• Training tools.

4. policies and procedures

5. policies and procedures
• The problem for organization is they
often struggle to define three key
elements:
Policy
Process
Procedure

7. policy
• the list of rules or the framework for the task.
• Define your organization culture and regulations
• A Policy is a concise formal statement that outlines
non-discretionary governing principles and
intentions.

8. Process
• The process is the high level view or the map of the task.
• The map is the process laying out how you will achieve the goal or
complete the task.
• the road map example.

9. Procedure
• The procedure is the step-by-step instructions for
how to complete the task.
• This would be the exact turns a driver would take as
they drive to reach a destination.
• This is the final step in the policy, process and
procedure implementation.

10. Drafting a Policy and procedure
• all policies must follow a standard format to ensure
consistency between policies.
• Policy Title
• Issue date
• Policy Number
• Effective and Revised Dates
‫االمنة‬ ‫الجراحة‬ ‫سياسة‬Policy Name
Issue DateOR-002POLICY Number
Effective DateApproval Date
2Number of PagesRevision Date
Reviewed by
Dr.Adel Nabeeh
Dr.Ahmed AwadPrepared by
Approved byQuality Coordinator

11. Drafting a Policy and procedure
• Purpose– a brief statement of the purpose of the policy which
many include a basic explanation for the policy if not apparent
on its face.
• Scope – to who or what does the policy apply? For example, all
employees,
• Responsible Party – list unit, department, college or other
pertinent area responsible for administering or enforcing policy.
•‫الهدف‬:
•‫التداخليه‬ ‫االجراءات‬ ‫وبعد‬ ‫وأثناء‬ ‫قبل‬ ‫المريض‬ ‫سالمة‬ ‫على‬ ‫الحفاظ‬.
•‫الجراحيه‬ ‫األخطاء‬ ‫حدوث‬ ‫احتمالية‬ ‫من‬ ‫الحد‬(‫الخطأ‬ ‫المريض‬-‫الخطأ‬ ‫المكان‬-‫الخطأ‬ ‫االجراء‬.)
•‫المسئوليات‬:
•1-‫االفاقه‬ ‫ممرضة‬(‫العمليات‬ ‫مشرفة‬.......)‫العمليات‬ ‫رئيس‬ ‫يحدد‬
•2-‫التخدير‬ ‫طبيب‬
•3-‫الجراح‬

12. Policies and Procedure
• Multidisciplinary team.
• Process owner
• Process mapping
• Standardize outline
• Drafting
• Training and orientation
• Implement in pilot
• Collect reviews
• Correct and update
• Full scale orientation

13. Drafting a Policy and
procedure
• Definitions
• References
• Attachment
•‫المراجع‬:
•‫واالدارى‬ ‫الفني‬ ‫التفتيش‬ ‫دليل‬
•WHO Surgical Safety Checklist
•
•‫الملحقات‬:
•‫الجراحه‬ ‫كشف‬‫االمنه‬

14. Drafting a Policy and
procedure
• Procedure:
•‫العمليات‬ ‫غرفة‬ ‫فى‬ ‫الجلد‬ ‫فتح‬ ‫قبل‬TIME OUT):)
•‫مستقطع‬ ‫وقت‬ ‫بأخذ‬ ‫المناوله‬ ‫الممرضه‬ ‫تقوم‬TIME OUT))‫جميع‬ ‫حضور‬ ‫فى‬
‫اآلتى‬ ‫من‬ ‫التأكد‬ ‫من‬ ‫التخدير‬ ‫وطبيب‬ ‫الجراحي‬ ‫الفريق‬:
•‫الفر‬ ‫جميع‬ ‫ليعلم‬ ‫والعملية‬ ‫العملية‬ ‫ومكان‬ ‫المريض‬ ‫اسم‬ ‫من‬ ‫شفويا‬ ‫التأكد‬‫الجراحي‬ ‫يق‬
•‫الحيوى‬ ‫المضاد‬ ‫من‬ ‫وقائية‬ ‫جرعة‬ ‫اعطاء‬ ‫من‬ ‫التخدير‬ ‫طبيب‬ ‫يتاكد‬
•‫عرضها‬ ‫تم‬ ‫المطلوبه‬ ‫االشاعات‬ ‫هل‬

15. Differences
• The differences between policies and procedures
can be summarized as follows:
1. Policies guide decision making, while procedures
drive actions.
2. Policies leave some room for managerial
discretion, while procedures are detailed and rigid
3. Policies are an integral part of organizational
strategies, while procedures are tactical tools.
4. Policies are generally formulated by top
management, while procedures are laid down at
lower organizational levels in line with policie
•