project for improvement

1. ‫خطة‬
‫تطوير‬
‫الجودة‬
2024
)‫اإلدارة‬ / ‫كز‬
‫المر‬ / ‫ى‬
‫المستشف‬ ‫(إسم‬
(Hospital/Center/Administration)
‫الجودة‬ ‫تطوير‬ ‫ع‬ ‫مشاري‬ ‫معلومات‬
(
Quality Improvement Projects Information
)
‫الفريق‬ ‫أعضاء‬
(
Team Member
)
‫م‬
N
o.
‫وع‬ ‫ر‬
‫المش‬ ‫نوع‬
(
Project Type
)
‫ات‬‫ر‬‫المباد‬
)‫وع‬ ‫ر‬
‫المش‬ ‫(إسم‬
(
Initiatives
Project Titles
)
‫الذكية‬ ‫األهداف‬
(
SMART Objectives
)
‫النطاق‬
(
Scope
)
‫مقاييس‬
‫الجودة‬
(
Quality
measures
)
‫ي‬
‫المنطف‬ ‫األساس‬
‫وع‬ ‫ر‬
‫للمش‬
(
Project
Rationale
)
‫وع‬ ‫ر‬
‫المش‬ ‫أبعاد‬
(
Quality
Dimensions
)
‫ر‬
‫معايي‬
‫اإلختيار‬
(
selection
criteria
)
‫مع‬ ‫التوافق‬
‫التوجه‬
‫ات‬
‫اتيجية‬‫اإلسي‬
‫ي‬
‫ى‬
‫الثان‬ ‫للتجمع‬
(
Alignment
with R2
)
‫منهجية‬
‫ى‬ ‫ر‬
‫التحسي‬
(
Improved
methodolo
gy
)
‫المعنية‬ ‫اف‬‫ر‬‫األط‬
)‫الداخلية‬/‫(الخارجية‬
(
Stakeholders
)
‫والمنسق‬ ‫الفريق‬ ‫قائد‬
(
Team Leader
and Coordinator)
‫خطة‬
‫ر‬
‫النش‬
(
Pla
n for
Publ
icati
on
)

‫جديد‬ ‫وع‬ ‫ر‬
‫مش‬
(
New Project
)
Reducing the
waiting time
patients for
ultrasound
examinations
from request
to procedure
Diseases
within the
year 2024
The goal:
) The goal you seek to
improve?)
To reduce the waiting
time for Doppler
ultrasound
appointments from
request to procedure for
from one month to 4
days
Baseline:
(How much is your
starting point)
45% patient for CXR- P.A
Target:
Reduce the waiting time
for Doppler ultrasound
appointments from
request to procedure
from one month to 4
days.
: ‫ي‬
‫الزمن‬ ‫الجدول‬
One year
:‫البدء‬ ‫خ‬ ‫تاري‬
1/01/ 2024
‫خ‬ ‫تاري‬
‫االنتهاء‬
:
31 /December /2024

‫مقاييس‬
:‫النتائج‬
(
Output
Measures

‫مقاييس‬
‫تجربة‬
‫المريض‬
(
PREMS
)

‫نتائج‬
‫اجعة‬‫ر‬‫الم‬
‫االكلينيكية‬
Focus Audit
Finding

‫ر‬
‫غي‬ ‫منىح‬
‫فيه‬ ‫مرغوب‬
‫ات‬ ‫ر‬
‫للمؤش‬
Undesirable
Trend KPI

‫المرض‬ ‫رض‬
Patient
satisfaction
To ensure
timely access
to care and
improve
outpatient
scheduling
system

‫الت‬
‫ي‬
‫الزمن‬ ‫وقيت‬
(
Timeline
)

‫الفعالية‬
Effectiveness

‫الكفاءة‬
Efficiency

‫حول‬‫تتمحور‬
‫الفرد‬
Person
Centered

‫المخاطر‬
‫العالية‬
(
High
Risk
)

‫مسببة‬
‫للمشكالت‬
Problems

‫المريض‬ ‫تجربة‬
‫الفرد‬ ‫تجربة‬ ‫(تعزيز‬
)‫الجودة‬ ‫ونتائج‬
Patient
experience
enhancing
individual
experience
and quality
results

‫الكفاءة‬
‫ر‬
‫(تحسي‬
‫الكفاءة‬
)‫التنظيمية‬
Efficiency
Improving
Organizational
Efficiency

‫منهجية‬
‫ر‬
‫التحسي‬
‫وحل‬‫المستمر‬
‫المشكالت‬
Focus-
PDCA
1. Radiologist
2. Radiology
Technician
3. Required specialist
4. Nursing
5. IT
6. Health education
7. Quality and patient
safety

‫ال‬
(
No
)
‫موافقة‬
(Approved)

2. ‫توصية‬
(Recommended)
‫كز‬
‫المر‬ ‫مدير‬
(CEO/Director of Hospital or Center)
‫اجعة‬‫ر‬‫م‬
(
Reviewed)
‫ى‬
‫المرض‬ ‫وسالمة‬ ‫الجودة‬ ‫إدارة‬ ‫مدير‬
Quality Manager
‫الجودة‬ ‫ادارة‬ ‫مدير‬
Director of Quality Management