Quality organisation
Quality unit, committees, teams and process responsibilities.
Translation draft · Not yet approved by the hospital.
Quality management structure
General director → Quality management director. The source chart includes the quality management unit lead and departmental quality leads, alongside committees, commissions and teams.
Committees and commissions
Hospital disaster plan preparation commission
Patient safety committee
Facility safety committee
Education committee
Laboratory analysis committee
Radiation safety committee
Infection control committee
Occupational health and safety commission
Sterilisation and disinfection committee
Transfusion safety committee
Antibiotic control committee
Clinical quality improvement committee
Information security committee
Staff feedback, suggestions and complaints review committee
Organ and tissue transplantation committee
Risk assessment committee
Staff safety committee
Patient requests and complaints review committee
Medical device management committee
Medication management (rational use) committee
Incident reporting committee
Teams
Building inspection team
White code team
Blue code team
Pink code team
Red code team
Self-assessment team
Nutrition support team
Corporate services
Corporate structure: Quality director
Quality management: Quality director
Document management: Quality director
Risk management: Occupational health and safety specialist
Social responsibility: Administrative affairs director
Incident reporting system: Quality director
Disaster and emergency management: Occupational health and safety specialist
Education management: Nurse educator
Patient- and staff-focused services
Patient experience: Patient rights lead
Access to services: Patient relations lead
End-of-life services: Hospital hospitality lead
Healthy workplace: Human resources
Healthcare services
Patient care: Director of nursing services
Medication management: Pharmacist
Infection prevention and control: Infection control nurse
Cleaning, disinfection and sterilisation services: Hospital hospitality departmental quality lead
Transfusion services: Departmental quality lead
Radiation safety: Departmental quality lead
Emergency department: Departmental quality lead
Operating theatre: Departmental quality lead
Intensive care unit: Departmental quality lead
Neonatal care unit: Departmental quality lead
Maternity services: Departmental quality lead
Biochemistry laboratory: Departmental quality lead
Physical medicine and rehabilitation: Departmental quality lead
Organ and tissue transplantation: Departmental quality lead
Support services
Facility management: Technical support departmental quality lead
Hospital hospitality services: Department lead
Information management system: Department lead
Materials and device management: Departmental quality lead
Medical records and archiving: Departmental quality lead
Waste management: Departmental quality lead
Outsourcing: Departmental quality lead
Indicator management
Monitoring indicators: Statistics lead