POSITION DESCRIPTION: KEY RESPONSIBILITIES. To ensure quality improvement and patient safety standards are implemented in patient care areas. Make patient care area rounds to ensure high risk, infected and vulnerable patients are managed Conduct open and closed records audits to ensure clinical documentation is up to the standards. Investigate and facilitate sentinel events, sensitive complaints and morbidities. Facilitate credentialing, privileging and ongoing monitoring and evaluation of medical staff through Medical director's office. Participate in continuous medical education (CMEs) and medical staff orientation sessions on quality and patient safety standards. Conduct internal audits and participate in external audits. Provide support and guidance to medical staff on institutional policies and procedures as well as other administrative functions to ensure all departments operate within the laid down policies. Support the institutional JCIA, ISO and other quality certifications with appropriate processes and procedures. Participate in the development and implementation of. clinical policies and procedures.
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