Accreditation & Certification
Accreditation and certification: the quality guarantee of our care offer
Aboujaoudé Hospital is submitted to the control of the Lebanese Ministry of Health. He is committed to the accreditation process organized by the High Authority of Health (HAS) in Lebanon.
High Authority of Health
Since 2002, Aboujaoudé Hospital is accredited by the Ministry of Health. This certification attests quality of care supply and reception of the Hospital.
What is Accreditation?
The accreditation is an external evaluation system care benefits and services of a health care facility which is subject to all the staff and doctors.
Checks are performed continuously in all departments of the institution to maintain the highest level of safety and efficiency of patient care.
Why the Accreditation?
The constant pursuit of quality imposed by Aboujaoudé Hospital requires all actors to respect strictly defined standards. As such, certification is a commitment:
To ensure the quality of our medical, technical or administrative services
To make a real and continuous improvement in our daily practice in order to secure our care and obtain satisfaction and trust of patients.
OUTSTANDING ACTIONS IDENTIFIED by the ACCREDITATION in its SEPTEMBER 2011 REPORT
- A clear commitment from top management in the quality approach that covered the entire hospital.
- Considerable effort recorded since April 2011 until now at all levels, which has led to positive change in the listing of over 140 references related to the implementation and completion of the majority of the improvement actions proposed in the self-evaluation report.
- Work productive multidisciplinary team reflects a serious commitment to improving the system, enhance patient safety and develop personal skills. Add to that the number of reports of adverse events that increase annually since personal understood that the reports are not related to disciplinary action.
- Consistency in the evaluation of patient satisfaction.
- Regular Monitoring over 40 KPI (of 2009-2010-2011 QIP) with the definition of a target for each indicator. These KPIs reflect the quality of care for patients, patient satisfaction, compliance procedures and risk prevention.
- Internal training plan 2011 target all occupational categories and includes about 60 thematic and consistency in the implementation of knowledge acquisition after each training made tests.
- Definition of quality targets following: orientation program, performance evaluation, knowledge tests and documentation of corrective actions.
- Development of an action plan for each project's strategic plan. Annual Review of the implementation of the strategic plan is documented with the notation of the resources requested, unexpected (white Plan), % of goal achieved and % of success.
- Regular meetings, rather at weekly intervals of the steering committee (CDD) and 178 coded subjects were treated and followed in CDD since 2005 (digital list of the issues covered in CDD).
- The maturity of the documented monthly follow-up of budgeting and monthly follow-up documented and communicated to the CDD and the Governing Body. This follow-up, which is done since 1998 until now, comparative compared to the previous year and is, included the changes of the production and the loads with the variations of the payments.
- Regularity since 10 years of the accompaniment of the consultant quality in the installation of the system of management of quality (1 meeting week of the consultant with responsible quality).
- Powerful organization of the information service (digital coding alpha, indexing, accessibility on the central system, search by keyword or title,) and familiarization of the professionals in the research of the reference frames of practice. The coding of the documents is determined by responsible quality.
- Refitting and acquisitions of new equipment and equipment according to the strategic planning of the establishment in accordance with the international standards: Operating Room and Cath Lab, Recovery room, Hemodialysis, Gynecology – Obstetrics Unit, Intensive care, Medicine-Surgery…
- Electric access to the Operating Room and an operating room on the 4 is booked only with the urgent operations.
- System “Finger codes” to reach the services requiring a limitation of access.
- Clear and adapted system of indication within the hospital.
- Provision of approximately 100 cameras in the hospital with access of monitoring booked to the persons in charge.
2011 - 2012 - 2013 QUALITY INDICATORS
Engaged in a continuous improvement process, Aboujaoudé Hospital monitors over 40 "Key Performance Indicators" (KPI) part of " Quality Improvement Plan” (QAP 2011-2012-2013) with the definition of an indicator for each target. These KPIs reflect the quality of care for patients, patient satisfaction, compliance procedures and risk prevention.
A program of continuous improvement in quality and safety of care
- This program involves all medical, healthcare and administrative teams at Aboujaoudé Hospital, including Management and Medical Board, and with the help of patient representatives.
- Every three years, the Lebanese Ministry of Health and “Haute Autorité de Santé”, the French certification agency for healthcare establishments, certifies our quality program. Our last Accreditation visit was in July 2011.
- In addition, our hospital undergoes annual assessment, using a combination of our own unique indicators and general indicators (national indicators) used by the health authorities to evaluate healthcare institutions.
Fight against the risk of infection
Fight against infections is a top priority of our Institution.
Fight Against Noscocomial Infections
Maximum protection against the risk of infection
Medical advances expose patients to various risks, including the risk of infection. To guarantee the safety and quality of care, Hospital Aboujaoudé has a Nosocomial Infection Prevention Committee (CLIN).
What are nosocomial infections?
Infections contracted in a healthcare establishment are called “nosocomial infections”. No matter how strenuously the hospital works to prevent these infections, there is always some risk. This is why prevention is so important.
Nosocomial Infection Prevention Committee ( CLIN )
Aboujaoudé Hospital had a Nosocomial Infection Prevention Committee (CLIN) for more than 15 years, under the management of Dr Gabriel Saliba highly qualified Infectious Diseases Physician
The CLIN makes recommendations to the various care teams. These recommendations comply with Lebanese and French infection safety standards.
The Hospital also has an Operational Hygiene Unit. This unit participates in surveys organized among others by the Committee for Nosocomial Infection Prevention (CLIN).
Our fight against pain
The medical teams at Aboujaoudé Hospital are committed against pain, with daily actions on the ground.
During hospitalization, the evaluation of patient pain is done methodically and daily. You will be asked to indicate your pain level (from 0 to 10) on a scale.
Upon arrival, a nurse will show you how to use the scale. Pain levels are measured for as long as you deem necessary.
Analgesics are medicines used to fight pain. Even if they do not always eliminate pain completely, these medicines are meant to relieve pain
Morphine is a powerful analgesic. It is a medicine and not a drug and is recommended by the World Health Organization (WHO). When used in the right dosage, it enables the patient to undergo invasive procedures without pain or discomfort.
A daily priority
The fight against pain requires the collective efforts of all hospital staff.