Hospital quality manager daily round checklist depertment wise
Hospital Quality Manager Daily Round Checklist
Clinical Services Department
- Review hospital's safety policy documents.
- Conduct interviews with staff about protocols.
- Verify implementation of safety checks.
- Observe patient interactions for safety adherence.
- Document any discrepancies or issues found.
- Select a sample of clinical cases for review.
- Compare treatments with established guidelines.
- Assess documentation for completeness and accuracy.
- Engage with clinical staff for insights.
- Summarize findings in a compliance report.
- Conduct random observations during shifts.
- Use a checklist to monitor adherence.
- Provide feedback to staff on performance.
- Identify areas for improvement or training.
- Record incidences of non-compliance.
- Inspect storage areas for inventory levels.
- Check expiration dates on supplies.
- Verify functionality of essential equipment.
- Document shortages or equipment issues.
- Coordinate with procurement for replenishment.
Nursing Department
- Review each patient's care plan.
- Check for alignment with hospital policies.
- Ensure objectives are specific and measurable.
- Confirm regular updates and revisions are made.
- Document findings for follow-up review.
- Select a random sample of nursing records.
- Verify that all entries are dated and signed.
- Check for consistency in patient information.
- Ensure all required fields are filled out.
- Note any discrepancies for further action.
- Gather feedback from patients regarding care.
- Encourage open dialogue with nursing staff.
- Identify common themes in patient feedback.
- Document discussions and proposed resolutions.
- Follow up on previously discussed concerns.
- Review training records for all nursing staff.
- Ensure completion of mandatory training sessions.
- Check for participation in ongoing education programs.
- Verify certifications are up to date.
- Document compliance levels and identify gaps.
Pharmacy Department
- Verify patient identification on records.
- Cross-check medications against physician orders.
- Ensure dosage and administration times are correct.
- Look for any discrepancies or omissions.
- Document findings and address issues promptly.
- Review patient charts for any reported reactions.
- Consult with nursing staff for additional insights.
- Document all findings in the pharmacy log.
- Follow up on any unresolved reactions.
- Report findings to the medical team as necessary.
- Inspect storage areas for temperature compliance.
- Check expiration dates on all medications.
- Ensure high-alert medications are stored securely.
- Review labeling for clarity and accuracy.
- Conduct regular inventory checks for discrepancies.
- Review documentation for completed reconciliations.
- Ensure all transitions of care are recorded.
- Verify that all medication lists are up to date.
- Check for consistency between home and hospital medications.
- Discuss any discrepancies with the healthcare team.
Infection Control Department
- Collect data from the last month.
- Analyze rates by department and infection type.
- Identify any significant increases or patterns.
- Prepare a report summarizing findings.
- Discuss trends with the infection control team.
- Verify patient isolation signage is clear.
- Check that appropriate PPE is available.
- Observe staff adherence to isolation protocols.
- Ensure isolation rooms are properly equipped.
- Document any discrepancies for follow-up.
- Review sterilization logs for completeness.
- Check that equipment is functioning correctly.
- Observe staff performing sterilization procedures.
- Confirm appropriate chemical and temperature settings.
- Report any issues to the sterilization team.
- Identify high-risk areas such as ICUs and surgical wards.
- Observe cleanliness and orderliness of these areas.
- Check for availability of hand sanitizers and PPE.
- Evaluate compliance with infection control protocols.
- Document observations and recommend improvements.
Quality Improvement Department
- Collect data from relevant sources.
- Use statistical tools for analysis.
- Identify trends and patterns.
- Summarize findings in clear visuals.
- Prepare a report for discussion.
- Schedule a meeting with all heads.
- Present the analysis report.
- Encourage feedback and questions.
- Document key discussion points.
- Plan follow-up actions based on feedback.
- Gather existing action plans.
- Evaluate effectiveness of current strategies.
- Identify gaps and necessary adjustments.
- Assign responsibilities for improvements.
- Set deadlines for completion of actions.
- Identify training needs based on gaps.
- Select appropriate training materials.
- Schedule sessions with timelines.
- Invite relevant staff and stakeholders.
- Prepare evaluation methods for training effectiveness.
Patient Experience Department
- Collect recent surveys from various departments.
- Analyze trends in patient feedback data.
- Identify areas of high satisfaction and concern.
- Prepare a summary report for discussion.
- Examine the current complaint tracking system.
- Ensure timely responses to patient complaints.
- Assess the effectiveness of resolution outcomes.
- Gather feedback from staff on the process.
- Brainstorm new engagement initiatives with the team.
- Review current patient engagement activities.
- Identify barriers to patient participation.
- Set measurable goals for improvement.
- Evaluate existing communication channels.
- Solicit feedback from patients on clarity and effectiveness.
- Identify training needs for staff in patient communication.
- Implement strategies to enhance information delivery.
Facilities Management Department
- Check floors, surfaces, and common areas for cleanliness.
- Ensure waste disposal is handled properly.
- Look for potential hazards like spills or obstructions.
- Verify that safety equipment is accessible and functional.
- Document any cleanliness or safety issues for follow-up.
- Review the maintenance log for open requests.
- Check the status of high-priority issues.
- Confirm response times meet hospital standards.
- Communicate with maintenance staff on pending requests.
- Ensure timely documentation of completed tasks.
- Evaluate adherence to waste disposal regulations.
- Inspect areas for proper chemical storage.
- Check for adequate ventilation in hazardous areas.
- Verify employee training on safety protocols.
- Document any compliance issues for corrective action.
- Inspect signage for visibility and clarity.
- Ensure signs are placed at key decision points.
- Check for multilingual signs as needed.
- Gather feedback from patients on wayfinding ease.
- Document any signage improvements or updates required.
Information Technology Department
- Verify system uptime and access.
- Confirm data entry and retrieval processes.
- Check for any error messages or alerts.
- Ensure backups are scheduled and completed.
- Evaluate user access controls and permissions.
- Conduct a review of recent security audits.
- Ensure antivirus and firewall protections are active.
- Check for compliance with HIPAA regulations.
- Access the IT support ticketing system.
- Review outstanding tickets for urgency.
- Follow up with responsible staff on resolutions.
- Document any actions taken for unresolved issues.
- Review training completion records.
- Gather feedback from staff on training effectiveness.
- Identify gaps in knowledge or skills.
- Schedule follow-up sessions for further training.
Conclusion
- Review notes taken during rounds.
- Identify key themes and issues per department.
- Highlight positive practices and areas for improvement.
- Prepare a concise summary report for each department.
- Determine if issues require further discussion.
- Coordinate with relevant department heads.
- Set a date and time for follow-up meetings.
- Notify all participants with calendar invites.
- Record specific recommendations based on observations.
- Prioritize recommendations by urgency and impact.
- Share recommendations with department heads.
- Include deadlines for implementing changes.
- Prepare a presentation summarizing findings.
- Highlight key observations and recommendations.
- Share the report with leadership prior to meetings.
- Schedule a meeting to discuss outcomes and next steps.
Use in Manifestly