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Table 2 A summary of key information of each included document

From: Measuring and monitoring patient safety in hospitals in Saudi Arabia

Title

CBAHI National Hospital Standards 3rd edition

Department of Quality and Safety at King Fahd Hospital of the University (KFHU) Annual Report

Quality and Patient Safety Measures in King Faisal Specialist Hospital and Research Centre (KFSH&RC)

Year published

2015

2015

2015

Pages

265

127

Virtual document

Prepared by

The Saudi Central Board for Accreditation of Healthcare Institutions (CBAHI)

The Directorate of Quality and Safety at KFHU

Quality Management Division (QMD) at King Faisal Specialist Hospital and Research centre

Stated aim

To facilitate the process of hospital self-assessment against pre-set requirements.

To highlight the DQS achievements, establish future commitments and benchmark the hospital progress.

To continuously improve the quality of care provided; maintain a risk-free environment and assure compliance with accreditation standards.

Target population

Hospital leadership and all HCPs working in hospitals in Saudi Arabia.

Hospital leadership and HCPs working at KFHU.

All HCPs, patients, and members of the public.

Setting

All healthcare services provided by all hospitals in Saudi Arabia.

All healthcare services at KFHU.

All healthcare services at King Faisal Specialist Hospital and Research Centre.

Number of methods of MMS measures included

35

8

3

1. Harm

9 (25 %)*

3 (37.5 %)

2 (66.7 %)

2. Reliability of safety critical processes

12 (33.3 %)

3 (37.5 %)

1 (33.3 %)

3. Sensitivity to operations

2 (5.6 %)

1 (12.5 %)

0

4. Anticipation & preparedness

2 (5.6 %)

0

0

5. Integration & learning

11 (30.6 %)

1(12.5 %)

0

  1. HCPs: Healthcare Professionals
  2. *One of the methods of MMS was classified under two dimensions, and so these percentages are calculated using a denominator of 36