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Last Modified: Thursday 24 April 2025.
Quality Assurance
- Introduction
- Vision, Mission & Objective
- Organisation Chart
- Services
- Client Charter
- Related Information
Introduction
This unit was established in 1995 with the purpose of serving as a driving force for the implementation of quality programs at Kuala Lumpur Hospital. The Quality Management Unit is one of the clinical support units. This unit holds the responsibility of acting as the secretariat for all quality programs at the hospital level. With collaboration and support from all departments, this unit implements various quality improvement programs at Kuala Lumpur Hospital, such as the Quality Assurance/Quality Initiatives Program, including the Hospital Specific Approach (HSA) and National Indicator Approach (NIA), since 1985. The unit has also successfully continued organizing QA/QI Workshops and QA/QI Conventions annually since 1989.
Vision
Together, we strive to achieve the vision of Kuala Lumpur Hospital to become an excellent institution in providing quality and safe healthcare services.
Mission
- Formulate, plan, and coordinate quality activities at the Department and Hospital levels to improve the quality of healthcare and patient safety.
- Monitor the implementation of quality and patient safety activities.
- Oversee continuous improvement actions to ensure the sustainability of Kuala Lumpur Hospital's certification.
Objectives
- Monitor the implementation of quality improvement activities, including coordinating training to enhance service quality.
- Manage data at the hospital and state levels efficiently and submit reports within the specified timeframe.
Organisation Chart
1. The Quality Management Unit is responsible for acting as the secretariat for the Management Review Meeting.
2. Portfolios under the Quality Management Unit:
2.1) Monitoring the Hospital Performance Indicator for Accountability (HPIA) and Clinical Service Quality Indicators (CliSQI) and myKPI system (for JUSA officers)
2.2) MS ISO Program Committee:
- Preparation, coordination, and monitoring of all quality documents
- Internal Quality Audit activities and training
- Surveillance Audit and Recertification Audit
2.3) Accreditation Committee
2.4) Risk Management
2.5) Patient Safety:
- Malaysia Patient Safety Goals (MPSG)
- Incident Report Committee
2.6) Pain-Free Committee
2.7) Quality improvement projects such as QA/QI, Lean Healthcare, Clinical Audits, and Innovation
2.8) Morbidity and Mortality Review:
- Perioperative Mortality Review (POMR)
- Hospital Morbidity and Mortality
2.9) Hospital Document Controller
2.10) Customer Satisfaction Committee (PSQ-18)
Client Charter
- Provide friendly, professional, and efficient service.
- Conduct quality activity monitoring effectively, systematically, and efficiently
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