DIRECTIORATE GENERAL OF HEALTH SERVICES

AL-WUSTA GOVERNORATE
QUALITY ASSURANCE PROGRAME
AL-AJAIZ H/C
ZERO DEFECTIVE DAY
Zero Defective Day conducted in Al-Ajaiz H/C in the presence of Dr. Mohamed Grayaa (MOIC)
& Nurse in-Charge Solly Sebastian.
Date -31/03/2024
S/N- Jeba sheeba jesudhas (Quality Assurance Focal Point)
SLN DEPARTMENT POSITIVE POINT NEGATIVE POINT
O
1 CARD SECTION MRD staffs were aware about the program; they are MRD staffs are coming for duties but not
DEPARTMENT
greeting the patients, registering full patient details and punctual.
making bills as per protocol. After noon duties MRD staffs will comfort duties
and leave the health center earlier, in the absence
of MRD staffs Some patients refused to pay
registration money.
2 TREATMENT All staff nurses are greeting the patients in a good way Some patients are directly entering GPs
ROOM
and checking their vital signs and performing all consulting room without checking their vital
procedures under aseptic technique and as per the signs. Some patient are not willing to wait in the
infection control policy. waiting area, all are coming together inside the
 treatment room and crowed and noise.

3 MCH All ANC clients are registered and receiving all the No defect noted.
antenatal services as per the protocol

4 EPI All children’s received immunization as per the EPI No defect noted.
schedule, nutritional assessment and autism screening
was performed before vaccination.
Mothers informed about the next due date of vaccine.
5 PHARMACY Pharmacist explained in details the usage, timings and In spite of giving explanation Most of the time
doses of medicines for each patient in an patient’s relatives are coming and collecting
understandable language. chronic medications during the after working
hours and weekend days.
6 LABORATORY Investigations were performed and specimens were Blood samples are collected and sent to Haima
handled as per the infections control policy. hospital according to the vehicle movements.
Only some investigations are performed here.
8 MEDICAL Medical Orderlies are coming for duties. Medical orderlies are not performing their duties
ORDERLY
according to their job description and they are not
punctual.
Medical orderlies are not wearing their uniforms.
9 Each and every instrument is cleaned and sterilized after No autoclaving machine at present, taken by
CSSD
every single use. Biomed department for replacement, Meanwhile
Dental department autoclave machine is being
 used.
10 WAITING AREA Both male and female waiting area kept clean, Random
checking needed. No defects noted
Health Education Videos are displayed in waiting area.
Health education materials displayed in notice boards.
11 SHARP AND Once the sharp container is ¾ full, the weight is The weight measured and registered in the health
WASTE
checked and entered in the waste management register, center is not similar with weight reported by the
DISPOSAL
Then the container is covered with yellow bag and company.
disposed in the yellow container, Monthly, the company
people will come and collect the infectious waste.

12 toilets Male and female toilets including staff toilets are kept No defect noted .random checking needed,
clean,

PREPARED BY: CHECKED BY:

JEBA SHEEBA JESUDHAS DR.MOHAMMD GRAYAA

STAFF NURSE MOIC

STAFF NO – (77535) STAFF NO – (78735)

QUALITY ASSURANCE FOCAL POINT AL-AJAIZ H/C

AL-AJAIZ H/C
 DIRECTIORATE GENERAL OF HEALTH SERVICES
AL-WUSTA GOVERNORATE
AL-AJAIZ H/C
QUALITY ASSURANCE PROGRAMME MEETING
5 MINUTES MEETING

month date members issues Discussion and action outcome

march 31/03/20 All *Reduce the Discussed the need of reducing All nurses are award
24 members electrical and water electrical consumption by about the information
consumption switched off all the
unnecessary lights and AC.
Reduce water conception.
* registration money Remind all nursing
staffs and MRD staffs
about the requirement of
collecting money for
patient registration
Ambulance service Drivers have to maintain good The ambulance will be
condition of the ambulance to maintained by the escort
ensure the safety. in charge staff in
collaboration with the
MOIC and driver.
Few are coming and
 Due to recurrent problems with checking.
ambulance battery, all drivers
instructed to check and start
the ambulance once a day.
Zero defective day Informed all staffs about the All staffs are aware
zero defective day and also about zero defect day.
explained about the
performance.

Improve cleanliness Discussed with all staffs and Cleanliness maintained

inside and outside cleaning staffs. both inside and outside
health center and the health center.
waste disposal. random checking
needed.

PREPARED BY: CHECKED BY:

JEBA SHEEBA JESUDHAS DR.MOHAMMD GRAYAA

STAFF NURSE MOIC

STAFF NO – (77535) STAFF NO – (78735)

QUALITY ASSURANCE FOCAL POINT AL-AJAIZ H/C

AL-AJAIZ H/C