• The healthcare has become more effective at the same time it has also become more complex and involves the use of modern technologies, medicine, and treatment
• We are also now treating a greater proportion of older and sicker patients
• These factors, coupled with decreased financial resources in more settings, can result in errors
• The quality of any healthcare setting is its total system characteristics and without patient safety, there can be no quality of care
• Reducing and ultimately eliminating the medical errors is an urgent imperative in the healthcare organization
• Healthcare safety comprehends all healthcare setting and includes the patient and staff experience as well as the clinical, environmental and services aspects of safety
• Whether the focus is on medications or surgery, the goals are the same as to ensure patients are being treated in an absolutely safe environment
• The TQM concept in healthcare quality and safety is to achieve zero defects pursuing perfection
• To pursue perfection in the healthcare system, a systematic and logical review of six key areas; structure, environment, equipment/ technology, processes, people and leadership /culture has to be ensured

• Integrate healthcare safety goals and activities with organizational strategic goals
• Facilitate assessment and ongoing development of the healthcare organizations safety culture
• Develop patient safety strategies for real and lasting change
• Develop and sustain a patient safety culture, patient-centered care and just culture
• Use a system based approach to identify and reduce medical errors and wastes in healthcare organizations
• Apply evidence-based practices to develop effective multidisciplinary teams that work in partnership with patients and families to improve healthcare quality and Patient safety outcomes
• Act as a change agent in their healthcare organizations
• Improve the ability to develop action plans for patient safety and healthcare quality improvement

• Introduction to:
  • Healthcare Quality Concepts
  • Structure, process, and outcomes
  • System Thinking
  • Healthcare Delivery Setting
  • Care Coordination
  • Risk Management
• Healthcare Safety Essentials, Science of Safety
• Importance of Human factors for Quality and Patient Safety
• Types of Medical Errors and Harms
• Creating and Sustaining Healthcare Safety Culture
• Leadership and Culture; integrating healthcare Safety Concepts into an organization
• JCI Healthcare Safety Goals
• Healthcare Safety Program Development
• Health Information Technology
• Implementing Safe Medication Practices
• Legal & Ethical Issues in Risk Management
• Never Events, RCA and FMEA
• Patients and their families Empowerment, Engagement and Activation
• Tools for Improving Quality and Safety
• IHI Triple Aims
• Introduction to Riphah IHI Open School Chapter

• Medical Directors, Medical Superintendents/ Administrators, Physicians, Surgeons, Dental Surgeons, Nurses, Healthcare Workers, Pharmacists, Rehabilitation Sciences Graduates, Quality Assurance Managers /Executives/Officers, House Officers and Medical Students

Group (5 or more persons from one organization): PKR 6,750

Students (subject to production of valid evidence from an institution): PKR 6,750

Riphah affiliated Institutions: PKR 4,500

• Understand and apply strategies and tools of QI and patient safety in their hospitals
• Plan QI and patient safety goals and integrate with the mission, vision and strategic goals of their hospitals
• Become change agents to improve Quality and develop a culture of patient safety in their hospitals
• Collect data, analyze to be able to reduce medical errors in their hospitals
• Assemble, train and manage multidisciplinary teams for continuous Quality improvement in their hospitals

• Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) is an evidence-based set of teamwork tools designed to optimize team function, and ultimately patient outcomes
• It is designed to improve the quality, safety, and the efficiency of healthcare
• TeamSTEPPS is based on 25 years of research related to teamwork, team training, and culture change. As a direct outcome of the 1999 Institute of Medicine (IOM) report, To Err is Human, TeamSTEPPS introduces tools and strategies to improve team performance in healthcare
• TeamSTEPPS has five key principles.It is consist of team structure and four teachable-learnable skills: Communication, Leadership, Situation Monitoring, and Mutual Support

TeamSTEPPS is an evidence-based framework to optimize team performance across the health care delivery system. TeamSTEPPS is a system designed for healthcare professionals that is:

• A potent solution to improving patient safety within the healthcare organization
• An evidence-based teamwork system to improve communication and teamwork skills among healthcare professionals
• Scientifically rooted training curriculum which successfully integrates teamwork principles into all areas of healthcare organizations.Since the significant proportion of preventable medical errors (approx. 65%) belongs to the improper team formulation and communication, therefore, the importance of TeamSTEPPS cannot be overlooked to overcome such preventable medical errors.

• Develop an understanding of the team structure, communication, leadership, situation monitoring and mutual support
• Facilitate thorough assessment of the organization and its processes and plan a successful teamSTEPPS implementation and sustainment plan
• Participants will recognize the potential benefits of incorporating the TeamSTEPPS system in healthcare organizations
• Participants will identify the strengths and challenges of using a flipped peer teaching model to teach TeamSTEPPS
• Participants will develop ideas regarding how to implement the TeamSTEPPS system into their healthcare organizations
• Introduce the TeamSTEPPS ®master trainer course of AHRQ/DoD USA

• Introduction to TeamSTEPPS, Patient Safety, practices of HROs, rapid response systems
• TeamSTEPPS delivery systems including organization readiness, planning training, implementing and sustainment
• TeamSTEPPS Framework, Competencies and Key principles
• Multi-Team System for Safe Patient Care
• Communication Strategies and Tools
• Leadership and role of leadership in team structure and healthcare organization
• Situation Monitoring Strategies, processes and Tools
• Mutual Support Strategies and Tools
• Team Performance Observation Tools
• Team Barriers, Tools, Strategies and Outcomes
• Determining the readiness of the institution, such as leadership support; identifying potential barriers to implementing change in healthcare organizations
• Dental and long-term care specific TeamSTEPPS modules and simulation

• Chief Executive Officers, Medical Directors, Medical Superintendents/ Administrators, Physicians, Nurses, Pharmacists, Quality Assurance Managers /Executives/Officers, House Officers, Medical Students, Front Desk Officers/ Receptionists

Instruction strategies: During the contact sessions following strategies will be used: Interactive lectures by the teacher/experts in Healthcare Quality and Patient Safety. Pre-and post-tests, assignments and group activities and exercises Small Group discussion or activity. Reflection at the end of each day.

Group (5 or more persons from one organization): PKR 4,500

Students (subject to production of valid evidence from an institution): PKR 4,500

Riphah affiliated Institutions: PKR 3,000

• Plan the patient safety goals and integrate with the mission, vision and strategic goals of their hospitals
• Understand and apply Team strategies and tools to enhance patient safety and performance in their hospitals
• Become change agents to develop the culture of patient safety in their hospitals
• Develop a culture of teamwork in their departments/units and hospitals
• Assemble, train and manage multidisciplinary teams for continuous improvement in their hospitals
• Define, train and implement the strategies and tools to prevent medical errors in their departments/units and hospitals
• Become TeamSTEPPS master trainers

• A formal Quality Performance Improvement (QPI) program and infrastructure are required to ensure quality and safety
• The tenets of quality and safety must be developed through strategic planning
• In this course, the sessions of strategic planning will be followed by the establishment of priorities for quality and performance improvement activities, translating strategic goals into quality outcomes and aligning culture and structure to support QPI
• The concepts of QPI teams will be introduced as the heart of the quality performance improvement plan

• Determine and launch priorities for quality and performance improvement activities and action plans and projects
• Develop and provide survey preparation (e.g. accreditation, certification, licensure or equivalent) and evaluate organizational readiness for external quality standards, awards, and recognition
• Select and implement evidence-based practice guidelines and critical pathways
• Design organizational QPI training related to quality & safety and provide training on QPI program development and evaluation
• Participate in QPI teams and evaluate team performance
• Promote effective ERM (Enterprise Risk Management) strategies & tools and leadership through organizational safety practices
• Communicate success e.g. poster presentation, research papers, storyboards etc.

• Establishing Priorities for Quality and Performance Improvement Activities
• Translating Strategic Goals into Quality Outcomes
• Aligning Culture to Support Quality
• Aligning Structure to Support Quality
• Re-engineering or system redesign
• Aligning and development of QPI Action Plans and Projects
• Defining and Selecting Process and Outcome Measures and Scorecards
• Decision Support, Risk Adjustment, Data Interpretation, and Benchmarking
• Evaluating and Selecting Evidence-Based Practice Guidelines and Critical Pathways
• Formulation of Quality Improvement Teams and evaluating team performance
• Formulation, Prioritization, Development, Coordination, Training, and Evaluation of QPI Projects
• Organizational Reviews, Assessment, and Audits
• Enterprise Risk Management Strategies and Tools

• Chief Executive Officers, Chief Financial Officers, Medical Directors, Medical Superintendents/ Administrators, Physicians, Nurses, Pharmacists, Quality Assurance Managers /Executives/Officers, House Officers and Medical Students

Instruction strategies: During the contact sessions following strategies will be used: Interactive lectures by the teacher/experts in Healthcare Quality and Patient Safety. Pre-and post-tests, assignments and group activities and exercises Small Group discussion or activity. Reflection at the end of each day.

Group (5 or more persons from one organization): PKR 5,000

Students (subject to production of valid evidence from an institution): PKR 5,000

Riphah affiliated Institutions: PKR 4,000

• Plan and determine QPI strategic priorities and themes and their integration with the organization’s mission, vision, and goals
• Formulation, Prioritization, Development, Coordination, Training, and Evaluation of QPI Projects
• Plan, select, develop and implement the evidence-based practice guidelines and clinical pathways
• Define and selection process and outcome measures and scorecards for performance evaluation of department /unit and organization
• Lead survey preparation, reviews, and audits

• All healthcare organizations, regardless of setting, are subject to constant inspection
• The scrutiny of healthcare organizations is often governed by the laws and regulations of the state or any other third party /agency or internal quality improvement department/ medical staff affairs department
• All inspections and reviews are conducted against some yardsticks; known as standards to determine the conformity
• The organization that is striving for high quality seeks continuously improve care and services but also strive for full compliance with state laws and interpretive regulations to maintain and sustain its licensures and volunteers for accreditation and certification under the appropriate agency and set of standards
• To continuously improve the care and service delivery & maintain market competitive advantages and enhance customer satisfaction and confidence, the healthcare organizations increasingly are looking at other achievements including ISO 9001:2015 certification and Joint Commission International accreditation. Since the achieving the volunteer certification and accreditation and compulsory licensures like Minimum Service Delivery Standards is not an easy task, therefore, the awareness and understanding the requirements of certification, accreditation and license cannot be overlooked.

• Develop an understanding of certification, accreditation and licensure processes of healthcare organizations
• Overview of ISO 9001, Minimum Service Delivery Standards, Joint Commission International standards and their survey process
• Assessing the certification, licensure and accreditation survey readiness in healthcare organizations
• Project Management for achieving certification, licensure and accreditation and continual improvement cycle

• Certification, Licensure, External Quality Awards, and Accreditation Concepts
• Requirements and Assessment of prescribed standards like ISO 9001, MSDS and JCI
• Certification, Licensure and Accreditation agencies and their survey process and cyclic assessment reviews
• Certification and accreditation survey readiness including survey process, healthcare establishment licensure, International certification, and accreditation
• Project management for national licensure and international accreditation like ISO 9001 and JCI
• Policies and procedure designing, implementation, and assessment/reviews and corrective actions
• Internal and External audits/ reviews and report preparation

• Chief Executive Officers, Medical Directors, Medical Superintendents/ Administrators, Physicians, Nurses, Pharmacists, Quality Assurance Managers /Executives/Officers, House Officers and Medical Students

Cost of Course

Individual: PKR 6,000

Group (5 or more persons from one organization): PKR 4,500

Students (subject to production of valid evidence from Institution): PKR 4,500

Riphah affiliated Institutions: PKR 3,000

• Distinguish between national licensure and international certification and accreditation systems
• Conduct the certification and accreditation survey readiness and plan, implement & assess the certification and accreditation requirements/standards