Untitled - الخد٠ات الطبية ال٠لكية

1 st Scientific Day of Quality and Inspection Department/ Royal Medical Services
Hand by Hand for Healthcare Quality and Safety
Thursday 9 / 5 / 3112
Scientific Program
03:8 – 0388 Opening Ceremony at KHMC/ Prince Hamzah Auditorium
9321 – 11351 Session 1 Moderators: Maj. Gen. (Dr) Hasan Malkawi , Brig. Gen.(RN) Nouf Al Baddawi
03:8 – 03:8 1. Healthcare Quality Improvement Projects at RMS Dr. Atallah AL Issa, RMS
03:8 – 18388 2. Clinical Risk Management Dr. Ibrahim AL Faouri, KAUH
18388 – 18328 :. Sharing Success Story in Implementing
Medication Reconciliation in Specialty Hospital
18328 – 183:8 :. Integrating Patients’ Safety Concepts In Nursing
Curriculum
183:8 – 11388 5. The Trigger Tool: Used In A Hospital To Identify
Possible Adverse Events.
Dr. Sahar Almasri, Specialty Hospital
Dr. Dalal Basher Yehia, AL Zaytoonah
University
Mr. Hussein Bataeneh, Prince Hamza
Hospital , MOH
11388 – 11328 6. Collaborative Model For Achieving Break Through Selvia Al Rabadi HSS
Improvement .
11328 – 113:8 7. HCAC Presentation Thaira AL Madi, HCAC
113:8 – 12:88 Discussion , Break
13:11 – 12311 Session 3 Moderators: Maj. Gen. (Dr) Suleiman Abbadi, Dr. (Pharm) Sahar Almasri
12388 – 12318
8. Environmental Safety: Environmental
Health Elements In Hospitals
المهندسة ميسون بسيسو-‏ وزارة الصحة/‏
مديرية صحة البيئة
12318 – 12328 9. Pain Management Project Ekhlas Khalid Abu Sharkh, AMC
12328 – 123:8 11. Utilizing The Society Of Critical Care Medicine
Strategic Goals To Implement Evidence Based
Medicine And Improve Patient Safety
123:8 – 123:8 11. The Breast Imaging Unit Implements An
Effective Quality Improvement Regarding Repeat /
Reject Analysis
123:8 – 12358 13.Laboratory Biorisk Management
At Princess Iman Lab. & Research Center
Lama Nazer, Pharm D, BCPS ,KHCC
Kamelia kamel RT, Breast Imaging
Unit. RMS
Ibrahim Jbara MSc , Princess Iman
Lab. & Research Center
12:58 – 1:388 Discussion , Break
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12311 – 10311 Session 2 Moderators: Brig. Gen. ( Dr) Muen Habashneh , Dr.(RN) Ibrahim AL Faouri
12
.
د . عبد اهلل الصمادي
وزارة الصحة
رضى المرضى المراجعين عن الخدمات الطبية في المستشفيات و – 1:318 1:388
المراكز الصحية الحكومية في قصبة اربد
1:318 -1:328 10.Use Of Morse Scale To Evaluate Risk Of Falls In
Hospitalized Patients At RRC
Dr. Naheyah Almuhtaseb, RRC
/
عقيد ريم محادين ‏/مديرية الخدمات الطبية الملكية ادارة انظمة االمن والسالمه المهنيه والصحيه في المستشفيات – 1:3:8 15 1:328
1:3:8 – 1:3:8 11. Complexities And Barriers That Influence
Nursing Documentation In Clinical Practice .
1:3:8 – 1:: 58 11. Quality Improvement Method Implemented At
Prince Ali-Bin Al-Hussein Hospital To Decrease
The Percentage Of Wrong-Site Surgery
1:358 – 1:388 Discussion
Abdullah AL-Khawaldeh, RN, MSc
Prince Hashem –Bin Al-Hussein
Hospital, RMS
Col. Montaha Habashneh , Prince
Ali-Bin Al-Hussein Hospital,RMS
1:388 – 15388 Lunch
15311 – 11321 Session 0 Moderators: Brig. Gen.( Dr.) Abdelkarim Aledurgham, Col. (RN) Manal Betawy
15388 – 15318 18.Factors Affecting Medication Errors Among
Registered Nurses In Queen Rania Children Hospital
15318 – 15328 19. Maintaining Thermal Regulation By Delaying
Bathing For Neonates At Queen Alia Military Hospital
Wafa karadsheh, Queen Rania Children
Hospital
Mervat Shubat , RN, MSc , Queen Alia
Military Hospital.
15328 – 153:8 31. Workplace Violence Nuha Remon, RN, RMS
153:8 - 153:8 31. Quality In Medical Equipment Risk Management
Contribute To Patient Safety
153:8 – 15358 33. The Effects of Working Hours, Fatigue of RNs
On Patient Safety
15358 – 16388 32.
مدى
3113
30. Nurses Attitude Toward Evidence Based
16388-16318 Practice At Prince Rashed Hospital
16,18-16.28 35. Effect Of Ventilation System Preventive Maintenance
On Quality Of Care At The Hyperbaric Department
تاثير تطبيق تقييم الموردين على اداء الموردين
المعتمدين لدى مديرية الخدمات الطبية الملكية عام
16.28-16.:8 31. The Role Of Medical Support Command In Clinical
Safety In Joint Special Operation Command
Ibrahim S. Aldajeh, BME , RMS
Arwa Ramadan RN, RMS
الرائد ادارة مستشفيات رسمي محاسنه الخدمات
الطبية ا لمكية
/
Mai Ishtawi, RN.MSc , Prince
Rashed Hospital
Owaid Tarawnh BMT Princes Haya
Hospital
Dr. Samir Mohamed Al- Ofeishat, , JB,
RMS
8

الخدمات الطبية الملكية
جودة وسالمة الرعاية الصحية على طريق التميز وتحسين األداء
رسالة الخدمات الطبية الملكية
المستمر .
تقديم خدمة طبية متميزة وآمنة ذات جودة عالية وبكلفة معقولة مع اإللتزام بالتطوير والتحسين المستمر
واإلستخدام األمثل للموارد المتاحة من خالل الكوادر الطبية المؤهلة والتقنيات الحديثة بهدف المساهمة
الفاعلة في رفع مستوى الرعاية الصحية في األردن
رؤية الخدمات الطبية الملكية
الصدارة في تقديم خدمة طبية متكاملة توا كب التقدم الطبي العالمي
الخدمات الطبية الملكية تحصل على شهادة اعتماد المستشفيات من قبل مجلس اعتماد المؤسسات الصحية
للمستشفيات
مستشفى الملكة رانيا العبد اهلل لالطفال
مركز الملكة علياء المراض و جراحة القلب
مركز التاهيل الملكي
مركز االمير حسين بن عبداهلل الثاني ألمراض وجراحة الكلى وزراعة األعضاء
مستشفى االمير علي بن الحسين
وحدة تصوير الثدي
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9

1. Healthcare Quality and Continuous Improvement Projects
Dr. Atallah AL Issa, Quality and Inspection Department, RMS, Nehad Rajeh RN
, Reyah Al Hadedi RN.
Health care quality projects are designed for healthcare quality improvement; it
introduces practical approaches in implementing modern methods of improvement
through implementing best practice to fill the gap between current and desired levels of
performance. Total Quality Management is recent term aims to continuous healthcare
quality improvement to meet rather than to exceed its stakeholders’ requirements.
Healthcare System Services Quality is the comparison between the perceived and the
expected quality, so this system should be strive to provide services with quality
standards higher than customer’s expectations.
RMS is dedicated to plan the quality in every hospital rather than in every individual
and keep caring about this plan to assure its compliance until quality becomes a culture.
Together we can plan the healthcare quality; we can sustain the quality culture until all
can use the same language, the quality language. Health sector is one of the most
important sectors, because it touches a very sensitive group of people; the patients, who
seek care and safety.
RMS is responsible and involved in the healthcare quality, it implemented healthcare
quality in all hospitals and medical centers and gain experience through participating in
National and International Projects as:
• King Abdullah II Award for Excellence in Government performance and
Transparency.
• Hospital Accreditation Projects.
• Primary Health Care Accreditation Projects.
• Quality Management Systems, ISO.
• National Quality and Patient Safety Goals.
• Developing and implementing healthcare quality management system.
Success in quality management is a team work, the team is the basic unit of quality
structure and no single individual can improve quality alone. Team work can improve
healthcare quality; together we can sustain the quality culture until all can speak the
same language, the quality language.
11

2. Clinical Risk Management (CRM)
Dr. Ibrahim Ghaleb Ali Al-Faouri, RN, PhD, KAUH
Since the “To Err is Human” report was published in 1999, patient safety and
risk management have been a central theme of healthcare policies worldwide. Risk
defined as the possibility of loss or injury; a dangerous element or factor. Management
defined as the act or art of conducting or supervising something or the judicious use of
means to accomplish an end. Clinical risk management (CRM) is a systems approach to
identifying, assessing, evaluating, minimizing and communicating risks associated with
clinical activities in order to maximize safety for patients, visitors, employees and
trainees. (CRM) involves developing flexible strategies aimed at preventing the negative
event from occurring or, if not possible, minimizing the harm caused. Risk management
is not about pointing blame but about promoting a culture that fosters learning and
improvement as a result of errors.
(CRM) has three main processes: identifying risk, analyzing risk and controlling
risk. The most crucial step in risk management is risk assessment which comprises 5
steps: look for the hazards, decide who might be harmed, evaluate the risks and decide
whether the existing precautions are adequate or whether more should be done, record
your findings and review your assessment and revise it if necessary. The General
Principles for risk management are: provide all staff with education on CRM,
create/promote a culture change (encourage staff to retroactively & proactively identify
risks), reduce/eliminate FEAR and focus on process/system redesign –not just
individuals.
Institute of Medicine (IOM) recommended that hospitals develop comprehensive
patient safety improvement plans based on data collected from internal incident
reporting systems and other event detection methods. IOM advised hospitals to analyze
these data to identify the causes of events and to develop strategies to prevent
recurrence. Studies from the US suggest that approximately 23 to 03 of hospitalized
patients suffer a serious adverse event. While studies from other developed nations,
found that between 83 and 113 of hospitalized patients suffer an adverse event. A
substantial proportion (between 213 and 513) of adverse events are preventable, and
most cause substantial harm, likely contributing to the deaths of tens of thousands of
people in each of these nations. Although one study of Mexican hospitals suggested that
nearly one in four hospitalized patients developed a nosocomial infection.
11

2. Sharing Success Story in Implementing Medication Reconciliation in Specialty Hospital
Dr. Sahar Al-Masri Specialty Hospital
Since the most frequent occurring medical error is a medication error and the most cited category
of root causes for adverse events is ineffective communication The Specialty Hospital starts to
implement the medication reconciliation.
Medication Reconciliation is a process of comparing a patient's medication orders to all of the
medications that a patient has been taking to avoid medication errors which should be done at
every transition of care. According to the Specialty Hospital policy the physicians and the Pharm D
are responsible for comparing the medication prior to admission and deciding the initial
medication order.
The medication reconciliation form should include the following:
1) Drug name 3) Dose
2) Route of administration 0) Strength
5) Frequency 1) Diagnosis
1) Time of last dose 8) Allergies
9) Who is providing and collecting the information
Goals of writing medication reconciliation form with admission and on discharge are:
Obtain as accurate as possible a list of medications that the patient is receiving at home
or other care setting.
Ensure that a conscious decision is made to continue, discontinue, or modify current
medications the patient is receiving when writing admission orders and when the
patient is receiving from last transition point.
Document discrepancies and resolve them if needed.
Share with patient and providers as necessary .
Challenges the Specialty Hospital faces with implementing medication reconciliation policy:
No real understanding of the importance.
Something new.
More paperwork.
No complete and accurate information.
Patient recollection.
OTC and other therapies.
Engaging everyone in the process.
Techniques we use to encourage staff:
Share potential or actual errors that have occurred /or have been avoided.
Publicize collaborative between providers of care.
Show data that shows discrepancies are being reduced.
Share processes that are working.
Impact of implementing medication reconciliation on the hospital performance:
Decrease medication errors by 013.
Increase in the percentage of medication reconciliation compliance by 113 .
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0. Integrating Patients’ Safety Concepts in Nursing Curriculum
Dalal Basher Yahiya, RN, PhD Al-Zaytoonah University, Faculty of Nursing
There are progresses in the health care services and become sensitive to clients’ cultural
dimensions. These progresses challenged nursing educators and clinical practitioners to
understand the significant effects of these challenges. The concept of patient safety is one
of these challenges which becoming a need to be a concept within the context of nursing
education. Also, it is a challenge to involve the nursing students into patient safety in
their undergraduate class, this will help them to understand the concepts of patient
safety, quality, and quality improvement and integrate them during their different
clinical teaching. Building students’ safety knowledge needs to occur throughout nursing
schools.
This presentation has the following aims:
1- To explain the importance of integrating patient safety in nursing curriculum
3- To discuss the role of nurse educator in the integration of patient safety in the
theoretical content
2- To discuss the importance of integrated patients safety into procedural skill
training program.
Patient safety education for nursing students is highly significant by providing
evidence-based nursing care services and keep patients safety in the context of the
human, clinical setting and workplace complexity.
In conclusion, nursing programs needs to respond to vital initiatives such as
Quality and Safety Education for Nurses (QSEN), nursing faculty needs to discover
the important to share values exist between competency-based curricular models and
the latest and updated knowledge and practices in safety and quality.
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5. The Trigger Tool: Used in a hospital to identify possible adverse events.
Mr. Hussein Bataeneh, RN, Prince Hamza Hospital, MOH
The idea is to revise randomly a 31 patient's file that already discharged from the
hospital using a trigger which finally measure the harm that may occur to the patient
retrospectively and measure the rate of adverse event by the time, the topics should be
revised are:
Discharge summary
Medication administration record
Lab. Results
Operative notes
Nurses notes
Physician progress notes
Consultant notes, ED notes.
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1. The Breakthrough Series: IHI’s Collaborative Model for Achieving Breakthrough
Improvement
Ms. Silvia R. Rabadi
This presentation addresses a simple effective quality improvement methodology that
had been conceptualized in late 1990 and was innovated in 1995 by the Institute for
Healthcare Improvement (IHI) and was given the name of the "collaborative"
approach--the Breakthrough Series (BTS; Institute for Healthcare Improvement [IHI].
IHI developed this model (BTS) for achieving breakthrough improvement and to help
health care organizations make improvements in quality while reducing costs by
creating a structure in which they can easily learn from each other and from recognized
experts in topic areas in which they want to make improvements. These quality
collaborations encourage networking, support standardization of best practice processes
and provide a potential significant impact on the quality and safety of healthcare
services
Key Elements of the BTS
Key elements of the BTS include the following: 1. Topic selection.3. Faculty recruitment.
2. Enrollment of participating organizations and teams. 0. Learning sessions. 5. Action
periods. 1. The Model for Improvement. 1. Summative congresses and publications. 8.
Measurement and evaluation.
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1. Accreditation is a Journey Toward Excellence
Thaira Adnan Madi
This session will provide an over view of the HCAC organization, accreditation. How to
translate HCAC mission “to foster the continuous improvement of the quality and safety
of health care facilities, services and programs through developing internationally
accepted standards, capacity building and awarding accreditation” and use
accreditation as a tool to continuous quality improvement particularly in the hospital.
Accreditation is not just about standard-setting: there are self-improvement dimensions
to the process. Accreditation helps the hospital enhance patient care through a
continuous quality improvement process. In almost all cases this can be achieved without
major investments in infrastructure. It also strengthens community confidence by
highlighting the hospital’s commitment to provide safe and quality care to the
community. The purpose of accreditation is to encourage and support health facilities to
undergo comprehensive survey processes and achieve national benchmarks that
demonstrate the highest standards of health care quality.
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3
الخدمات الطبية الملكية
جودة وسالمة الرعاية الصحية على طريق التميز وتحسين األداء المستمر
مشاركة الخدمات الطبية الملكية ممثلة في مديرية الخدمات الطبية الملكية ومدينة الحسين الطبية بجائزة الملك
عبداهلل الثاني لتميز األداء الحكومي والشفافية
المرحلة االولى‎3‎ مشاركة مديرية الخدمات الطبية الملكية و مدينه الحسين الطبية بالجائزة على مستوى التأهيل
المرحلة الثانية مشاركة مديرية الخدمات الطبية الملكية ومدينه الحسين الطبية بالجائزة لدورة الرابعة لعام
مرحلة المؤسسات العامة والتي تشارك ألول مرة.‏
.
2880/2880
3
.1
حصول مديرية الخدمات الطبية الملكية ومدينة الحسين الطبية على شهادة ختم التميز تقديرا لتميز اداء الخدمات الطبية
الملكية بالجائزة لدورة الرابعة لعام
جائزة الموظف الحكومي المتميز فئة الموظف اإلداري/الفني لدورة الرابعة لعام
2880/2880
2880/2880
-
.2
3
,
مشاركة مديرية الخدمات الطبية الملكية ومدينه الحسين الطبية بجائزة الملك عبداهلل الثاني لتميز االداء
المرحلة الثالثة حيث
فئة المؤسسات الحكومية المشاركة بالجائزة ألكثر من مرة الدورة الخامسة لعام 2818/ الحكومي والشفافية حصلت على
2811
.
.1
.2
.:
جائزة الموظف الحكومي المتميز جائزة الموظف الحكومي المتميز
جائزة الموظف الحكومي المتميز
-
فئة الموظف القيادي/اإلشرافي
.
-
فئة الموظف اإلداري/الفني
.
مشاركة مديرية الخدمات الطبية الملكية ومدينه الحسين الطبية بجائزة الملك عبداهلل الثاني لتميز االداء الحكومي
والشفافية,‏ فئة المؤسسات الحكومية المشاركة بالجائزة ألكثر من مرة في الدورة السادسة
لعام .2812 /2811
.:
.5
.6
جائزة الموظف الحكومي المتميز جائزة الموظف الحكومي المتميز
جائزة الموظف الحكومي المتميز
جائزة الموظف
المساند المتميز
-
فئة الموظف القيادي/اإلشرافي
.
-
فئة الموظف اإلداري/الفني
.
.
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8. Environmental Safety: Environmental Health Elements In Hospitals.
Eng. Mayson Bseso, MOH. Environmental Health Directorate
ABSTRACT
Environmental Health (EH) addresses all the physical, chemical, and biological factors
external to a person, and all the related factors impacting behaviors. It encompasses the
assessment and control of those environmental factors that can potentially affect health.
It is targeted towards preventing disease and creating health-supportive environments.
EH addresses all human-health-related aspects of both the natural environment and the
built environment and includes: ambient and indoor air quality, management of
hazardous materials, waste management, medical waste management, noise control,
occupational health, exposure to toxic chemicals, radiological health, safe drinking
water, wastewater treatment and disposal, food safety, vector control, disaster
preparedness and response, climate change and its effects on health.
Hospitals are complex institutions that employ large numbers of workers from various
professions and where many activities take place. The primary function of hospitals is to
provide healthcare services to the ill. Therefore, a major concern is the safety of their inpatients
and outpatients, with respect to prevention and control of nosocomial infections
(Infection Control and Prevention), and emergency preparedness, such as evacuation
plans for fires. Moreover, hospitals are considered potentially hazardous workplaces, as
they expose their workers to a wide range of physical, chemical, biological, ergonomic,
and psychological hazards. Therefore, occupational health issues, including the
anticipation, recognition, evaluation, and control of conditions arising in or from a
workplace, which may cause illness or which could have an adverse effect on the health
of workers, are a very important EH concern for hospitals.
This paper reviews the key EH elements within hospitals and provides guidelines to
maintain a healthful indoor environment as well as to protect the environment. It also
sheds light on the connection between EH and patients’ safety, workers health, and the
environment. The EH elements are categorized into seven areas, namely, physical
facilities, utilities, hotel services, purchasing and supply, occupational hygiene,
environmental pollution prevention, and disaster management and emergency
preparedness.
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9. Pain Management Project
Ekhlas Abu Sharkh RN, ( presenter) , Mohammad Saleh MD, Muntaha Qutesh RN,
Mohammad Al-Hussenate RN, DR. Aziza Sowan RN, PhD, Afnan Reslan RN.
Introduction:
Pain management is a medical specialty that is rapidly growing in popularity and
application. This specialty deals with the reduction of pain in the body by applying the
principles of science and medicine.
The management of pain is considered multi-model approach. The treatment method
depends on various factors surrounding the history of the pain. These include the
duration of the pain, its intensity, whether the pain is increasing in intensity or reducing,
the contribution of the pain to other symptoms of illness and the physical cause of the
pain.
Objectives:
Covering standard strategies and guideline for pain assessment and management in
clinical areas, and raise the awareness of healthcare providers about acute pain
management, by doing so, we will reach pain free for patients in AMC.
Method :
Creating a FOCUS-PDCA for acute pain and train staff on that project.
We started with a small sample 013, when rates of compliance started to rise; we
decided to increase the staff sample to 953.
On daily bases, we started to collect data through closed chart review and open chart
review in the clinical areas and monitoring.
Findings :
Since the beginning of this project in March 3111, we are following up, training staff,
adopting a monthly indicator for compliance for pain assessment and management on
every shift as this is a continuous project.
Conclusion &recommendation:
Because our goal is to reach 111% compliance in this area we preserve the changes and
maintain development.
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11. Utilizing The Society of Critical Care Medicine Strategic Goals To Implement
Evidence Based Medicine And Improves Patient Safety .
Lama Nazer, Pharm D, BCPS (presenter) Feras Hawari MD, Aziza Salem RN, Najah
Hussein RN, Enas Younis MD.
Introduction:
The importance of glycemic control was well recognized by our ICU staff. However, the
target glucose level was not consistent with the most recent guidelines and most cases of
hyperglycemia were managed with sliding scale insulin. Furthermore, an assessment of
the adverse drug events in our ICU patients demonstrated that insulin induced
hypoglycemia was the most common drug related adverse event.
Objective:
To develop and implement evidence based policies and protocols for the management of
hyperglycemia to ensure effective glycemic control while reduce the incidence of
hypoglycemia.
Method:
An ICU subcommittee was formed. The subcommittee included an intensivist, clinical
pharmacist endocrinologist, ICU nurse manager, and ICU nurse educator. The
subcommittee recommended the following changes: increase target glucose level,
eliminate the use of sliding scale insulin, increase the utilization of insulin infusions for
the management of hyperglycemia and once stable, transition patients to basal/bolus
insulin, and introduce correction factor algorithm. The Society of Critical Care
Medicine's (SCCM) four strategic goals and objectives (learn it, deliver it, measure it,
and improve it) were utilized to implement the changes.
Results:
Following extensive educational sessions, the protocols and policies were implemented.
In the post-implementation phase, a 1 months assessment demonstrated that none of the
patients was prescribed sliding scale insulin and most patients with persistent
hyperglycemia were managed with insulin infusions and then transitioned to basal
insulin, if needed. The incidence of hypoglycemia dropped significantly, from 8 cases per
111 ICU admissions in the pre-implementation phase to 1 case per 111 ICU admissions
post-implementation.
Conclusion: Incorporating evidence based practice for glycemic control resulted in a
significant reduction of hypoglycemia. Utilizing the SCCM’s strategic goals and
objectives provided a structured frame-work to implement evidence-based practice and
improve patient safety.
21

11. The Breast Imaging Unit Implements An Effective Quality Improvement Regarding
Repeat / Reject Analysis
Kamelia kamel RT (presenter), Amal Smadi MD, Lubna Husban RT,
Asma Suleiman RT, Hend Harahsheh MD, Omar Rawashdeh RT .
Introduction:
The radiographic quality assurance and quality control regarding repeat / reject
analysis of breast imaging is the responsibility of all radiographers monitored by the
senior radiographer in charge controlled and evaluated by the radiologist in breast
imaging unit. The aim of study are to limit radiation dose to patients ,determine the
causes of repeated mammogram , and minimize the number of women undergoing
repeat examination and reduce cost to improve the quality of images in breast imaging
unit .
Method:
The study was conducted in king Hussein medical center , breast imaging unit by
studying number of repeated images over period of ten months . Collect
all repeat views daily. There is an appropriate assignment of responsibilities for quality
control actions. All staff in the breast imaging unit are educated to collect and analyzed
the data of Repeat views , Result of quality control activities are evaluated promptly
and accurately, Record numbers of Repeat views on log book of mammogram unit.
After one month the number of Repeat views are counted and analyzed by technician
using access sheet consider as database for mammogram unit . Corrective actions are
taken in response to the results. The results are discussed with quality improvement and
patient safety committee. The results are saved as indicator in the quality improvement
and patient safety committee file.
Results:
The results were varied between 1.1 – 1.110 over the ten months but it was still beyond
the international limits (3-5) %.
Conclusion:
The analysis of the repeat / rejected films rate indicate that it was within the
international limits despite the deterioration amount compared to the last months
results. The unit working on reducing the rate of repeated views without reducing the
quality of images obtained
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13. Laboratory Biorisk Management At Princess Iman Research & Lab. Sciences
Center
Ibrahim JBARA MSc,Awatef Kaabneh MD ,Mohammad Maayta MD
Samira Ibrahim BSc, Lana Al-Kalaldeh BSc. Manal Abbadi,BSc.
Introduction:
With a large increase in the number of persons employed in medical laboratories,
exposure to a variety of biorisk agents increased including infective, chemical and physical
hazards that it has become essential for more awareness and preparedness for identifying
and containing those agents.
Managing of medical laboratory risks have matured, harmonized and recognized on
expectations in all aspects of our work necessary to ensure the health and safety protective
measures and accountability against all types of valuable hazards for medical staff
workers and environment to mitigate the harm and , if not , to determine additional
precaution processes .
Methods:
Assessment of risk sources and mitigation processes of these risks by selecting
appropriate approaches to implement biorisk policies, rules, and regulations for the
personal and environmental protective facilities that were emerging from royal medical
services policies and the national biosafety standards of ministry of health through the
team work of biosafety and infection control committee at Princess Iman center between
3111 – 3113.
The assessment required setting specific goals including follow up the usage of personal
protective equipments , implement the basic concepts of specimens handling and
disinfectant of work area , give many lectures to ensure everybody in the center know
about concepts of biorisk management and follow the vaccination schedule as
prophylactic or therapeutic of accidental cases .
Result:
By continuous application and monitoring of biosafety guidelines there is a good
achievement in implementation of biosafety culture that became a routine work, and
personal responsibility of each worker against any risk has increased.
Conclusion:
The success of biosafety program required a current team work knowledge, application,
follow up and supervision that performed.
More cooperation between peripheral biosafety committees with the central infection
control section in the royal medical services required.
22

الخدمات الطبية الملكية
جودة وسالمة الرعاية الصحية على طريق التميز وتحسين االداء المستمر .
الخدمات الطبية الملكية تحصل على شهادة اعتماد الرعاية الصحية االولية
من قبل مجلس اعتماد المؤسسات الصحية
مركز طبي القويرة العسكري الشامل
مركز طبي معان العسكري الشامل
.
.
مركز طبي الشهيد محمد ضيف اهلل الهباهبة العسكري
-1
-2
-3
مركز طبي
المفرق العسكري الشامل
.
-4
الخدمات الطبية الملكية تحصل على شهادة تطبيق االهداف الوطنية لجودة وسالمة الرعاية الصحية من قبل مجلس
اعتماد المؤسسات الصحية
مستشفى الحسين
مستشفى الملكة رانيا العبد اهلل لالطفال
مركز الملكة علياء المراض و جراحة القلب
مركز التاهيل الملكي
مركز االمير حسين بن عبداهلل الثاني ألمراض وجراحة الكلى وزراعة األعضاء
مستشفى االمير علي بن الحسين
-1
-3
-2
-0
-5
-1
23

.12 رضى المرضى المراجعين عن الخدمات الطبية في المستشفيات و المراكز الصحي ة الحكومية في قصبة اربد
,
.
د عبد اهلل الصمادي ‏,حنين القرعان ‏,رنيم الخطيب ‏,هبة عز الدين ‏,جالء الشختوري شفاء الخرنوبي
مقدمة 3
يالمس موضوع رضى المرضى المراجعين عن الخدمات الطبية جميع افراد المجتمع بشكل عام فالخدمات الطبية ليست اداء خدمة
من الخدمات فحسب بل هي خدمة تخص الحفاظ على االنسان في جميع مراحل عمره
هدف الدراسه 3
.
هدفت هذه الدراسه الى معرفة رضى الراجعين للمنشأت و المراكز الصحية عن الخدمات الطبية المقدمة لهم في قصبة اربد,‏
حيث تعتبر هذه هذه المنشأت من اهم المنشأت التي تعمل للحفاظ على صحة المجتمع .
منهجية البحث‎3‎
)
,
(
تكونت ادوات الدراسة من استبانة احتوت على اسئلة تتعلق ب الكادر الطبي توافر االدوية,‏ الخدمات الطبية العامة وتم
اختيار عينة الدراسة العشوائية لمجتمع الدراسة من خمسة مراكز صحية و مستشفى في قصبة اربد ‏.وقد وزعت 319
استبانه على عينة الدراسة الممثلة بالمرضى المراجعين للمستشفى و المراكز الصحية المذكورة
نتائج الدراسة‎3‎
.
.
.
ال توجد عالقة بين رضى المرضى عن الخدمات الطبية المقدمة من حيث الكادر الطبي مع متغيرات العمر,الجنس,‏ مكان
التواجد و تخصص العيادة
يوجد عالقة بين رضى المرضى عن الخدمات الطبية المقدمة من الكادر الطبي مع متغير فئة التأمين الصحي.‏
ال توجد عالقة بين رضى المرضى عن الخدمات الطبية المقدمة من حيث توفر االدوية مع متغيرات العمر,الجنس,‏
مكان التواجد و تخصص العيادة
يوجد عالقة بين رضى المرضى عن الخدمات الطبية المقدمة من توفر االدوية مع متغير مكان التواجد
ال توجد عالقة بين رضى المرضى عن الخدمات الطبية المقدمة من حيث الخدمات العامة مع متغيرات العمر,الجنس,‏
فئة التأمين الصحي.‏
يوجد عالقة بين رضى المرضى عن الخدمات الطبية المقدمة من الخدمات العامة مع متغير تخصص العيادة وعالقة
ايجابية ضعيفة مع متغير مكان التواجد.‏
.
-1
-3
-2
-0
-5
-1
3 التوصيات
ضرورة رفع رضى المراجعين عن الخدمات المقدمة لهم ليصبح هذا الرضى مرتفعا و مكافئا للمرضى المراجعين في
المستشفيات و المراكز الصحية الخاصه.‏
ضرورة اهتمام الكادر الطبي بشكل افضل و توفير العدد الكافي ليتالئم مع اعداد المرضى المراجعين
توفر وسائل الراحة في غرف معاينة المرضى و اعتماد اقصى درجات النظافة في الوحدات الصحية و توفير مواد
النظافة العامة فيها حيث ان النظافة بشكل عام تحقق مستوى مرتفع من الرضى لدى المريض.‏
معاملة المرضى بالتساوي و العدل دون النظر الى الوضع االجتماعي للمريض او الواسطة
اجراء مثل هذه الدراسة في المحافظات االخرى و مقارنة نتائج هذه الدراسة مع نتائج تلك الدراسات للحصول على صورة
اوضح عن رضى المرضى المراجعين عن الخدمات الطبية في المستشفيات و المراكز الصحية الحكومية االردنية
ضرورة االهتمام بالتوزيع الجغرافي للمنشأ الطبي بحيث يتناسب مع كثافة السكان في المنطقة.‏
.
.
.
,
-1
-3
-2
-0
-5
-1
24

10. Use of Morse Scale to Evaluate Risk of Falls in Hospitalized Patients at RRC
Dr Naheyah Almuhtaseb MD (presenter) , Rania Rateb RN, Nehad Rajeh RN, Nadia
Salem RN
Introduction:
Falls are commonly encountered health problem, which might be a serious threat to
patient’s health and a costly issue. Falls are common due to various medical (chronic
health conditions, cognitive impairments, difficulties in ambulation, sensory defects etc.)
and environmental causes. Falls might result in minor or severe injuries. Many reasons
might be predictable and preventable.
Objective:
To document the numbers of patients in each category of the Morse scale in relation to
total number of admissions. To document the total numbers of falls during the same
time period.
Evaluation of the policy to prevent falls and what measures are taken after a fall.
Conclusions: falls are frequently underreported because no major harm is obvious after
a fall; falls are not witnessed; and there are no protocols to be followed after a fall.
25

.15
ادارة انظمة االمن والسالمه المهنيه والصحيه في المستشفيات
العقيد الصيدالنيه ريم ابراهيم محادين
العقيد الصيدالنيه تغريد صالح الحباشنه
المقدمة 3
تسعى العديد من المؤسسات العالجية والمستشفيات في الوطن العربي الى االعتماد لضمان تقديم خدمة طبية ذات جودة عالية والتي بدورها تؤدي
الى زيادة الطلب على أخصائين وخبراء في الجودة الطبية.‏ إن تعدد الخدمات المقدمة داخل المستشفى واختالف نوع الخدمه وذلك بناءاً‏ على عدة
عوامل مختلفة منها)المريض واحتياجاته ‏،القسم ‏،الطبيب ‏،نوع المرض ‏،عمر المريض وغيرها والتى تؤدى الى اختالف نوع الخدمه المقدمة
من مريض الخر
الهدف
)
ان سالمة وامان المرضى تعتبر حجر الزاوية في الرعاية الصحية وفي جودة الخدمات الطبية المقدمة وبالتالي فأن اهمية المستشفى تكمن كونه
المكان الذى يقصد للشفاء والمكان المفترض ان يكون على اعلى مستوى من االمن والسالمه والصحه وبالتالي فإن مسؤولي ومديري
المستشفيات يتوجب عليهم السعي لتحسين االداء ونوعيه وسالمه الخدمات المقدمه الى المرضى والذي بدوره يعمل على تحسين النتائج والتي
غالباً‏ ما يصحبها انخفاض معدالت اعاده الرعايه الصحيه للمرضى وانخفاض معدالت االصابه بالعدوى فى تلك المستشفيات وقلة عدد االخطاء
الطبيه وتحسين اداره االدويه .
منهجية الدراسة 3
تمت الدراسه بناء على معاينة انواع االعمال والواجبات المعمول بها في بعض مستشفيات البلدان العربيه وخاصه دول الخليج الخذ التعليمات من
قبل جهات صحيه ومؤسسات عالميه وتطبيقها او وضع معايير مثل
كونه تم اعتماد قوانين محليه وعالميه واعتمادها كأساس في الدراسه ومالحظة تطبيقها
ومحاولة الوصول الى النتيجه المطلوبه او المعيار الذي يجب تطبيقه على المستشفى.‏
18111 OHSAS(occupational health and safety
management system specifications )
النتائج‎3‎
إن ادارة االمن و السالمه المهنيه والصحيه المناطة بالجهة او االداره المعنيه والتى تتحمل المسؤوليات التالية ‎1‎‏.مسئولية 3 ادارة االمن
وتطبيق اجراءات السالمه المهنيه ‎3‎‏.مالحظة مستوى الصحه المهنيه سواء للعنصر العامل المتمثل فى االداره واالطباء والممرضين والفنيين
والعمال و المرضى ومن ثم الزوار 2. متابعة مستوى السالمه سواء للمبنى او المعدات او المتعلقات التى تستخدم ويتم اعادة تدويرها مثل
االغطيه والشراشف والوسائد والمالبس وغيرها اواالدوات المستعمله وايضا مواد التنظيف
‎0‎‏.متابعة اجراءات االمن كحماية كامله للمبانى والعاملين والمرضى والزوا ر
التوصيات 3
إن سياسة تطبيق أنظمة أدارة االمن والسالمة والصحة المهنية في المستشفيات أصبحت من االمور المهمة والشاغلة لجميع الدول التي تسعى
إلى مجاراة المتغيرات في البيئه الخارجية سواء على المستوى الوطني أوالمستوى العالمي وذلك من خالل تطبيق أنظمة أدارة الجودة الشاملة
والتي من شأنها وضع اي مؤسسة في مصاف التنافس عالي المستوى خصوصاً‏ في مجاالت الرعاية الصحية
إن بيان اهمية وجود االمن والسالمه والصحه المهنيه فى المستشفيات والتي بالتالي يمكن ان يكون تأثيرها سلبيا فى حال عدم االهتمام فى
ارشادات االمن والسالمه وبيان كيفية ادارة انظمة االمن والسالمه فى ادارة المخلفات والنظافه العامه وشروط ومواصفات عديده لعدد من
االعمال وكيف يمكن السيطره عليها وتوفير بيئه مالئمه للعمل للعاملين تمنحهم الوقايه من العدوى واالمراض ان تم االلتزام بهذه االرشادات
حسب االصول
26

11. Complexities and Barriers That Influence Nursing Documentation In Clinical
Practice.
Abdullah AL Khawaldeh (presenter) , Sulieman AL-Husban, RN, Murad AL-Shdafat,
RN , Essam AL-Zyoud, RN, Khaled Abu-Azzam, RN, Fatima AL-harahsha.
Introduction:
Nursing documentation is a basic element for professional practice and
providing quality patient care. Nursing documentation is an essential part of a quality
system and important for quality improvement and nursing research.
Objective:
To identify the complexities and barriers of nursing documentation in clinical practice.
Methodology :
A literature review search of the electronic databases MEDLINE and CINAHL for
relevant articles. published between 3111 and above was done .
Findings:
In total, 31 studies were included. Three aspects of complexities in nursing
documentation include: disruption, incompleteness and inappropriate charting.
Barriers to nursing documentation comprised: lack of time and staff, workflow priority
issues, lack of competence, motivation and confidence; ineffective nursing procedures;
insufficient space and poor access to notes and inadequate nursing audit, supervision
and staff development; organizational problems such as a lack of consistency; practical
difficulties such as recording actions based on assessments; and translating an event into
files.
conclusion &recommendation:
General complexities and barriers , which influence nursing documentation in clinical
practice, need to be distinguished. To support nurses in documenting, we recommend
taking a comprehensive perspective on complexities and barriers that influence nursing
documentation.
27

11. Quality Improvement Method Implemented at Prince Ali-Bin Al-Hussein Hospital To
Decrease The Percentage of Wrong-site Surgery
Montaha Habashneh RN , (presenter) Al-Nawaiseh Areen RN , Al- Zuriqat Sahar RN , Al-
Jaafreh Thamer RN , Al Madanat Lamees RN.
Introduction:
Improving patient safety is an increasing priority for surgeons and hospitals .Wrong site
surgery can be on procedure, the wrong person, organ or limb, or wrong vertebral level..
Wrong site surgery cannot be reversed. Many times it is fatal mistake or one that leaves
the patient significantly worse off than he or she before the surgery. Therefore, it will
ultimately remain the surgeon's responsibility to ensure the correct site of operation is
marked in every case.
Objectives :
To have an opportunity to Prevent Wrong-site Surgery by using marking technique to
the surgeries that implemented at Prince Ali-Bin Al-Hussein Hospital .
Materials and methodes:
This descriptive study was conducted on total of (121 patients) who underwent to
general surgeries at Prince Ali Bin AL- Hussein hospital between the period of( July
3113 to January 3112) ,for all surgeries that should be marked before sent to operation
room. The data was collected from the pre operative records in the recovery room and
the patient’s medical record. A simple descriptive statistical method (percentage) was
used to describe this study.
Results:
After analyzing data that documented in the recovery room about surgeries that must be
marked the site of the operation exhibit an increasing of marking the sites as following
percentage.
The total number of general surgeries was done at July 3113 was 85 surgery ,( 013) of
them was not marked while the period in between July 3113 until January 3112 total
showed an obvious increasing of percentage of marking site of surgeries . On January
3112 the marking site of surgeries result was 1113 from 111 surgeries done at that
month.
Conclusion :
From the previous we must say that pre and intra operative check of marking site is
an essential prevention strategies to get high level of patient safety and provide safe
legal aspect to the all staff deal with that patient .
28

الخدمات الطبية الملكية
جودة وسالمة الرعاية الصحية على طريق التميز وتحسين االداء المستمر .
تطبيق معايير ادارة الجودة الشاملة في مديرية الخدمات الطبية الملكية ( االيزو 9111 لعام 3118(
مديرية التأهيل الفني وتنمية القوى البشرية
مديرية التمريض
-1
-2
-:
-:
-5
-6
-7
-0
-0
-18
-11
مديرية التزويد الطبي
مديرية الصيدلة والدواء
كلية األميرة منى للتمريض
معهد تكنولوجيا األجهزة الطبية
دائرة الخدمات العامة والتغذية
شعبة التأمين الصحي
شعبة اإلدارة والقوى البشرية
شعبة األثاث واللوازم غير الطبية
شعبة المشتريات المركزية
حصول مركز االميرة إيمان لألبحاث والعلوم المخبرية على شهادة اعتماد المختبرات شهادة المواصفة
(ISO 1518933111) JAS الدولية أيزو
29

18. Factors Affecting Medication Errors Among Registered Nurses In Queen Rania Al
Abdulla Children Hospital
Wafa karadsheh) RN, MSc presenter) , Rana Darwesh RN, Lobna Kildani RN, Tariq
AL-Alabbade RN, Raghda Michel RN, Samer Karadsheh MD.
Itroduction:
Serious medication errors can have a great impact on nurses, both personally and
professionally, reactions from significant others were central to the final outcome for
nurses who made drug errors, they wanted to share their experiences, but this required
confidence and trust
Objectives:
The purpose of this study is to express the experiences of nurses who had committed
serious medication errors and to explore the meaning these experiences carried and to
dig for some of the reasons stand behind medication in nursing environmental work.
Method:
We used "Gladstone survey" with some modifications to collect data for this study.
Instrument content validity was determined acceptable by Osborne, Blais, and Hayes
(1999) and Goldstone (1995). Conducting this study was under the permission of the
hospitals directors and the nurse's manger.
All participants assured that their responses would be confidential and information that
might reveal their identity would not be recorded and only aggregate data would be
communicated.
We studied prescribing, administration and documentation errors.
Results:
Study shows that the top 2 ranked (out of 11) perceived causes of drug errors were the
following:
A. MD handwriting is difficult to read or illegible.
B. Nurses are distracted
C. Nurses are tired and exhausted
Conclusion:
Medication errors should be managed in constructive manner which includes exploring
underlying causes and the counseling and support needs of the nurses involved. Using
accreditation standards and practicing plam free incidence report useful tool to
minimize medication errors.
31

19. Maintaining Thermal Regulation by Delaying Bathing For Neonates In Queen Alia
Alia Military Hospital
Mervat Shubat RN, MSc (presenter) , Maha Abu Radwan RN,Lara Alfar RN, , Suha
Wrekat RN, Nawal Aldaaja RN.
Introduction:
Neonatal hypothermia often due to lack of attention by health care provider
continues to be a very important cause of neonatal complication.
Baby must be kept warm at the place of birth (home or hospital) and during
transportation for special care either from home to hospital or within the hospital.
Satisfactory control demands both prevention of heat loss and promotion of heat
gain. Bathing should be avoided immediately after birth, before giving bath
ensure that water temperature is normal, preferably give bath to normal baby on
second day in summer, in winter bathing may be avoided for several days.
Purpose:
Purpose of this study was to preserve thermal regulation by specify cases that need
bathing and decrease or delay bathing to newborn babies.
Methodology:
Cross sectional designs was used to conduct this study, all newborn babies
born in Queen Alia Military Hospital (nursery unit) in 3113 data was collected
from the unit records.
Findings:
Total number of deliveries in 3113 was (0121) delivery and total number of
grunting patients admitted to NUICU (3113) was 01 cases. Total number of
deliveries in 3111 was (0133) and total number of grunting patients admitted
to NUICU (3111) 11 cases.
Conclusion &recommendation:
Delaying bathing of the baby decrease the admission of grunted babies as a result
of thermal regulation.
Health education to change the cultural concept of early bathing among families
and nurses.
Continue the routine of thermal regulation by post pone bathing for the babies
except for needed cases.
More studies to be conducted to support our study in the mean of thermal
regulation
31

31. Workplace Violence:
Nuha Remon RN, (presenter) Refa Asfour RN , Aziza Matar RN, Nisreen Talaat
Tohmaz RN , Emtiaz Al-Da’aja, RN .
Introduction:
The effect of workplace violence has increased significantly and received rising
awareness globally in psychiatric, emergency and health care settings.
Objective:
The aim of this paper is to synthesize the body of literature on workplace violence, its
factors and impact on health care personnel, and to identify strategies for violence
prevention.
Methodology:
Literature review was done. To fulfill this aim Pub Med, Medline, CINAHL plus
databases were searched.
Findings:
Most research focused on the prevalence of workplace violence in psychiatric,
emergency, long term care settings and impact on staff worldwide and specifically in
Jordan. The majority of victims of workplace violence were nurses and ambulance
personnel including paramedics respectively. Themes of differences in perception of
violence, incidents and types of violence, underestimated incidence rates of violence,
antecedents and consequences of violence, and awareness and prevention of workplace
violence were all main areas addressed in the literature.
Conclusion & recommendation:
Both patients and health care personnel have the right to be treated in a risk free
environment that is harmless to health and wellbeing. Safety can be increased by
training the staff to be able to evaluate the potential for violence, report any incident of
violence among health care workers, patients, and visitors. Other component of
prevention is crisis management.
32

21. Quality in Medical Equipment Risk Management Contribute to Patient Safety
Ibrahim S. Aldajeh, Biomedical Engineering, Institute of Biomedical Technology, Royal
Medical Services
Introduction:
Medical devices are becoming more important in the health care sector, and the key
advantage of a quality system represents a preventive approach to ensure consistency in
the quality and provide the basis for greater reliability in safety and performance of a
medical device.
Purpose/aim:
The aim of this study was to identify the value of the criteria and the maintenance
programs used in ensuring safe equipments in creating early risk management.
Methods:
One hundred and twenty medical equipments were evaluated within the last six months
using the Risk Management Assessment Tool.
Setting:
The study was carried out at one of the Jordanian Military Hospital using different
medical equipments to provide medical and surgical health care services for patients at
Queen Rania Hospital for children.
Instrument:
Risk Management Assessment Tool (medical equipment management program
(MEMP)) was used to evaluate the reactive, preventive, predictive, and reliability
centered maintenance .This tool describes the risk, safety, and management activities
that System/Hospital Name has put in place to reduce the potential for adverse impact
on the safety.
Results
The results of the study showed that 09 medical equipments (157) met the criteria for
MEMP inventory, 15 medical equipments (12.57) met two criteria of the MEMP
inventory criteria, and 15 medical equipments (12.57) not met the criteria of MEMP
inventory. Furthermore, the results showed that the management of medical equipment
hazards notice and recalls system not meets the MEMP regulatory requirements.
33

33.The Effects of Working Hours, Fatigue of RNs on Patient Safety:
Arwa Ramadan RN, MSc (presenter) , Shahinaz Mohammad RN,MSc , Suzan Jameel
RN, Reeta Ammari RN, Amal Abbadi RN, Muneera Hijazi
Introduction:
The nursing profession, considered vital to patient safety and care in the hospital.
Currently, nurses in acute care facilities work long hours and overtime ranging from a
few hours to full shifts, missing breaks and lunches during these long stretches of work
occurs regularly. Long work hours can and often does result in poorer patient outcomes.
Examining the relationship between hours spent at the bedside without sufficient rest to
the quality of care provided. Inadequate rest, sleep loss, and shift work schedules often
contribute to fatigue, which is often characterized by a decreased ability to complete
work and a subjective complaint of feeling tired and may diminish productivity and lead
to errors and accidents.
Purpose:
The purpose of this study was to explore the relationship between the working hours,
fatigue of RNs and patient safety.
Methodology:
Literature review was done. To fulfill this aim Pub Med, Medline, CINAHL plus
databases were searched
Finding:
There are hints that the fatigue associated with working twelve-hour shifts is
contributing to absenteeism and job dissatisfaction among RNs. Fatigue related to length
of shift or the potential of overtime at end of shift overtime, and number of hours
worked per week had significant effects on nurses errors, nurses who were fatigued and
stressed by high patient caseloads and understaffing, made frequent mistakes and
procedural errors.
Despite the lack of information about accident rates involving nurses, probed
performance tests reveal that nurses working long shifts make more frequent errors on
grammatical reasoning tasks and medical record reviewing. And finally there are no
previous study done in Jordan to investigate the relationship between work hours,
fatigue and patient safety.
Conclusion:
Fatigue can be exacerbated with increased numbers of shifts worked without a day off,
and working more than four consecutive 13hours shifts is associated with excessive
fatigue and longer recovery times. Furthermore, there was an impact of extended work
shifts and the relationship of these work schedules to nurse and patient safety
Recommendations:
Adequate rest to be obtained between shifts, management must put a structure in place
that allows staff to schedule time for breaks and meals. Also educate nurses about
proper sleep hygiene and personal responsibility not working when too fatigued.
Studies are needed to address the relationship between work hours, fatigue and patient
safety among nurses in Jordan examining the relationship between hours spent at the
bedside without sufficient rest to the quality of care provided.
34

.32
مدى تاثير تطبيق تقييم الموردين على اداء
الموردين
المعتمدين لدى مديرية الخدمات الطبية الملكية عام‎3113‎
الرائد ادارة مستشفيات رسمي محاسنه
عبداهلل البدارين النقيب ممرضة قانونية عائشة محاسنه
المقدمة‎3‎
; ) Presenter(
النقيب المهندس ابراهيم الدعجه ; الرائد ادارة مستشفيات
إن االرتقاء بالخدمات الطبية الملكية نحو التميز في تقديم خدمة طبية متميزة وآمنة ذات جودة عالية وباقل التكاليف وااللتزام
بالتحسين المستمر هو الهدف المنشود،‏ ان تقييم الموردين المعتمدين من اهم معايير الجودة والتي تساعد على الحصول
على افضل المواد واالجهزة والمعدات واالالت والخدمات ‏...الخ الالزمة إلدامة العمل في مستشفيات الخدمات الطبية
الملكية كمؤسسة رائدة في تقديم الخدمات الطبية على مستوى المنطقة والعالم ، لما تقدم جاءت هذه الدراسة لتبين اهمية
تقييم الموردين على اداء الموردين المعتمدين لدى مديرية الخدمات الطبية الملكية.‏
هدف الدراسة
تهدف هذه الدراسة الى التعرف على اثر فاعلية تطبيق تقييم الموردين في مديرية الخدمات الطبية الملكية على اداء
الموردين المعتمدين لديها خالل العام ‎2112‎مما ينعكس ايجابا ‏"أو سلبا ‏"على جودة الخدمة المقدمة من قبل هذه الشركات أو
المؤسسات مما يساعد بالتالي على جودة وسرعة توفير االحتياجات المختلفة من المواد واالجهزة والمعدات والخدمات التي
تتطلبها الدامة العمل بمستشفيات ووحدات الخدمات الطبية الملكية وتحقيق هدف الجودة الذي تسعى اليه
منهجية الدراسة 3
.
ومن اجل تحقيق أهداف هذه الدراسة فقد اعتمد البحث المنهجية التالية:‏
حصر موردي مختلف أنواع المواد واالجهزة والمعدات واالالت والمستهلكات الطبية وغير الطبية والخدمات
‏)عقود صيانة – نظافة(‏ وذلك لحصر مجتمع الدراسة والذي هو عبارة عن كافة الموردين المعتمدين لدى مديرية
الخدمات الطبية الملكية خالل عام‎2112‎ وعددها(‏‎151‎‏)‏ شركة ومؤسسة
اعتمدت الدراسة نموذج التقييم المعتمد لدى مديرية الخدمات الطبية الملكية وفق نظام ادارة الجودة االيزو
و توزيع نماذج التقييم إلى األقسام والدوائر المعنية لتقييم الموردين من المشرف أو المسؤول
المباشر ‏/المختص عن تلك الخدمات.استالم النتائج وتحليلها وفق االوزان المحددة وفق النموذج المعد لذلك
استخراج نتائج التقييم من واقع النموذج لكافة الموردين.متابعة أداء الموردين واتخاذ االجراءات بحق غير
الملتزمين بتحسين مستوى التعامل .
نتائج الدراسة:‏
.
2112-1111
وتوصلت الدراسة الى مجموعة من النتائج اهمها
:
.1
.2
ان مديرية الخدمات الطبية الملكية لديها نظام تقييم موردين فعال ‏،يعتمد على تطبيق نظام ادارة الجودة
آيزو‎1111‎
وجود عالقة ايجابية بين تطبيق تقييم الموردين في تحسين مستوى جودة الخدمة المقدمة وجودة المنتج،‏ وهي
نتيجة تقاس سنويا.‏
التوصيات واالقتراحات‎3‎
ت و ص ي ا ل د ر ا س ة بْ‏ ا ت خ ا ذ ب ع ض ا ال ج ر ر ا ء ا ت ل ت ح س ر ي ن م س ر ت و ى ا ال د ا ء ل ر د ى م ر و ر د ي م د ي ر ي ر ة ا ل خ ر د م ا ت ا ل ط ب ي ر ة و ت ر ت ل خ ص ه ر ذ ه
االجراءات كالتالي حسب نتائج الدراسة:‏
ان تتم مشاركة العاملين وأخذ رايهم بتقييم اداء الموردين لتحسين الخدمات التي يتم تقديمها وآلية تطويرها
العمل على عقد لقاءات مفتوحة ودورية مع الموردين وأخذ اراءهم واقتراحاتهم وشكاويهم
العمل على زيادة التواصل الدوري بين االدارة والعاملين لزيادة جودة الخدمة المقدمة للعمالء والموردين.‏
.
.
.1
.2
.3
35

30. Nurses Attitude Toward Evidence Based Practice in Prince Rashid Hospital
Mai Ishtawi, RN. MSc (presenter) Wafa' Abo-Rabe'RN, Noor Shafeq RN, Hanan
Mahases RN, Rana Trad RN.
Introduction:
Evidence-based practice (EBP) is an approach to health care practice that enables
nurses to provide the highest quality care based on the best evidence which is critically
appraised and scientifically proven for delivering quality health care to meet the needs
of their patients
Objective:
The objective of this study was to explore nurses’ awareness of, knowledge, and attitude
toward EBP and factors likely to create barriers to carrying it. Also information sources
used by nurses and their literature searching skills were also investigated.
Method:
A cross-sectional study was designed, The methodology applied consisted on a selfadministered
survey using the instruments Evidence-Based Practice Questionnaire,
copies of the questionnaire were distributed to 111 registered nurses in different wards
in prince Rashid bin-el Hassan hospital, in Irbid city, in the northern region. 39
completed forms were returned, resulting in a response rate of 923.
Result:
113 of the nurses expressed a positive attitude toward the current promotions of EB.
And 81.13 of the study sample says that the research finding is useful. 02.33 showed
that nursing practice is evidence based. The top three barriers to carrying out EBP are
lack of personal time (89.93), limited resources and facilities (153), EBP is not difficult
to understand (223)
Recommendation:
nurses are in need for training to be able to achieve the use of EBP, and teaching them
the search strategies portion of an EBP skills course. Hospital libraries should also play
an active role in developing adequate information literacy skills among the nurses.
36

35. Effect of Ventilation System Preventive Maintenance On Quality Of Care In The
Hyperbaric Department.
Owaid Tarawnh BMT, Waad Forsan RN,Ahmed Ali BMT, Omar Qtameen RN,
Muhanned Mohammed BMT.
Introduction:-
Hyperbaric oxygen therapy (HBOT) is used in treating many clinical and diving related
conditions .It must be available all time to provide care especially in emergency
circumstances .Maintenance of the ventilation system is important to assure continuity
of patient care.
Purpose:-
To assure that preventive maintenance of ventilation system important in the continuity
of patient care.
Method:-
Retrospective study carried out in HBOT department at Princess Haya Hospital in
which maintenance records of ventilation system were reviewed from 3111 to 3113.
Data collected include number of malfunctions and how many days missed from
providing care.
Results:-
10 defects were found and occurred at frequency of 5-1 months. Total days of chamber
being out of order were 101 days.
Conclusion:-
Preventive maintenance of ventilation system every 0 month (before the expected time of
defect) could save the chamber from many days of care interruption which improves the
quality of care provided to patients.
37

31. The role of Medical Support Command in clinical safety in Joint Special Operation
Command
Samir Mohamed Al- Ofeishat, MD, JB.
Assess the medical experience (health care and awareness) among Joint Special
Operations personnel in Jordan. The general medicine clinic providing excellent and
safe medical service which is characterized by high quality, with commitment towards
development, continuous improvement, and best utilization of available resources.
Short review about special operations and the medical services provided
1. Basic medical and dental care.
3. For health education purposes, medical support team provided health awareness
lectures, brochures, and regular first aid courses.
2. Chemical warfare agents’ course was conducted in King Hussein Medical Centre.
0. Battle field medicine course; clinical casualty management in the war zone
38

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39