Medical Staff Bylaws - Arkansas Children's Hospital

ACH commitment to patient care quality and patient safety across the clinical enterprise. As such,deliberations and findings of the committee are protected under the appropriate Arkansas statutes.Through its deliberations and activities, the committee will:a. Set the quality and patient safety agenda for the ACH clinical enterprise.b. Promote quality and patient safety initiatives in patient care areas and across theclinical enterprise.c. Ensure that quality and safety standards are being met across the clinicalenterprise.This will be accomplished through:1) Compliance with The Joint Commission standards and National PatientSafety Goals2) Review of quality and safety activities, including but not limited toa) Infection Controlb) Transfusionc) Radiation Safetyd) Escalation of Caree) Multi-institutional collaboratives/initiatives3) Review of clinical policies and procedures relevant to quality and patientsafety.4) Review of quality and safety performance indicators and metrics forclinical practice.5) Oversight of all other clinical and administrative activities as they affectquality and patient safety. For example,a) Medical equipment and supply purchase and careb) Pharmacy and medical safetyc) In-hospital of transport of patients13.9.8.3 Meetings: The Quality and Patient Safety Committee will meet at least sixtimes per year.13.9.9 Other CommitteesThe MSEC may appoint other committees as necessary for effective and efficient operation of theHospital and proper discharge of the Medical Staff's responsibility for assuring high quality patient carein the hospital. It may also assign new functions to existing committees.71