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List of Committees With Their Roles and Composition 1. Quality Improvement Committee
List of Committees With Their Roles and Composition 1. Quality Improvement Committee
COMPOSITION
1. Quality Improvement Committee:
This committee takes responsibility of developing and periodically reviewing the organization
wide quality improvement programme. The committee generally works as an apex committee
for a hospital preparing for accreditation
Roles and responsibilities
Develop and approve organization wide quality improvement programme, policies, manual and
activities
Identify quality indicators for monitoring quality
Recommend suitable benchmarks for indicators
Review quality indicators performance periodically and take appropriate decisions for further
improvement
Recommend best practices for implementation in hospital
Review and identify accreditation requirements and make plans to address them
Guiding departments in matters related to quality and accreditation
Develop and monitor quality improvement activities across the organization
Suggested members
Chairperson – Someone from top management such as CEO, Vice president or director.
Convener/Coordinator – Accreditation coordinator / Quality Officer or similar
Other members – One representative each from medical specialities, surgical specialities,
Gynaecology and Obstetrics, Paediatrics, Super-specialities, Laboratory services, Blood Bank,
Imaging Services, General Management, HR management, Pharmacy services and Support
services
4. Safety Committee:
Safety committee bears the responsibility of ensuring safety of all across the organization.
Scope of this committee is wide and in larger hospital it can be further segregated into radiation
safety committee, lab safety committee and hospital safety committee. If there are multiple
committees working on safety issue, the interaction between these committees are very
important to ensure uniform policy making and actions. This can be achieved by having few
members common between these committees
Roles and responsibilities
Develop and issue policies related to safety based upon best national and international safety
practice
Monitor implementation of safety practices through appropriate indicators, audits and
feedbacks
Oversee the development and implementation of various emergency codes such as code
blue, code pink, code red, code yellow etc.
Investigate sentinel events and other safety related adverse events
Issue guidelines related to safety pertaining to clinical and non-clinical activities
Develop mechanism for reporting and tracking of safety related adverse events
Suggested members
Chairperson – A senior member such as general manager
Convenor/Co-ordinator – Safety manager
Clinical members – Representatives from clinicians (specially surgery, medicine),
representatives from laboratory and radiology, radiation safety officer, representative from
nursing department, ICU in-charge and OT in-charge,
Non-clinical members – Maintenance in-charge, security in-charge, representative from
general management, fire safety officer and any other relevant