DOH Standards (Indicators)

CRITERIA INDICATOR EVIDENCE AREAS COMPLIED REMARKS

I. Patient Rights and Organizational Ethics
Standard: Organizational Policies and procedures respect and support patients right to quality
care and their responsibilities in that care.
Informed All patients DOCUMENT Wards
consent is chart REVIEW
obtained from Patient Charts
patients prior
to initiation of INTERVIEW
care. Patients
Policies and Presence of DOCUMENT Wards
procedures policies and REVIEW
which identify procedures to Policies and
and address identify and procedure on
patient’s rights address patient’s rights
and patient’s rights INTERVIEW
responsibilities ( DOH Staff
are memorandum Patients
documented No. 2017- OBSERVE
and 0061) Posted
monitored. patient’s rights
in conspicuous
places
II. Patient Care
All patients The content of DOCUMENT
are correctly patients chart REVIEW
identified by are the Patients charts
their patients following: from ER, ward
charts, 1.Summary of and OPD.
including new Face sheet INTERVIEW
born 2.Informed Patients
consent
3. Historty and
PE
4. Doctors
order
5.Nurses
Notes
TPR sheet
7. Laboratory
8. Imaging
Report
9. Maternal
Record
 10.Newborn
Record
11.OR/Anes
Record
12.Medication
and Treatment
record
13.
14.
15.
16.
17.
STANDARD;