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بجدة فكد للقوات المسلحةمستشفى الملك KING FAHD ARMED FORCES HOSPITAL, JEDDAH مة المرضى ادارة تطوير الجودة وسCONTINUOUS QUALITY IMPROVEMENT & PATIENT SAFETY DEPARTMENT المرضى والمراجعينيل دل2021

KING FAHD ARMED FORCES HOSPITAL, JEDDAH · 2021. 2. 15. · ةدب ةلملا تاوقلل دكف كلملا ىفتم king fahd armed forces hospital, jeddah ىضرملا ةملاو

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Page 1: KING FAHD ARMED FORCES HOSPITAL, JEDDAH · 2021. 2. 15. · ةدب ةلملا تاوقلل دكف كلملا ىفتم king fahd armed forces hospital, jeddah ىضرملا ةملاو

مستشفى الملك فكد للقوات المسلحة بجدةKING FAHD ARMED FORCES HOSPITAL, JEDDAH

ادارة تطوير الجودة وسلامة المرضى

CONTINUOUS QUALITY IMPROVEMENT &

PATIENT SAFETY DEPARTMENT

دليل المرضى والمراجعين

2021

Page 2: KING FAHD ARMED FORCES HOSPITAL, JEDDAH · 2021. 2. 15. · ةدب ةلملا تاوقلل دكف كلملا ىفتم king fahd armed forces hospital, jeddah ىضرملا ةملاو

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Page 3: KING FAHD ARMED FORCES HOSPITAL, JEDDAH · 2021. 2. 15. · ةدب ةلملا تاوقلل دكف كلملا ىفتم king fahd armed forces hospital, jeddah ىضرملا ةملاو

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Page 4: KING FAHD ARMED FORCES HOSPITAL, JEDDAH · 2021. 2. 15. · ةدب ةلملا تاوقلل دكف كلملا ىفتم king fahd armed forces hospital, jeddah ىضرملا ةملاو

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Page 5: KING FAHD ARMED FORCES HOSPITAL, JEDDAH · 2021. 2. 15. · ةدب ةلملا تاوقلل دكف كلملا ىفتم king fahd armed forces hospital, jeddah ىضرملا ةملاو

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إدارة تطوير الجودة وسلامة المرضىCQI & PS KFAFH

QK ˇ^fl^äkÿ=fiÍÑ—kf=ÔÍ_ƒàÿ^=Ô∑à’ÿ^=öÍà›Ÿÿ=Ω=m˘_v=ˇ^á_òkv=Ó_ÃÈÿ^Ë=åvË‚=⁄‹_≈kÿ^=∆‹=ʇ_›orK=

ÔÎwîÿ^=ÔÍ_ƒàÿ^=Ô�~=Ω=Ô‘á_êª^=W=�_ãÉ_ãW=NK ŒÍà≈j=öÍàª^=ÔÍ_ƒàÿ_f=;ÿ^=_‹їj=Óaê·ª^=ÔÎwîÿ^=Ô�¶^Ë=ÔÎr˙≈ÿ^=Óáà—ª^=fisvË=

m_·_’‹dË=Óaê·ª^=ÔÎwîÿ^K

OK “v=öÍàª^=Ë`=ÏìÈÿ^=χȇ_—ÿ^=ÊΟƒ=Ω=€Èî•^=Ÿƒ=m_‹ÈŸ≈‹=ÔŸ‹_‘=ÔoÍÑvË=‚‹=hÎg�ÿ^=/_≈ª^=Èî†ñ=ïÎÄêkÿ^=u˙≈ÿ^Ë=Ô…Ÿf=KÔ‹ÈÂÕ‹=

PK “v=öÍàª^=Ω=ÔÃà≈‹=Ú_5`=≤‘á_êª^=Ω=fiÍÑ—j=ÔÍ_ƒàÿ^=ÔÎwîÿ^=Êÿ=fiÂj_îî£Ë=fiã^Ë=hÎg�ÿ^=åª^Ù€È=‚ƒ=Êr˙ƒ=Ô≈f_k‹Ë=Êkÿ_v=Ê»˙fdË=ÉÈrÈf=≤fáÑk‹=≤î~à‹=Ω=€_v=^ȇ_‘=

‚›ó=“ÍàÕÿ^=:�ÿ^K=

QK Ôê–_·‹=hÎg�ÿ^=_≈ª^/=öÍà›Ÿÿ=Ë`=ÏìÈÿ^=χȇ_—ÿ^=ΟƒÊ=‚ƒ=tÛ_k·ÿ^=Ô≈–Èkª^=ÔÃà≈‹Ë=⁄Û^Ñgÿ^=ÔgÎg�ÿ^=Ôv3—ª^=F„d=mÑrË=Em_Õƒ_òª^Ë=àù_Ī^ËK=

RK “v=öÍàª^=Ë`=ÏìÈÿ^=χȇ_—ÿ^=ÊΟƒ=Ω=€Èî•^=‚‹=hÎg�ÿ^=/_≈ª^=Ÿƒ=m_‹ÈŸ≈ª^=Ô‹â˙ÿ^=⁄g–=Ì`=Ú^àrd=Ïr˙ƒ=Ë`=ÔΟ›ƒ=÷ÿÖË=⁄g–=∆ΖÈkÿ^=Ÿƒ=∂uÖÈ=á^à–ˇ^=öÍà›ŸÿË=ÔÃà≈‹=fiã^=

ïÄêÿ^=^åªÙ€È=‚ƒ=^܉=Ú^àrˇ^=^у=m˘_v=ÚÌá^È�ÿ^=;ÿ^=σÑkåj=⁄~Ñkÿ^=:�ÿ^=⁄r_≈ÿ^=_¥=“ÕkÍ=∆‹=Ô›¡‡˚^=≤‡^È—ÿ^Ë=Ô≈gkª^K=

SK ÔÃà≈‹=öÍàª^=Ô΃ȷf=m˙~Ñkÿ^=ÔÍËÉ˚^Ë=m_ƒ_≈èˇ^Ë=Ô‹ÑÄkåª^=Ω=u˙≈ÿ^=_ÂkÎÿ_≈ÃË=_·‹`Ë=_Âk‹˙ãËK=

TK yÎóÈj=i_gã`=⁄—‡=öÍàª^=≥d=„_’‹=à~b=⁄~^É=Ë`=uá_~=Óaê·ª^=ÔÎwîÿ^=∆‹=ÊÛ_�ƒd=m^É_èáˇ^=ÍáËàòÿ^ÔK=

UK v“=öÍàª^=Ω=Ü~`=Ì`á=:ù=à~bK=

u˙≈ÿ^=öÃá=W=�_≈f_ãW=NK ŒÍà≈j=öÍàª^=Ë`=ÏìÈÿ^=χȇ_—ÿ^=ÊΟƒ=Ô·_’‹ef=öÃá=u˙≈ÿ^=áà—ª^=Ë`=Úär=Ê·‹=∆‹=^fl^äkÿ=

Óaê·ª^=^ÜÂf=“•^=_¥=˘=Ã_·kÍ=∆‹=Ô›¡‡˚^=≤‡^È—ÿ^Ë=Ô≈gkª^=fi»˙fdË=‚ƒ=ÿ^tÛ_k·=Ô≈–Èkª^=‚‹=á^à–=öÃàÿ^=∆‹ ÓáËàó=fiÂ≈ΖÈj=Ÿƒ=uÖÈ∂=á^à–ˇ^=ñ_¶^=Ú^àrˇ_f=Ïr˙≈ÿ^=áà—ª^K=

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إدارة تطوير الجودة وسلامة المرضىCQI & PS KFAFH

OK ̆=hj3Í=Ÿƒ=öÃá=u˙≈ÿ^=Ì`=m^á^à–=Ë`=m^Ú^àrd=ÔΟg—kå‹=ÜÄkj=Ñó=öÍàª^=Ω=Êk≈r^à‹=Ô§_≈ª=çÕ‡=úàª^=Ë`=Á4»K=

PK ̆=hj3Í=Ÿƒ=öÃá=u˙≈ÿ^=Ì`=m^á^à–=Ë`=m^Ú^àrd=çÎÿ=_7=ƒÔ–˙=Ôÿ_•_f=ÔÎwîÿ^=öÍà›Ÿÿ=fläkŸÍË=flÑ—‹=ԋѶ^=Ω=Óaê·ª^=ÔÎwîÿ^=ˇ_fá^à›kã=fiÍÑ—kf=ÔÍ_ƒàÿ^=Ôgã_·ª^=Êÿ=�_—gù=4Í_≈›Ÿÿ=ÔÎg�ÿ^=Ô≈gkª^K=

QK 2k≈Í=öÍàª^=Ë`=ÏìÈÿ^=χȇ_—ÿ^=ÊΟƒ=å‹Ù�̆ È=ÔÎÿÈÙå‹=Ô‹_j=‚ƒ=Êj^á^à–=Êÿ_≈Ã`Ë=Ω=€_v=öÃá=_≈ª^§Ô=Ë`=flу=Ô≈f_kª^=m_›ÎŸ≈kÿ=ÿ^u˙≈K=

RK ŒÍà≈j=öÍàª^=Ë`=ÏìÈÿ^=χȇ_—ÿ^=ÊΟƒ=m_r˙≈ÿ_f=Òà~˚^=ÔŸÍÑgÿ^=Ω=€_v=öÃàÿ^K

pwgÿ^=t‹^àf=Ω=Ô‘á_êª^=W=�_·‹_nW=NK Ô·_’‹d=◊^3è^=öÍàª^=t‹^2f=qÈwgÿ^=m_ã^áÑÿ^Ë=Ô—Ÿ≈kª^=Êkÿ_ü=Ñ·ƒ=“f_�j=øËàêÿ^=

ÊΟƒ=håvË=m_·_’‹ˇ^=Ôv_kª^=÷Ÿkÿ=t‹^2ÿ^=÷ÿÖË=Ñ≈f=4ÃÈj=‹ÈŸ≈‹m_=Ôwó^Ë=Êÿ=‚ƒ=pwgÿ^=Ë`=Ôã^áÑÿ^=Ô§_≈ª^Ë=ÔÎg�ÿ^=ÔÍàÍàåÿ^=ÔÎr˙≈ÿ^Ë=ÔÎÛ^ËÑÿ^Ë=Ô—Ÿ≈kª^=„_å‡ˇ_f=tÛ_k·ÿ^Ë=

Ô≈–Èkª^=‚‹=Ô‘á_êª^=_ÂÎÃK=

OK Ô·_’‹d=€Èg–=Ë`=öÃá=Ô‘á_êª^=⁄g–=Ë`=Ú_·n`=pwgÿ^=Ë`=Ôã^áÑÿ^K=

PK ÉÈrË=uÖÈ∂=ñ_~=Ô‘á_ꛟÿ=Ω=Ì`=pü=Ë`=Ôã^áÉ=˘Ë=y›åÍ=öÍà›Ÿÿ=_êª^Ô‘á=˘d=Ñ≈f=Ê≈ΖÈj=Ë`=∆ΖÈj=ÏìÈÿ^=χȇ_—ÿ^=ÊΟƒ=Ÿƒ=uÖÈ›·ÿ^K=

QK ÉÈrË=Ô·§=Ë`=ÔÂr==FÔÎ5á==LÔΛŸƒ==Eäΰ=œàêjË=Ÿƒ=pwgÿ^=Ë`=Ôã^áÑÿ^K=

RK ÉÈrË=m_Îÿb=Ôwó^Ë=ÔÎÕÎ’ÿ=ÔÍ_π=öÍàª^=Ï—ŸjË=Á^È’è=ÊÛ^ábË=Ú_·n`=Ú^àrd=pwgÿ^=Ë`=Ôã^áÑÿ^K=

SK „_›ó=“v=öÍàª^=Œ–Èkÿ_f=‚ƒ=Ô‘á_êª^=„ËÉ=„`=àn¯Í=÷ÿÖ=Ÿƒ=Ê—v=u˙≈ÿ_f=Áá^à›kã^ËK

á^à–ˇ^=uÖ_∂=ÔÎÿÈ6Ë=}ÈóË=W=�_≈ã_jW=NK àÃÈj=Ô›Û_–=m˙~Ñkÿ_f=;ÿ^=u_k¢=≥d=á^à–d=⁄îÕ·‹=_·‹Ë=Ÿƒ=⁄–˚^=Wm_Ο›≈ÿ^=ÔÎv^à§^=={

àÍÑÄkÿ^== {=I=Ôså‡˚^Ë=Ú_òƒ˚_f=«2kÿ^⁄—‡=flÑÿ^=Êj_—kê‹Ë=={m˙~Ñkÿ^=ÔÎg�ÿ^=m_r˙≈ÿ^Ë=m^Ö=ÓáÈ�¶^=_‘u˙≈ÿ=ÏÛ_ΛΒÿ^=σ_≈èˇ^Ë=ÏÛ_fàÂ’ÿ^ËK=

OK ŒÍà≈j=öÍàª^=Ë`=ÏìÈÿ^=χȇ_—ÿ^=ÊΟƒ=m_‹ÈŸ≈ª_f=;ÿ^=_ÂÍÈkÆ=á^à–ˇ^=Ô—Íà�f=Ôwó^Ë=Ô…ŸfË=Ô‹ÈÂÕ‹=∆‹=yÎóÈj=tÛ_k·ÿ^=ÔÎgŸåÿ^=ÔÎf_≠ˇ^Ë=Ô≈–Èkª^=Ω=€_v=Ô—Ã^Ȫ^=Ë`=öÃàÿ^K=

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إدارة تطوير الجودة وسلامة المرضىCQI & PS KFAFH

PK ¿_Õkv˘^=á^à–ˇ_f=Ω=ŒŸ‹=öÍàª^K

m_ã_Îã=ÉÈrË=W=�̂àè_ƒ=m_v3—ª^Ë=ÌË_’êŸÿ=m^Ú^àrdËW=NK flÑ—kÿ^=ÒÈ’êf=ÔÍÈÕè=Ë`=ÔÎf_k‘=I=Ô≈–È‹=Ë`=4»=Ô≈–È‹=I=Ë`=m_v3—‹=Óá^ɡ=m_–˙ƒ=óàª^=

„ËÉ=4nakÿ^=Ÿƒ=ÓÉÈr=ԋѶ^=Ô‹Ñ—ª^=ÊÿK

OK ÓÉÈr=ԋѶ^=öÍà›Ÿÿ=‚ÿ=ànakj=Ω=€_v=Ê∑Ñ—j=ÒÈ’è=Õêk囟ÿK

PK Ôƒá_åª^=Ô§_≈¥=ÒÈ’è=öÍàª^=Ë`=ÊÍËÖ=Éàÿ^Ë=Ÿƒ_ÂÎ=€˙~=Ó3Ã=Ôgã_·‹K=

QK ŒÍà≈j=öÍàª^=Ë`=ÊÍËÖ=m^Ú^àrˇ_f=m_Îÿ˝^Ë=Ô≈gkª^=Ω=Óaê·ª^=ÔÎwîÿ^=Ôã^áÑÿ=ÌË_’êÿ^=m_v3—ª^Ë=l–Èÿ^Ë=∆–Èkª^=ÉàŸÿ=_ÂΟƒK

RK À˙fd=öÍàª^=Ë`=ÊÍËÖ=Ìaf=m_‹ÈŸ≈‹=ÓàÃÈk‹=ñÈî†=ÒÈ’êÿ^=Ë`=}3—ª^=flÑ—ª^K

fiÂÍËÖË=óàª^=m_ÎÿÈÙå‹W=NK Ô¡Ã_-^=Ÿƒ=’Ÿkºm_=Óaê·ª^=ÔÎwîÿ^=m_’ŸkºË=‚Íà~˝^K=OK ˇ^fl^ÑÄkã=‚‹˝^=yÎwîÿ^Ë=“Ã^à›Ÿÿ=m^äÎÂskÿ^Ë=ÓÉÈrȪ^=Óaê·ª_f=ÔÎwîÿ^K=PK d«_gj=yÛ^ÈŸÿ^=ˇ^Ëm^É_èá=⁄›êjË== Wdá_òv=dm_gn=ÔÍÈ7=öÍàª^=I=Ú_�ƒd=m_‹ÈŸ≈‹=ÔŸ‹_‘=

ԗΖÉË=‚ƒ=m_‡_Îf=öÍàª^=ÔÎîÄêÿ^=ÔÎwîÿ^Ë=ÔÎóàª^Ë=I=dá_≈è=Ï‹Ñ—‹=ԋѶ^=^ÔÎwîÿ=m_Ο›≈ÿ_f=ÔÎv^à§^=Ô—f_åÿ^=öÍà›Ÿÿ=Êj_≈r^à‹Ë=mcê·›Ÿÿ=ÔÎwîÿ^=Òà~˚^=I=ˇ^À˙f=‚ƒ=

Ì`=4Î…j=Ω=Ôÿ_v=öÍàª^=ÔÎwîÿ^=I=dÀ˙f=hÎg�ÿ^=/_≈ª=‚ƒ=flу=fiÂÃ=Ô�~=u˙≈ÿ^=m˙~Ñkÿ^Ë=Óáà—ª^=I=d«_gj=Ô�~=u˙≈ÿ^=Óáà—ª^=ΩË=Ôÿ_v=öÃàÿ^=Ë`=flу=d«_gj=m_›ÎŸ≈kÿ^=

⁄›wkÍ=öÍàª^=Ë`=ÏìÈÿ^=χȇ_—ÿ^=ÊΟƒ=ÔÎÿ˯å‹=÷ÿÖ=_‹Ë=hj3Í=ÊΟƒ=‚‹=á_nb=m_Õƒ_ò‹ËK=

QK ÔŸ‹_≈‹=∆Î∏=≤տȪ^=óàª^Ë=‚Íà~˝^=á^Ëäÿ^Ë=Ô–_gŸf=fl^3v^ËK=

RK ˘^fl^äkÿ=у^È—ÿ_f=Ô‹_≈ÿ^=fl^3v^Ë=m^Ñ—k≈‹=‚Íà~˝^=ÔηÍÑÿ^=ÔÍà’Õÿ^ËK=

SK fl^3v^=ÔÎìÈî~=‚Íà~˝^K=

TK d«_gj=yÛ^ÈŸÿ^=ÔΛΡ·kÿ^=m_›ÎŸ≈kÿ^Ë=ˇ^ÔÍÉ_èá=Ôì_¶^=Óaê·ª_f=ÔÎwîÿ^K=

UK d«_gj=Ô›¡‡`=m_›ÎŸ≈jË=‚‹˚^=Ô‹˙åÿ^Ë=Ω=Óaê·ª^=ÔÎwîÿ^K=

VK ÑΗkÿ^=Ñ΃^Ȫ_f=€_îj˘^Ë=Ÿƒ=fiå–=Ñ΃^Ȫ^=Ω=€_v=flу=ÓáÑ—ÿ^=Ÿƒ=áÈò•^K=

NMK ˇ^fl^äkÿ=ÜÎÕ·kf=á^à–=⁄—·ÿ^=≥d=„_’‹=à~b=Ë`=uËà¶^=håv=_‹=Ááà—Í=hÎg�ÿ^=/_≈ª^K=

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إدارة تطوير الجودة وسلامة المرضىCQI & PS KFAFH

NNK ˇ^fl^äkÿ=flÑ≈f=kÿ^≤~Ñ=Ω=∆Î∏=“Ã^à‹=Óaê·ª^=ÔÎwîÿ^K=

NO==KÀ˙fd=fi–_�ÿ^=:�ÿ^=‚ƒ=Ì`=m_r˙ƒ=màòv`=‚‹=€ä·ª^K=

NP^= Kfl^äkÿ=á^Ëäÿ^=m^3Õf=Óá_Íäÿ^=Ô·Ÿ≈ª^=flуË=á_òvd=Ú_Îè˚^=4»=}È›åª^=_Âf=≥d=Óaê·ª^=ÔÎwîÿ^K=

NQ=KÔ¡Ã_®=á^Ëäÿ^=Ÿƒ=ÔÃ_¡‡=„_’ª^=Ú_·n`=Óá_Íäÿ^=flуË=u_ƒâd=‚Íà~˝^K=

ƒ=fiå–=Õêkå›|ÿ_f=ÑrÈÍ=ʇaf=a›Ÿ|=[óàª^=m_–˙ƒ==YKÌË_|’êÿ^Ë==m˘˜_|åkÿ^=€_g—kã˘

=ª^Ñ΃^È=Ôì_¶^=m_›ÎŸ≈kÿ^Ë=fÓá_Íä=Ω=óàª^=Õêkåª^=F^у==fl_å–`ÿ^=ÔÍ_·≈ª^=Óä‘àŸÿá_g’=EhŸ—ŸÿË=€_Õù¸ÿË=

=NK =Ô≈f^àÿ^=Ôƒ_åÿ^=‚‹=`Ñgj=Õêk囟ÿ=Óá_Íäÿ^=Ñ΃^È‹�Ú_å‹=·‹_oÿ^=Ôƒ_åÿ^=≥dK�Ú_å‹=Ô==OK Ω= óà›Ÿÿ= Óá_Íäÿ^= Ñ΃^È‹=ÔÍÉ_•^= Ôƒ_åÿ^= ≥d= Ú_å‹= Ô·‹_oÿ^= Ôƒ_åÿ^= ‚‹= „_ò‹á=

�Ú_å‹=àêƒK PK ‰=‚ª=€_Õù˚^=Óá_Íâ=«È·ºàêƒ=Ô≈f^àÿ^=‚ã=„ËÉ=fiK= QK ÉËáÈÿ^=á_òvef=y›åÍ=_Í^Ñ7^Ë=óà›Ÿÿ=ÑÛ^à§^=Ë=m˙.^=Ë=hk’ÿ^=ËK= RK _fËàêª^=Ë=m˘È‘aª^=á_òvd=«È·ºm=^àÿ^=Ëkÿ^=Ë=ÈÍÉ_–˙ùd=Õêk囟ÿ=„ÈÍäÕŸK SK =_–˙ùd=«È·º=≤~Ñkÿ^=ΩÕêkåª^=Ú_rá`=ÔÃ_‘K TK „˚= Ó4î–= ÓѪ= öÍà›Ÿÿ= Êjá_Íâ= „È’j= „`= fiÍà’ÿ^= àÛ^äÿ^= ‚‹= Ú_ràÿ^=◊_·‰==à~b= àÛ^â

á_¡k‡ˇ_fK==

ˆá^È�ÿ^Ë=“Íà•^=m˘_v=Ω=_ƒ_gjd=h≠=;ÿ^=m_›ÎŸ≈kÿ^=Õêkåª^=⁄~^ÉW=NK =∆Î∏=fl_‹=ÑÍÑ¢=öÍà›kÿ^=fi–_ù=ŸƒÈ‹ˆá_ù=à‹`=«È–Ë=€_v=Ω=}_·§^=ÏÕ¿K OK ˙~ˇ^=ÔΟ›≈f=fl_Ηÿ^=fikÍ÷ÿÜf=fl_Ηÿ^=∆óÈÿ^=hŸ�kÍ=_‹Ñ·ƒ=ÚK PK =fikÍ= ˘Ë= K}_·r= ià–`= ≥d= fiÂf= Ê°^Ë= E= “f_�ÿ^= çÕ‡= Ω= F= �_ΗÃ`= óàª^= Ú˙~d= fikÍ

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إدارة تطوير الجودة وسلامة المرضىCQI & PS KFAFH

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تطوير الجودة وسلامة المرضى إدارة

CONTINUOUS QUALITY IMPROVEMENT & PATIENT SAFETY DEPARTMENT

KFAFH