DOH Patient Safety and Quality Improvement — Questions and Answers
Question 1: What patient identification protocol does DOH Abu Dhabi require?
- Verbal confirmation of name only
- Minimum two patient identifiers (name and MRN/DOB) verified at every clinical encounter, procedure, and medication administration (Correct answer)
- Room number is sufficient
- Photo ID only
Correct answer: Minimum two patient identifiers (name and MRN/DOB) verified at every clinical encounter, procedure, and medication administration
DOH mandates at least two patient identifiers (typically full name plus MRN or date of birth) verified before any clinical interaction, medication administration, specimen collection, or procedure.
Question 2: What is the DOH Abu Dhabi requirement for clinical handover communication?
- Informal discussion is sufficient
- Structured handover using SBAR or equivalent standardized tool at every care transition with opportunity for questions (Correct answer)
- Written notes only
- Handover is optional between shifts
Correct answer: Structured handover using SBAR or equivalent standardized tool at every care transition with opportunity for questions
DOH requires structured clinical handover using standardized tools like SBAR at every care transition (shift change, transfer, discharge), including opportunity for the receiving clinician to ask questions.
Question 3: What root cause analysis process does DOH Abu Dhabi require after sentinel events?
- No investigation is required
- Systematic investigation identifying root causes, contributing factors, and corrective actions with reporting to DOH within specified timeframes (Correct answer)
- Only blame the individual involved
- Root cause analysis is optional
Correct answer: Systematic investigation identifying root causes, contributing factors, and corrective actions with reporting to DOH within specified timeframes
DOH mandates root cause analysis for sentinel events: systematic investigation identifying underlying system causes, contributing factors, and development of corrective action plans reported to DOH within required timeframes.
Question 4: What medication safety initiatives does DOH Abu Dhabi require?
- No specific medication safety programs
- High-alert medication policies, LASA medication management, medication reconciliation at transitions, and barcode medication administration (Correct answer)
- Only pharmacy manages medication safety
- Medication safety is voluntary
Correct answer: High-alert medication policies, LASA medication management, medication reconciliation at transitions, and barcode medication administration
DOH medication safety requirements include high-alert medication identification and safeguards, LASA medication management, medication reconciliation at care transitions, barcode verification, and medication error reporting.
Question 5: What infection prevention and control program does DOH Abu Dhabi mandate?
- Only hand hygiene programs
- Comprehensive program including surveillance, hand hygiene, isolation precautions, antimicrobial stewardship, environmental cleaning standards, and HAI reduction targets (Correct answer)
- Infection control is optional for outpatient facilities
- Only during outbreaks
Correct answer: Comprehensive program including surveillance, hand hygiene, isolation precautions, antimicrobial stewardship, environmental cleaning standards, and HAI reduction targets
DOH requires comprehensive infection prevention programs including active surveillance, WHO hand hygiene compliance, isolation protocols, antimicrobial stewardship, environmental cleaning standards, and measurable HAI reduction targets.
Question 6: What fall prevention program does DOH Abu Dhabi require?
- Fall prevention is not mandated
- Risk assessment on admission, individualized prevention plans, environmental safety measures, post-fall investigation, and performance monitoring (Correct answer)
- Only provide bed rails
- Falls are an acceptable hospital risk
Correct answer: Risk assessment on admission, individualized prevention plans, environmental safety measures, post-fall investigation, and performance monitoring
DOH requires comprehensive fall prevention including validated risk assessment on admission and reassessment, individualized plans, environmental modifications, post-fall assessment and investigation, and fall rate monitoring.
DOH Patient Safety and Quality Improvement
What patient identification protocol does DOH Abu Dhabi require?