Section 7.12 · Pillar 3 · Workforce, Culture & National Healthcare Transformation
Institutional Culture and Accountability
Reconstituted quality and therapeutics committees with multidisciplinary representation and documented clinical governance input.
The issue
Hospital management boards should reconstitute quality and therapeutics committees to include nursing, pharmacy, laboratory, and nutrition representatives. Clinical governance frameworks should require documented multidisciplinary input for sentinel event reviews, antimicrobial stewardship, and nutrition support protocols.
Priority components
What good looks like in this domain, expressed as the components an institution should be able to show.
- 01Nursing representation on quality and therapeutics committees
- 02Pharmacy representation
- 03Laboratory representation
- 04Nutrition representation
- 05Documented multidisciplinary input for sentinel event reviews
- 06Antimicrobial stewardship
- 07Nutrition support protocols
Implementation
What this domain requires in practice: the standard, the pack, the measurement, the tools and the evidence.
Standards
No approved ASQAT standards have been published for this domain yet. The standards layer is in place so that approved statements can be released without restructuring the platform.
Measurement
Measurement specifications for this domain are being developed. Indicator definitions are published only once the numerator, denominator and data source are agreed.
Measurement frameworkResources
Implementation resources for this domain are currently in development. Approved policies, procedures, checklists and tools will be released through the resource library.
Open the libraryAwaiting approved content
Evidence in practice
No approved implementation evidence has been published for this domain yet. Case studies are published only after review of what was measured and how.