Liaison Office: +251 926 218 170 info@bushulo.org.et 24/7 Emergency
QUALITY IMPROVEMENT UNIT

Quality Improvement

Leading patient safety, clinical audits, digital transformation, and maternal health surveillance at Bushulo Mother and Child Health Specialty Center.

Key Activities

The Quality Improvement Department coordinates comprehensive initiatives to strengthen accountability, patient safety, clinical excellence, and healthcare service delivery throughout the facility.

Community Engagement

Community Engagement

Conducting regular community forums, feedback sessions, and grievance reviews to strengthen accountability and responsiveness.

Clinical Audits

Clinical Audits

Performing routine audits on documentation, drug utilization, infection prevention, and compliance with standards.

Patient Satisfaction

Patient Satisfaction

Monitoring patient experience using surveys, complaint systems, suggestion boxes, and direct feedback mechanisms.

Performance Monitoring

Performance Monitoring

Tracking KPIs, mortality reviews, departmental indicators, and strategic improvement projects.

Infection Prevention

Infection Prevention

Coordinating infection prevention activities, occupational safety monitoring, and IPC compliance programs.

Digital Health

Digital Health & EMR

Supporting Electronic Medical Record systems, workflow redesign, reporting quality, and digital transformation initiatives.

Rational Drug Use

Rational Drug Use

Monitoring prescription practices, antimicrobial utilization, and adherence to treatment guidelines to promote safe medication use.

MPDSR

MPDSR

Coordinating timely review, analysis, and response actions for maternal and perinatal deaths to improve quality of care and patient safety.

Performance Planning

Performance Planning

Supporting annual planning, strategic performance review, and continuous quality improvement initiatives across departments.

Documentation Standards

Documentation Standards

Leading hospital-wide initiatives to standardize clinical documentation, nursing notes, patient charts, and medical records systems.

Performance Highlights 2025/26

Measurable outcomes reflecting our commitment to continuous quality improvement, patient safety, accountability, and excellence in healthcare delivery.

96%
Patient Satisfaction

Average satisfaction rate achieved across major service areas.

10+
Clinical Audits

Clinical and regulatory audits conducted annually.

85%
Complaint Resolution

Complaints resolved within standard response period.

100%
MPDSR Coverage

Maternal deaths reviewed through the MPDSR system.

90%
IPC Compliance

Infection prevention and patient safety standards compliance rate.

98%
Surgical Checklist

Safe surgical checklist utilization rate achieved.

93%
Documentation

Completeness rate of clinical documentation audits.

100+
KPI Indicators

Departmental KPI indicators monitored quarterly.

35+
Revised Tools

Clinical forms and documentation tools standardized.

Monthly
Performance Reviews

Review meetings conducted across all major departments.

Launched
EMR Implementation

Workflow redesign initiatives improving reporting and efficiency.