Director Audit and Compliance – Clinical & Patient Safety

Director Audit and Compliance – Clinical & Patient Safety

The role incumbent is responsible for auditing clinical and administrative processes to ensure adherence to healthcare quality standards, patient safety protocols, and regulatory compliance in a hospital setting. The role supports continuous quality improvement initiatives, risk management, and ensures that hospital practices align with national and international accreditation standards.

Key Responsibilities :

• Conduct regular audits of clinical departments to assess compliance with evidence-based practices, clinical guidelines, and hospital policies.
• Analyze patient records, documentation, and outcomes to identify gaps in care or areas.
• Identify risks and opportunities for improvement in patient care processes.
• Evaluate adherence to hospital-wide quality metrics and KPIs.
• Monitor and report on key performance indicators (KPIs) related to quality and safety.
• Audit incident reports and investigate adverse events, near-misses, and sentinel events.
• Audit implementation of patient safety programs and protocols (e.g. hand hygiene, medication safety, surgical safety).
• Review and assess hospital compliance with national patient safety goals (e.g. WHO, JCI, or local health authority standards).

Compliance & Accreditation :

Reporting & Documentation :

Qualifications :

#J-18808-Ljbffr