Annual Report 2010 - St. James's Hospital

In June the National Cancer Screening Service carried out
a base-line assessment of the Endoscopy service for the
purpose of assessing the Unit’s readiness for accreditation
which is a requirement for the Unit to participate in the National
Bowel Cancer screening programme. The inspection and
report were extremely positive and recommended that the Unit
be put forward for JAG accreditation (Joint Advisory Group on
GI Endoscopy). This is scheduled to take place in 2011.
In 2010 the Hospital also undertook and reported on specifi c
self-assessment and quality improvement initiative in the
areas of Quality & Risk Management, Occupational Health
& Safety, Healthcare Records Management, Hygiene,
Infection Prevention & Control, Discharge Planning &
Decontamination Practices as part of the Health Service
Executive’s Quality Clinical Care Directorate (QCCD) quality
assurance programme.
Patient Advocacy Committee
The Patient Advocacy Committee (PAC) is a sub-group of
the Hospital Board. Membership consists of representatives
from the community and the Hospital.The main focus of
the committee is to elicit the St. James’s Hospital patient
experience from the point of their initial contact through
discharge and follow-up by evaluating their feedback on
accessibility, provision of information, professionalism,
convenience, environment and friendliness.
In 2010 the committee oversaw the undertaking of patient
satisfaction surveys in
• Emergency Department
• Endoscopy Unit
• MedEl – Residential Unit
• Consent process / practice
• Breast Care Service
• CCU
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