National Guidelines for Improvement of Quality and Safety of ...

I. Internal and External Customer Environment (5S)Area of Concern Standards Measurable Elements5 Shitsuke (Training & Self-Discipline)Working on 5S as daily routines and ensuring that it becomes an integral part of the workplace fabric.5.1 Internal audit 5.1.1 Internal audits on thehospital qualityimprovement conductedwith the checklist5.2 Training andraisingawareness5.2.1 The hospital staff trainedon 5S5.2.2 A resource centre onhospital qualityimprovement available5.2.3 A 5S Corner available inthe hospital5.2.4 5S promoting competitionsamong employeesorganised5.2.5 A system to give awards towell-performed work unitsavailable- An internal audit sheet on the hospital quality improvement is available.- A team has been appointed to conduct the internal audit.- The internal audit is conducted at least once in three months.- All the hospital staff are trained on 5S.- A programme to train new staff on 5S is available.- A resource centre on 5S, Kaizen and CQI related materials is available for the hospital staff.- A 5S Corner is organised where the staff have frequent access.- The 5S Corner is updated monthly.- Assessment criteria for 5S competitions are prepared and practiced.- An event to appreciate best employers is carried out annually.- Assessment criteria to measure the performance is prepared to select best units and best teams.- An event to appreciate best performing units and teams is carried out annually.15