1.2.4.1
Human resource development and managementStaff Continuous Professional Development and Training
Structured continuing professional development (CPD) programmes are implemented to maintain and enhance staff clinical and operational competencies.
Compliance Criteria
- 1Annual hospital-wide training needs analysis and calendar
- 2Mandatory training records: CPR/BLS, fire safety, infection control
- 3Individual CPD credit point tracking and minimum compliance thresholds
- 4Training effectiveness evaluations and post-training competency assessments
Hospital Self-Rating
Rated by Pn. Aishah Kamal on 14 Jan 2026Evidence frozen on 30 March 2026 (14 days before survey)
"Hospital-wide mandatory training records demonstrate 94% compliance for BLS and fire safety. Individual CPD credit points are monitored through the staff portal."
thin
Evidence documents establish procedural intent but lack documented verification records for the current audit period.
Unverified criteria:
- Individual CPD credit point tracking and minimum compliance thresholds
- Training effectiveness evaluations and post-training competency assessments
Derived from AccrediSense Evidence Engine · 1 document(s) attached with 2 unverified criteriaGovernance disclosure (1.4.1.4)
Evidence Documents (1)
Training recordAcceptedScore: 91/100
Hospital-wide Mandatory CPD & CPR Competency Training Records
64 pages · EN, MSValid: 2025-01-01 to 2026-12-31
AK
Person-in-ChargeHead of Human Resources
Head of DepartmentDirector of Nursing
NH
Surveyor Authority PaneAssigned: Dr. Mohd Anis Haron (Lead Surveyor)