17B.2.3.17
Safety and performance improvement activitiesActivities of Daily Living Protocol 2.3
The Occupational Therapy Services department establishes, implements and monitors documented operational procedures ensuring quality, clinical safety and regular compliance audits for activities of daily living.
Compliance Criteria
- 1Approved standard operating procedure for activities of daily living reviewed within the last 3 years
- 2Designated qualified personnel assigned to monitor day-to-day activities of daily living compliance
- 3Regular documentation audits and evidence of corrective action implementation
- 4Staff training records and competency assessments maintained in the department
Hospital Self-Rating
Rated by En. Fauzi bin Ramli on 17 Jan 2026Evidence frozen on 30 March 2026 (14 days before survey)
"The department has established comprehensive operational policies for activities of daily living. Regular self-assessments and internal quality checks demonstrate consistent compliance across all operational shifts."
Evidence Documents (0)
A criterion with no document reads as unevidenced to the survey team.
Attach relevant hospital policies, registers, audit reports, or training records.
FR
Person-in-ChargeHead of Physiotherapy & Rehabilitation Services
Head of DepartmentHead of Clinical Services & Consultant Physician
AR
Surveyor Authority PaneAssigned: Dr. Mohd Anis Haron (Lead Surveyor)