AccrediSense

Survey Schedule & Compliance Calendar

4-Day On-Site MSQH Survey agenda (14–17 April 2026), backward-planned milestones, statutory SIQ deadlines, and drills.

Operational Conflict Detection Engine

3 automated scheduling collisions requiring administrative resolution.
3 Active Collisions
overload
2026-04-10

Person-in-Charge Overload: 3 Concurrent Deadlines on 2026-04-10

Pn. Faridah binti Kassim has 3 critical compliance deadlines scheduled on 2026-04-10 (ICU Ventilator Associated Pneumonia (VAP) Surveillance Data; OT Surgical Safety Timeout Protocol Monthly Audit; Surgical Site Infection (SSI) Ward 3B Swab Surveillance Log).

Recommended Action:

Reassign indicator collection tasks or reschedule non-statutory documentation to avoid fatigue on Pn. Faridah binti Kassim.

freeze breach
2026-04-05

Evidence Collection Inside Pre-Survey Freeze Window

6 indicator data collection tasks are scheduled after the 30 March 2026 evidence freeze deadline (Monthly Indicator Data Collection: PI-01-019 (Workforce Wellbeing Uptake) (due 2026-04-05); Monthly Indicator Data Collection: PI-02-005 (Fire & Safety Inspection Compliance) (due 2026-04-07); Quarterly Clinical Audit Submissions: Surgical Services (due 2026-04-08)).

Recommended Action:

Freeze all indicator baseline figures as of 30 March 2026. Any post-freeze data must be marked as surveyor on-site verification evidence.

unreviewed drill
2026-03-27

Safety Drill Missing Debrief Window: DRL-2026-003

Safety drill DRL-2026-003 ("Hospital Utility & Mains Power Failure Simulation Drill") was conducted by En. Hakim Osman on 2026-03-20, but has no verified post-exercise evaluation review within the mandatory 14-day window.

Recommended Action:

Schedule a 45-minute multidisciplinary debrief with Facilities Engineering and Clinical Governance before survey week.

51 Events

April 2026

51 Scheduled Obligations
Sun
Mon
Tue
Wed
Thu
Fri
Sat
1
0 events
2
0 events
3
SIQ-2026-003: Root Cause Analysis
Safety Drill: DRL-2026-004 (Operating Theatre Surgical Field Fire Emergency Drill)
2 events
4
0 events
5
Monthly Indicator Data Collection: PI-01-019 (Workforce Wellbeing Uptake)
1 event
6
0 events
7
Monthly Indicator Data Collection: PI-02-005 (Fire & Safety Inspection Compliance)
1 event
8
Quarterly Clinical Audit Submissions: Surgical Services
Safety Drill: DRL-2026-005 (Infant Abduction (Code Pink) Security Lockdown Drill (Obstetric Ward))
2 events
9
0 events
10
ICU Ventilator Associated Pneumonia (VAP) Surveillance Data
OT Surgical Safety Timeout Protocol Monthly Audit
Surgical Site Infection (SSI) Ward 3B Swab Surveillance Log
3 events
11
Blood Transfusion Reaction & Wastage Monthly Log
1 event
12
Radiation Dosimetry Badge Exposure Quarterly Report
1 event
13
0 events
14MSQH
MSQH 7th Edition 4-Day On-Site Survey
Opening Meeting & Hospital Leadership Briefing
Governance, Board Documentation & Statutory License Review
+4 more
7 events
15
Survey Day 2
Simultaneous Clinical & Systems Tracers (Tracers 1 to 4)
Specialized Tracers (Tracers 5 & 6) - IPC & Facility Safety
Evidence Verification & PiC Challenge Review Session
3 events
16MSQH
Critical Care (ICU/HDUs) & Diagnostic Imaging Department Tracers
Pharmacy, Medication Safety & Laboratory Diagnostic Services
Surveyor Findings Consensus & Scoring Consolidation
+1 more
4 events
17MSQH
Final Report Compilation & Consensus Scoring Sign-off
Summation Meeting & Exit Conference with Hospital Management
SIQ-2026-007 Form Submission (72h Clock Deadline)
+2 more
5 events
18
Post-Drill Evaluation Review: Code Pink Security Drill
1 event
19
0 events
20
0 events
21
0 events
22
0 events
23
0 events
24
0 events
25
0 events
26
0 events
27
0 events
28
SIQ-2026-007: Root Cause Analysis
1 event
29
0 events
30
0 events

Schedule & Obligations for Wednesday, 15 April 2026

3 Sessions
Survey
08:30 - 12:30
Simultaneous Clinical & Systems Tracers (Tracers 1 to 4)

Surveyor session led by Dr. Mohd Anis Haron.

Clinical Departments / HR Office / Operating SuitesDr. Mohd Anis Haron
Open
Survey
14:00 - 16:00
Specialized Tracers (Tracers 5 & 6) - IPC & Facility Safety

Surveyor session led by Dr. Noraini Ahmad.

CSSD, Plant Rooms & Medical Gas StorageDr. Noraini Ahmad
Open
Survey
16:00 - 17:30
Evidence Verification & PiC Challenge Review Session

Surveyor session led by Dr. Mohd Anis Haron.

Surveyor Base OfficeDr. Mohd Anis Haron
Open