Criterion | Self-rating | Surveyor rating | Divergence | Evidence | Person in charge | Last updated |
|---|---|---|---|---|---|---|
11.1.1.11 Day Surgery Workflow Protocol 1.1 | Fully met | Fully met | — | None | Dr. Azmi Razak | 2026-01-11 |
11.1.2.12 Outpatient Consultation Protocol 1.2 | Fully met | Fully met | — | None | Dr. Azmi Razak | 2026-01-12 |
11.1.3.13 Discharge Readiness Protocol 1.3 | Fully met | Fully met | — | None | Dr. Azmi Razak | 2026-01-13 |
11.1.4.14 Procedure Room Safety Protocol 1.4 | Fully met | Fully met | — | None | Dr. Azmi Razak | 2026-01-14 |
11.2.1.15Core Standard Patient Education Protocol 2.1 | Fully met | Fully met | — | None | Dr. Azmi Razak | 2026-01-15 |
11.2.2.16 Day Surgery Workflow Protocol 2.2 | Fully met | Fully met | — | None | Dr. Azmi Razak | 2026-01-16 |
11.2.3.17 Outpatient Consultation Protocol 2.3 | Partially met | Partially met | — | None | Dr. Azmi Razak | 2026-01-17 |
11.2.4.18 Discharge Readiness Protocol 2.4 | Fully met | Fully met | — | None | Dr. Azmi Razak | 2026-01-18 |
11.3.1.19 Procedure Room Safety Protocol 3.1 | Fully met | Fully met | — | None | Dr. Azmi Razak | 2026-01-19 |
11.3.2.20 Patient Education Protocol 3.2 | Partially met | Partially met | — | None | Dr. Azmi Razak | 2026-01-20 |
11.3.3.21 Day Surgery Workflow Protocol 3.3 | Fully met | Fully met | — | None | Dr. Azmi Razak | 2026-01-21 |
11.3.4.22 Outpatient Consultation Protocol 3.4 | Fully met | Fully met | — | None | Dr. Azmi Razak | 2026-01-22 |
11.4.1.23 Discharge Readiness Protocol 4.1 | Fully met | Fully met | — | None | Dr. Azmi Razak | 2026-01-23 |
11.4.2.24 Procedure Room Safety Protocol 4.2 | Fully met | Fully met | — | None | Dr. Azmi Razak | 2026-01-24 |