​​​Star of Excellence

Nurse Led Discharge of Acute Care Surgery Patients



The initiative of a Nurse Led Discharge (NLD) study was put in place as an intervention to help improve patient flow.

This project aims to streamline the discharge assessment and process of a postoperative patient by incorporating the nursing staff (ward nurses and case managers) into the existing pathway of patient assessment in order reduce the Length of Stay (LoS) and increase the percentage of patients discharged before noon.

The project was successfully carried out and demonstrated excellent teamwork between the Surgical and Nursing teams. The checklist developed was adequate to help the nursing staff to assess the postoperative patient for discharge fitness/readiness.

Due to the obvious benefits, the stakeholders decided to continue the project even after completion of the planned duration. As of 7 September 2018, a total of 544 patients were discharged through the NLD project.
 

​​​Rising Star

Towards High Value Care for Blood Samples


The process of blood testing, also known as the “Total Testing Process,” begins and ends with the patient. It includes the entire process from ordering the test to interpretation of the test results by the clinician.

This highlights the significance of testing to be done on correct sample (pre-analytical phase) with accurate and precise techniques (analytical phase) at the earliest (post analytical phase). Lack of timely reporting may cause delays in treatment. In some cases, patients may leave against medical advice or be transferred before another specimen can be obtained.

Although it is not possible to eliminate all pre-analytical errors, compliance with best practices can significantly reduce their incidence. Proper management of pre-analytical errors requires significant interdepartmental cooperation, since many sources of these errors fall outside the direct control of laboratory personnel.
 

​​​Awards of Merit

HMC Community Services: Transforming Mental Health Care in Qatar



Over the past four decades, the provision of mental health services in Qatar is centralized in the HMC Department of Psychiatry. This facility is located in central Doha but is outside the HMC campus. It includes male and female inpatient units, and outpatient clinics. 

There has been an increasing demand on the HMC’s psychiatric services over the past 15 years. This significant demand has led to an intractable bed crisis and overcrowded inpatient wards, which unfortunately contributed to the stigma surrounding psychiatric services. 

Furthermore, inpatient care was the prevailing care model at the time with little emphasis on rehabilitation and patient re-integration into society. This led to prolonged hospital stays in many cases and to "revolving-door patients" in other cases. This model of care was not sustainable because of cost implications, as inpatient care is the most expensive element of any health system.

The above challenges have led to continuous efforts by health policy makers in Qatar trying to transform the mental health services. These efforts culminated in the government document: Qatar National Mental Health Strategy (2013) which has put forward a very ambitious plan for the provision of community-based mental health services in Qatar, moving away from the old institutional-based model of care.
 

Day care Robotic Assisted Knee Arthroplasty



The purpose of this project is to illustrate our protocol in Hamad General Hospital and across the State of Qatar with respect to outpatient knee arthroplasty as well as to share valuable insights and experience with preoperative and postoperative schemes of care. 

The Outpatient Robotic-Arm Assisted Technology is an example of how technology is transforming the way joint replacement surgeries are performed in HMC in keeping up with the rest of the world. The Bone and Joint Center and Orthopedic Department of Hamad General Hospital in coordination with Makoplasty manufacturers initiated training for nurses, technicians and other staff. 
Between March and September 2018, 63 patients with 64 knees underwent outpatient robotic assisted knee arthroplasty. Thirty one (31) patients underwent total knee arthroplasty while the other thirty three (33) patients underwent partial arthroplasties either medial or lateral compartment knee arthroplasty.