Hospital Person-Centred Quality & Patient Safety Management System - HCAC 5th Edition
Hospital Person-Centred Quality & Patient Safety Management System - HCAC 5th Edition
Every HCAC cluster in one architecture, audited at measurable-element level and rehearsed against a full mock survey before the assessors arrive.
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Written and reviewed by practising specialists. Who writes this
Built and reviewed with our methodology. Read it
By document type
| Category | Files |
|---|---|
| Manuals | 1 |
| Policies | 12 |
| Procedures & SOPs | 50 |
| Plans & Programmes | 1 |
| Forms & Records | 19 |
| Checklists & Audit Tools | 19 |
| Registers, Logs & Matrices | 8 |
| Training & Awareness | 4 |
| Guides & Work Instructions | 3 |
Key documents
| Reference | Document | Format |
|---|---|---|
| AGS-HQM-001 | Hospital Quality Manual | Word |
| AGS-HP-10 | Patient Assessment and Reassessment | Word |
| AGS-HP-12 | Surgical Care and Safe Surgery | Word |
| AGS-HP-42 | Patient Safety Goals, Sentinel Events and Open Disclosure | Word |
| AGS-HF-10 | Early Warning Score, Escalation and Rapid Response Record | Word |
| AGS-HGD-01 | HCAC Fifth Edition Cluster Compliance Matrix | Word |
- Need the complete document list? Request it — same day
- Want to check the quality first? Preview free samples
Overview
Most hospitals reach an HCAC assessment with fifteen clusters owned by fifteen departments and nothing holding them together. This supplies the architecture: a person-centred quality and patient safety management system for the Hospital Accreditation Standards, Fifth Edition, of Jordan's Health Care Accreditation Council, in force since October 2025 and reaching from ethics and patients' rights through patient care and medication management to information governance and research.
The Fifth Edition themes are written in rather than appended: just culture, person-centred care, patient advocacy, leadership excellence, digital transformation, climate resilience and clinical outcomes. They surface as an environmental sustainability and climate resilience policy, digital governance sitting with medical records, and a just culture decision guide with worked examples. Rehearsal matters most: a mock survey master checklist puts the hospital through the assessment before HCAC does, backed by a readiness guide with interview questions for eleven roles and a sixty-day countdown.
What this system covers
- Ethics and patients' rights reach down to informed consent, advance directives, safeguarding and the monitoring of each restraint episode.
- Deterioration is caught between triage and discharge by structured reassessment, ISBAR handover, harm-prevention bundles and early warning score escalation.
- Surgery and anaesthesia close on a verified instrument and swab count, with sedation monitored throughout.
- Medication safety turns on reconciliation, independent double-checks and separate handling of high-alert and look-alike sound-alike medicines.
- Infection control is evidenced by device bundle surveillance, biological indicator traceability per sterilisation load and environmental rounds.
- Risk is assessed prospectively through FMEA and carried on a register, with open disclosure when harm reaches a patient.
- Records, legal hold, retention, competency and leadership development sit under one document control regime.
Who it's for
A general or specialty hospital in Jordan working to the Fifth Edition, or an HCAC-aligned facility elsewhere adopting it, at the point where a date is set and cluster owners must work from one document set rather than their own. Directors of the hospital and of quality and patient safety buy it; cluster owners live in it, and the hospital reaches assessment with a mock survey behind it.
Everything you get
Every toolkit gives you a full set of working documents for your standard, ready to edit and use.
Native Microsoft files. Add your logo and adapt every document to how you work.
Your full toolkit arrives as a ZIP the moment payment clears.
One purchase covers everyone in your organisation. No per-seat fees.
Built by people who run real audits, so the content matches what assessors check.
One payment, perpetual licence for your organisation. No subscriptions, no renewals.
Full refund if your files are faulty, incomplete or not as described and we can't put it right
Frequently asked questions
What exactly do I receive?
A downloadable ZIP containing the full set of ready-to-use documents for this toolkit — manuals, procedures, forms, records, checklists, guidance and training material, all in editable Word and Excel format. The exact document count is shown at the top of this page.
Are the documents really editable?
Yes. Every file is native Microsoft Word or Excel — no locked PDFs. Add your logo, change wording, and tailor the content to your organisation. The toolkit is yours to keep and reuse.
Does this certify my organisation?
No. These are documentation toolkits aligned to the relevant standard to help you prepare. Certification itself is issued by an accredited certification body after their audit. Our toolkits give you a strong, audit-ready starting point.
How is it delivered?
Instantly and digitally. There's no physical shipment — you download the files right after payment and receive a backup link by email.
Do I get updates?
Yes. If we revise this toolkit, you're entitled to the updated version at no extra cost — just contact us with your order details.
What is your refund policy?
These are digital products, so once a toolkit has been downloaded we cannot take it back. If you have not downloaded yet, contact us and we will cancel the order and refund you in full. We also refund in full if the files are damaged, incomplete, or not what the product page described.
Cannot find your standard?
Tell us which scheme you work to. We will point you to the right toolkit.
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