By document type
| Category | Files |
|---|---|
| Manuals | 2 |
| Policies | 1 |
| Procedures & SOPs | 14 |
| Forms & Records | 16 |
| Checklists & Audit Tools | 9 |
| Training & Awareness | 2 |
| Guides & Work Instructions | 3 |
Key documents
| Reference | Document | Format |
|---|---|---|
| AGS-QM-01 | Hospital Accreditation Quality Manual | Word |
| AGS-POL-01 | Integrated Quality & Patient Safety Policy | Word |
| AGS-PR-07 | Infection Prevention & Control Procedure | Word |
| AGS-PR-06 | Medication Management & Safety Procedure | Word |
| AGS-PR-14 | Risk Management Procedure | Word |
| AGS-CHK-09 | Mock Accreditation Survey Checklist | Word |
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Overview
Hospitals in the Republic of Lebanon are surveyed and licensed against the national accreditation programme run by the Ministry of Public Health, and this system is built on the January 2019 edition of those standards. It follows the domains the Lebanese model emphasises: organisational governance and leadership, patient and family rights, assessment and continuity of care, safe medication management, infection prevention and control, surgical and anaesthesia services, environmental and facility safety, human resources and staff competency, quality improvement and patient safety, information and medical-records management, and emergency and disaster preparedness.
Each domain is answered by working documents rather than a restatement of the standard: a quality manual and accreditation scheme defining the system, an integrated quality and patient safety policy carrying the commitment, and a procedure behind each chapter, from governance and human capital through to risk, internal audit, management review and event management with CAPA. The evidence layer is built out in the same detail — sentinel event reports with root-cause analysis, patient identification and time-out records, hand-hygiene compliance audits, risk registers, supplier evaluation. A mock accreditation survey checklist and a COR readiness checklist then let a quality team test itself first, alongside guidance on interpreting and evidencing the standards.
What this system covers
- Governance and leadership — leadership accountability, management review and its minutes.
- Access, continuity and patient rights — care transitions, patient education, complaints and feedback.
- Medication management and safety — controls tested through a dedicated safety checklist.
- Infection prevention and control — hand-hygiene compliance auditing and IPC rounds.
- Surgical safety — patient identification and time-out verification.
- Facility management — environmental inspection, fire safety and disaster preparedness.
- Human capital — training records, competency assessment and staff development.
- Quality, risk and event management — adverse and sentinel events, root-cause analysis, CAPA and the risk register.
Who it's for
Quality managers, accreditation coordinators and medical directors in Lebanese general and acute-care hospitals approaching a first MoPH survey or a re-survey, and the consultants preparing them. They finish with a controlled set cross-referenced to the MoPH chapters, a mock survey already run internally, and records they can put in front of a surveyor without assembling them the week before. What the survey concludes stays with MoPH.
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.




