Sync template from atomicqms-style deployment

Policies/POL-001-Quality-Policy.md

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+# Quality Policy - NICU/PICU
+
+| Document ID | POL-001 |
+|-------------|---------|
+| Title | Quality Policy - Neonatal and Pediatric Intensive Care |
+| Revision | 1.0 |
+| Effective Date | [DATE] |
+| Author | [AUTHOR] |
+| Approved By | [APPROVER] |
+
+---
+
+## 1. Policy Statement
+
+[ORGANIZATION NAME] is committed to providing the highest quality of critical care to neonates, infants, and children in our intensive care units. We are dedicated to:
+
+- Delivering evidence-based, family-centered care that meets or exceeds national standards
+- Maintaining a safe environment for our most vulnerable patients
+- Supporting the developmental needs of critically ill neonates and children
+- Ensuring all care practices comply with applicable regulatory requirements and professional guidelines
+- Continually improving our Quality Management System to enhance patient outcomes and family satisfaction
+
+## 2. Quality Objectives
+
+Our NICU/PICU commits to:
+
+1. **Patient Safety First**: Eliminating preventable harm through proactive safety practices and continuous monitoring
+2. **Family-Centered Care**: Engaging families as essential partners in the care of their critically ill child
+3. **Evidence-Based Practice**: Implementing the latest evidence-based guidelines for neonatal and pediatric critical care
+4. **Developmental Care**: Minimizing stress and supporting neurodevelopmental outcomes for our youngest patients
+5. **Regulatory Compliance**: Maintaining compliance with Joint Commission, AAP, CMS, and all applicable standards
+6. **Continuous Improvement**: Using data-driven quality improvement initiatives to enhance outcomes
+7. **Staff Competency**: Ensuring all staff maintain current competency in neonatal and pediatric resuscitation and critical care
+8. **Infection Prevention**: Preventing healthcare-associated infections through rigorous adherence to protocols
+
+## 3. Management Commitment
+
+The NICU/PICU leadership demonstrates commitment to the QMS by:
+
+- Ensuring the quality policy is appropriate for the unique needs of critically ill neonates and children
+- Establishing measurable quality objectives aligned with national benchmarks (Vermont Oxford Network, NACHRI)
+- Integrating QMS requirements into all clinical processes and protocols
+- Promoting evidence-based practice and continuous quality improvement
+- Ensuring adequate staffing, equipment, and resources for safe intensive care delivery
+- Communicating the importance of quality and safety to all staff, families, and stakeholders
+- Supporting family presence and participation in rounds and care decisions
+- Engaging interdisciplinary teams in quality improvement initiatives
+- Reviewing quality metrics and outcomes regularly
+
+## 4. Scope
+
+This policy applies to:
+- All clinical staff working in NICU/PICU (physicians, nurse practitioners, nurses, respiratory therapists, pharmacists)
+- Support staff involved in patient care (social work, child life, pastoral care)
+- All processes and procedures within the NICU/PICU Quality Management System
+- Family members as partners in care
+
+## 5. Quality Metrics
+
+We measure and monitor:
+- Mortality rates (risk-adjusted)
+- Healthcare-associated infection rates (CLABSI, VAE, CAUTI)
+- Medication errors and near-misses
+- Unplanned extubations and reintubations
+- Skin breakdown and pressure injuries
+- Family satisfaction scores
+- Length of stay
+- Readmission rates within 48 hours
+- Breastfeeding/human milk feeding rates (NICU)
+- Pain assessment and management compliance
+- Code blue response times
+- Developmental care practice adherence
+
+## 6. Family-Centered Care Commitment
+
+We recognize families as:
+- Essential members of the healthcare team
+- The constant in the child's life
+- Having the right to participate in all decisions
+- Needing support, information, and respect
+- Partners in quality improvement efforts
+
+## 7. Communication
+
+This policy shall be:
+- Communicated to all NICU/PICU staff during orientation and annually
+- Available to families through unit information materials
+- Reviewed annually for continuing suitability
+- Updated to reflect current best practices and regulatory requirements
+
+---
+
+## Revision History
+
+| Rev | Date | Description | Author |
+|-----|------|-------------|--------|
+| 1.0 | [DATE] | Initial release | [AUTHOR] |