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This page is a free sample showing what a hospital policy should look like. It can work at your place, you might need to modify it a little. The hospital here is HOSPITAL X. You might need to change that to your own institution name.
Quality management mission
Achieve and maintain the integrity and continuous improvement of the quality system and risk management in a “patient-centered approach" , and to satisfy patient’s needs and expectations according to the regional and international requirements.
Quality Management Department
Signed original is maintained in Manual 81 Indexing Office
Director, Quality Management
Chief Executive Officer (CEO)