THE PIONEERS
lnslde thls lssuet
A SpecialMessage
from the Deputy
DirectorGeneral
I A SpecialMessagelrom
the DeputyDirectorGeneral
CouncilofCooperative
r DSFHAwarded
Accredilation
Heallhlnsurance
. NewPneumococcalConiugate
Vaccine(PCV NowAvailable
Transplant
Program
I Thegonell,lafiow
-.-. 3
Inlections
in Humans
r AvianIntluenza
r ActionTeamsLeaders
Indicatof
r DSFHPerforrnance
Project
lmprovemenl
Medical
r DSFHContinuous
Program(CME)
Education
r NewMedicalPaper
e-sites--- ---.
r Recornmended
4
. 5
Day2005
r WorldDiabetes
. ExternalDisaster
r New Staft
r InternationalHealthTourism
lor International
r JointCommission
(JCIA)MockSurvey
Accreditation
r ScientilicMeelingon Becent
6
qualityandour
"ThePioneers"
we celebrate
On thissecondrssueof our Newsletter
last
Novemberand
visited
the
Hospital
relentlesseffortsto achieveit The JCIAteam
progress
made
the
reporl,
to
their
subsequent
a
mock
survey.
According
conducted
was phenomenaland what remainsto be achievedcould be completedin a fairly
shorttime. On behalfof Dr. Fakeehand myself,I wouldlike to expressmy deepest
JCIAchapters:
fortheditferent
to theTeamLeadersresponsible
appreciation
Wajeeh, Dr.
S Eldeen,Dr.Yasser
Sally,Dr.Hisham
Dr.ArmandAgababian,
Dr.Samir
Dr. MohamedFaroukand Ms Bim, Engr.
Liza H Hassan,Ms. EmanAl-Yehyia,
Mahmoud
Al Sheik,Ms.EnasAbdulnabi
, Engr.ZuhairAmer.Withoutthe dedication
couldnothavebeenaccomplished.
suchachievement
andloyaltyto theirinstitution
lt'sthe
of theseleadersandtheirteamsexclusively
Qualityis notthe responsibility
people
get
need
to
more
member.
We
ot
every
staff
objectiveand responsibility
aimingto make
and theirimplementation
awareand involvedin theseprocesses
qualityan integralpart of all aspectsof our work. The final outcomewill result in
betierpatientcareand patientsafety.
DR. MAZIN S. FAKEEH
Deputy Diector Genenl
Health
DSFHAwardedCouncilol Cooperative
lnsuranceAccreditation
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Agha
Dr.Abdelhameed
Dr.Andrew
Wild
Agababian
Dr.Armand
Ms.Glenda
Adcox
I
by the Council
Dr. SolimanFakeehHospitalhas recentlyobtainedaccreditation
of CooperativeHealthInsurance(CCHI),as an approvedmedicalcare provider
to all insurerscoveredby approvedinsurancecompaniesin SaudiArabia.
A team from CCHI visitedDSFH departmentsto assessthe statusand quality
of our services.Underthe Royaldecree,approvedby the government,number
beginning07107/05.
1010,DSFH has officiallybeengrantedCCHI Accreditation
According to the aforementionedRoyal decree, DSFH has fulfilled all
requiredf or certification.
requirements
whichis reallya tributeto
accreditation,
We are proudto acquirethis prestigious
all DSFH Staff.
Fot turthet inlormation, ptease contact the Company Affairs Ottice, at ertension 1450, Dr.
Ashaf Debis Ma*eting anc! Company Affairs Director.
Dr. S. FakeehHospital
AnotherFirctat
Dr. SolimanFakeehHospital!
NewPneumococcal
ConiugateVaccine(PCV7)
NowAvailableat DSFH
infectionsare most common
Seriouspneumococcal
in infants,toddlers,and the elderly.Worldwide,more
than 1.2 millionchildrendie eachyear as a resultof
pneumococcal
disease.Eachyear in the US among
childrenyoungerthan 5 yearsof age, pneumococcal
disease accounts for at least 1,400 cases of
meningitis;17,000 cases o{ bacteremia;71,000
cases of pneumonia;and 5-7 million middle ear
infections, costing the health care system an
estimated$ 1.5 billionannually.In up to half the
braindamageand hearingloss
casesof meningitis,
occursand aboul10%die.
Peoplewith certainhealthproblems(e.9., immune
deficiencies,
sicklecell disease,lackof a functioning
spleen) are at high risk for acquiring invasive
oneumococcal
disease.
Becausepolysaccharidevaccinesare not etfectivein
childrenyoungerlhan 2-3 yearsof age, a conjugate
vaccinehas been developed.In February2000,the
FDA licensed Prevnar (Wyeth), a "7-valent"
conjugatevaccine(DiphtheriaCRM197 Protein).lt
targets the seven most common types ol the
pneumococcus,which account for 80% ol invasive
diseasein infantsand toddlersand which also are
The vaccine
amongthe most resistantto antibiotics.
is 97-100% effective in preventing invasive
pneumococcal
diseasecaused by the 7 strainsof
pneumococcusin the vaccine and approximately
90% effective in preventing invasive disease for
illnessescausedby all pneumococcal
subtypes.
ll also reduces the incidenceof recurrent ear
infectionsby about10% and the needfor grommets
by aboulz0"k.
lmmunizationrequires 1-4 doses of the vaccine,
dependingon the age at the lirst dose. Routinely,
infantscan receivethis vaccineas a series of 4
inoculationsadministeredal 2, 4, 6 and 12-18
months.This vaccinecan be givenat the sametime
as other routine vaccinalions. lt is strongly
recommendedlor all children younger than 24
monthsand for children24-59 monthswho are at
high risk for serious pneumococcaldisease.This
vaccine is not recommendedfor use in adult
populations,
polysaccharide
for whomthe "23-valent"
vaccineis used.
Side-effectsfrom Prevnar are usually mild and
includesorenessor rednessat the inieclionsite,
and decreasedappetite,while fever over
irritability,
38.5' C occursin about20% of vaccinees.Serious
side-effectsare rare.
and
Although expensive, Prevnar is cost-eFfective,
with PCV 7 on
the impactol routineimmunization
pneumococcal- related disease is substantially
greaterthanthe effectson invasivediseasealone.
As a leading healthcare facility, our hospital
pharmacyhas madethis importantand sought-after
vaccineavailablelor the use of our littleoatients.
DL Amand Agababian, MRCP(UK), DCH(Lon), Deputy CMo/Director
t
TheBone MarrowTransplantProgram
The Bl\,4TProgramat Dr. Soliman Fakeeh Hospitalwas
invoduced
in 2004witha focuson trndingnewandinnovative
approachesto the treatment of malignant,as well as,
We alsostriveto evaluate
intractable
nonmalignant
diseases.
the long{ermpsychological
healthand socialdevelopment
of
all our patients,
atterbonemarrowtransplant.
Aboveall,we
to orovidethe ootimalbalanceof comfortand the
endeavor
qualitymedical
highest
careforthepatient.
Our team is composedof NilD,PhD-cedifiedPhysician
(clinicaland laboratory),together with seven full-time
nurse practitioners.The nurse to patient ratio of 2:1
means that our patientsnot only have the quality,but
alsothe quantityof carethey need.
The In-patientBN/Tunit is designedto providea relaxing
environment.Each private room is cheedullyarranged
with comfortable,adjustablebeds, stereo system and
TV. Our dischargedpatients have expressed great
satisfaction.
Our team utilizes the most modern technology to
managea diverserange of medicalconditionsthat will
furtherimprovethe overallqualityof healthcare.
Blood and Bone marrow transplantationshave been
used to treat a growing list of diseases, as well as
non-malionant
conditions.suchas:
.
a
a
.
a
a
o
a
.
a
a
Lymphomaand Hodgkin'sdisease
Acuteand chronicleukemia
l\ilultiple
myeloma
N.4yelodysplasticsyndrome
Breastcancer
Ovariancancer
Sarcoma
Testicularcancer
Aplasticanemia
Auto-immune
diseases
Geneticdiseases
please
Dr.lvlohamed
lvlabed,
contact
Formoreinformation,
Program,
Ext:3082
Bone
Marrow
Transplant
Director
of
AvianInfluenzalnfectionsin Humans
What is Avian Intluenza?
Avian influenzaor "bird flu" is a highlypathogenicvirus that usuallyinfects birds,but has recentlycrossedthe speciesbarrierin Asia,to cause
many humansfatalitiesand now posesan increasingpandemicthreat.
What type of vitus causes Avian Influenza?
It is influenzaA virus. There are severalserotypesbut the HsN1 is the
mostcommontypeto causehumaninfections.
How does it soread?
Human influenzais transmittedthroughcontactwith bird feaces. This
can occurby inhalationof infectious
dropletsby directcontacts.
Can Human-to-Humantransmissionoccur?
Yes, but as yel, it is very uncommon.
Can I get intecled from eating birds?
No. The availabledata suggestthat well cookedpoultryand eggs are not
a sourceof infection.
What are the clinical tealures?
lvlostpatientshave initial symptoms of high fever (typicallya temperature
of more than 38'C) and an influenzaiikeillnesswith lower respiratory
tractsymptoms.
Diarrhea,vomiting,abdominalpain, pleuriticpain, and bleedinglrom the
nose and gums have also been reported,earlyin the courseof illness,in
some patients.
One reportdescribedtwo patientswho presentedwith an encephalopathic illnessand diarrheawithoutapparentrespiratory
symptoms.
How is it treated?
patientswith avianinfluenza(H5N1)will requireventilaMost hospitalized
tory supportwithin48-hoursafteradmission.
In additionto empiricaltreatmentwith broad-spectrum
antibiotics,
antiviral
agentsalone,or with corticosteroids,
have been used in mostpatients.
The virusgenerallydisappearswithintwo or threedays afterthe initiation
of Oseltamivirfiamiflu).
ls there a vaccine lor this infection?
Noneyet, but work is ongoingon developinga vaccine.
For more infotmation, Dlease contact lnfection Contrcl DeDartment. Ert:66U
Dr. S. FakeehHospital
Action TeamLeaders
ElevenActionTeamshavebeenformedin directcorrelationto the elevenchapterswhichformthe International
QualitySlandards.ActionTeamsare leadby DSFHemployeesand are keenlysupported
by the HospitalGovin itsdriveto improvequalityandto complywith
ernance,
General
Fakeeh,
Director
D.Soliman
standards.
international
Team Leader
Action Team
Fakeeh
Direction Dr. l\.4azin
andLeadership
1. Governance
and Safety
2. Facilitylvlanagement
Al Sheikh
Eng.Nlahamoud
3. Qualityand PatientSafety
Dr.LizaH. Hassan
4. Accessand Continuityof Care
lvls.EnasAbdelNabi
5. PatientAssessment
Dr.ArmandAgababian
6. PatientCare
Dr.SameerSally
andFamilyEducation
7. Patient
Dr.HishamSalahAl Deen
L PatientandFamilyRights
Dr.YaserWajeeh
and Controlof Infection
L Prevention
Farouk
Dr. l\,4ohammed
I
andMs BimeldaBonquin
andEducation
10.StaffQualitications
Mrs.EmanSaeedYehia
ot Iniormation
11.Management
Eng.ZuhairAmer
DSFHPertormance lndiCator Improvement Proiect
of services
In our new reorganization
and in orderto improveand comply
with international
standards,DSFH
has recently
developed
a hospital-wide
project"Perf
IndiImprovement
ormance
cators",to measurethe outcomeof the
performance
throughout
the Hospital.
is a group
Theselection
of DSFHindictors
effortand requiresthat everyonefully
(patient's)
the customer's
understand
needsandexpectations.
is reAdditionally,
each Department
ouiredto selecttheirown indicators.
For morc intomation,
can be seBeforetheseindicators
must first
lected,the Department
(Problem
major
topics
determine
areas)to be monitored basedon
the "problemfocus"and "desired
mustalsobe
outcome".lndicators
chosen using the established
criteriaof high
DSFHprioritization
volume,highrisk,highcost,problem prone,or impacton Patient
safetyand impacton accreditation
stalus.
please contacl TOM, Dr. Liza H. Hasan Ext: 1342
t
The Pioneers- For The Presentand Future
l\,4odern
medicalpracticeis basedon the
recognitionthat physicianeducationis an
ongoing,lifetimeendeavor. The Hospital
CME Programprovideseducationalsessionsthat are responsiveto the needsof
d tferent physicransand which otlers opportunities
stimufor ongoingintellectual
lation and professionalrenewal.lt is designed to enhance medical care and
physiciancompelencies
wilhinour region,
by assessingand meetingthe educational
needs ol our largel audience,as well as
promoting communicationand collaboration withinthe physiciancommunityThis is
aimed both across and withir ildividual
specialties,
and providingtimely,relevant,
accessible, and inspiring actrvities, that
bridge the gap betweenemergingmedical
AVIANINFLUENZA
PANDEMICTHREAT
DR.ALIZAKI
DR.SAI\'IRSALLY
For more infomation,
21t2t2006
MEDICINE
CONSULTANT
GERD& NEWTBEATMENT
IVIODALLITIES
241112006
CONSULTANT
VIROLOGY
NEWGOALSIN HYPERTENSION
TREATMENT
advancesand clinicalpractice.
The contentareas of tnese aclivties in'
clude all recognizedmedicalspeciahies.
and the courses focus on new sclentific
as well as lhe deand chnicalinformation,
velopmentol skillsto rmprovepatientcare
The followingis our scheduleol the Cl\,4E
lecturesfor the next 3 months:
DR. NADERFARRED
20t3/2006
T/IEDICINE
CONSULTANT
please contact Dr. Hesham Salah Eldin, MD, FCCP, Dhectot ol Education
- AmericanSocietyof Ouality(asq);
Providesreliableup-to-dateinformation
regarding healthcarequality imProvement....www,asq.org
- Agency for healthcareresearch
and quality:Providesadvancing
excellencein healthcare....w .ahrq.gov
ftena
The DSFH Department of Andrology recently
published a clinical review paper, entitled
'Testosterone Therapy Can Enhance Erectile
Function Response to Sildenafilin Patients with
PADAM (Partial Androgen Deficiency in Aging
Males)".
The aim of this important paper was to test the
efficacy of testosterone supplementation, in
improvingthe response to Sildenafil,in patients
sufleringfrom symptomsof androgendeficiency.
Results have shown that this form of combined
therapy with testosteroneis beneficialin patients
with AndrogenDeficiencysymptoms.in improving
theirresponseto Sildenafil.
This paper was conductedby ProlessorDr. Amr
El-N/leliegy,
ConsultantAndrologistat DSFH, and
was publishedin the Journal of Sexual l\iledicine,
Volume2, Number4, 13-9,2005.The completetext
of the articlecan be found on the followingwebsite:
http://www.blackwellpublishing.com/jsm
- Healthcare quality cenification
board of the nationalassociationtor
healthcarequality:
The HealthcareQuaiityCertification
Boardis a globallyrecognizedleader
dedicatedto improvingthe qualityof healthcare,
by providinga validationprocess,for assessing
withinthe healththe competencyof professionals
care specialties....www.cphq.org
-The lvledicare
qualityimprovement organization:
Providesa wide range of services to assist organizations
providers
and healthcare
healthdelivery of
improve the
to
care....www.qsource,or9
- The National Library of Medicine
(NLM):
The world's largest medical library
collects materialsand provides intormation,as
well as researchseruices, in all areas of biomedigov/
cine and healthcare....www.nlm.nih
For more infonation,
Please contact Dr. Soliman Fakeeh
Meclical Librcry : Mts. Hana Al-Osta, Ext 3023
Dr. S. FakeehHospital
WORLDDIABETES
DAY2OO5
Dr. SolimanFakeehHospitalcelebratedWorld Diabetes
Day by settingup an open day, last November24, 2005.
Doctors,nurses,dietitians,pharmacists,
social workers
and pharmaceutical
companiesjoined hands in making
this year'sWorldHealthOrganization
themeon Diabetes,
with an emphasison Foot Care: "PUT FEET FIRST",a
resounding
success.
The whole day affair was embodied by a range of
differentactivities,such as arrangingan open exhibition
in the Hospital'smajor corridorsand providingposters
and video film presentations
about Diabetes,including
how best to deal with the disease. to orevent
complicationsand also how to administer diabetic
medications.Nurses and Pharmaceutrcal
Companies
conductedfree blood glucose tests, whilst Dietitians
assessedpatients'and visitors Body l\,4assIndex, by
measuringindividualheightand weight.Duringthe day,
educationalbrochuresand handoutswere providedand
various specialistsansweredquestionsraised by both
relatingto Diabetes
visitorsand patients.Ouestionnaires
were also provided and those who completedthem
correctlywere rewardedwith gifts
Anotherrmportant
activityheldduringthatdaywasa lecture
whichwas givenin bothEnghshand
delivered
on Diabetes,
Arabic.lt was attendedby manyvisitorsand statf members.
on the latest
The mainfocusol the lecturewas information
Afterthe lecture,visitors
innovations
in Diabetes
treatment.
particrpated
in an openforum,whichwaslaterfollowedby a
dinner party.This providedan opportunityfor patients,
in a casual
visitorsanddoctorsto havean opendiscussion,
atmosphere,on a wide range of issues pedainingto
Diabetes.
Externa I Di saster Dri II
As part oI the EmergencyManagementPlan,
DSFH has a structurein placeto respondto externaldisasteremergencies,in the form of completed manual and action cards. This structure
will be routinelytestedduringdrills
The evaluation modules for Hospital disaster
drillsare designedto be a part of suchtesting:
1. To assess the impact ot each Emergency
Drill,as the hospitaldisasterresponseprogresses and develops.
2. To providea learningopportunity
for all those
who participatein a planneddrillexercise.
3. To identifystrengthsand weaknessesin hospitaldisasterdrills.
DSFH ExternalDisasterDrill #2 was carriedout
proceon October2, 2005,as an operationalized
dure. This scenario included external terrorist
event-masscausalities.
The Depadmentssharing in the drill were EFi
lvlarn,ER Pedia,Administration
Office,ICU 5, OF
l\ilain,OutpatientPharmacy,Nursing,Radiology,
Laboratory,CSSD and Security.No outsideor
ganrzations
or agencieswere involvedin the exerctse.
The approximatenumberof hospitalstaff participating in the drill (excludingthe victimsand observers)was between 80-100.They were identified by yellow arm-bands.The levels of activity
includedin the drillwere re-triageof victims,simulated clinicai procedures,simulatedinvestigational procedures,material& suppliesreceived,
and victimtransportthroughoutthe hospital.
Four modules were used to evaluate DSFH
staffpedormanceduringthe drill:
o Pre-drillmodule
r CommandCenterevaluationmodule
. Otherzone evaluationmodule
o Groupdebriefingmodule
The value of this particularapproachwas to
identifyspecificweaknessesthat can be targetand to promotecontrnuing
ed for improvement,
effortsto strengthenHospitaldisasterpreparedness.Comparingthis evaluationmodulewith
all subsequentexercisesis a useful assessment tool, to answerthe question:Are we upgradingor not?
For more lnJormaton,pleasecontaci Dr Ahmed lvlohamed
lvlohrEldeen.ExternalDisaslerTAG Coordinalor,Exl 1096
The Pioneers- For The Presentand Future
Dr. Hatem Elkhabity
ConsultantHepatologist
N/.D,CairoUniversity,
Egypt
Prolessorof lnternal lvledicine,Cairo University
Fellowshipin LiverTransplantation,
University
oI
Toronto,Canada
Dr. Moataz Samy Elbiblaw
ConsultantDiagnosticRadiology
Nil.D,Ein-ShamsUniversity,
Egypt
AssistantProfessoroI Radiology,Ein-Shams
University
Dr. SawsanSayedEl-Mosey
Nephrology
of Pediatrics
andPediatrics
Consultant
Egypt
M.D,Ein-Shams
University,
Ein-Shams
University
Professor
of Pediatrics,
of Nephrology
Member
oftheInternational
Society
Dr. Moataz Mostafa Bahgat Elmahdy
Prosthodontics
Consultant
Medicine,
CairoUniPhD,Faculty
of OralandDental
versity,Egypt
Faculty
Professor
of Prosthodontics
andVice-Dean
Egypt
of Dentistry,
SuezCanalUniversity,
International Health Tourism Exhibition
DSFH recentlyparticipatedin the International
Dn.SOUMINtAxll$ HOsmAl
roi lrlt PiSsENlANDtull/tt
&
.rrlJL.r{]r5Jr
Jr..i"ar! r r.!ar j-&
HealthTourismExhibition
in Manama,Kingdomof
Bahrain,on 14 - 16 December.
Thisexhibition
was
organizedby the International
FairsGroup(AMADEUS),underthe umbrellaof the SupremeCommissionforTourism,in partnership
withthe lvlinistry
of Health.
By padicipating
in the three-dayexhibition,
DSFH
aimedto help SaudiArabiahighlightthe medical
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tourismproductof the Kingdomand to take our
placeon the WorldN/apof qualityHealthCareProvider countries.In addition,DSFH providedfree
consultations
to visitors,showcasingthe various
medicalservicesavailablein the Hospitaland establishedchannelsthroughwhich patientscan
moreeasilyobtaintreatment.
a-
,.lt - lirJ&rr l#J'dl llf.ll
KIrOmln ot lauDt lt t|l . JTDDAH
www.rltt.l@il.rFll.l,..i
Dr. S. FakeehHospital
PeriodicalNewsletter
lssue No 2
Kingdomof SaudiArabia- P O Box 2537Jeddah21461
Phone:009662655000
/ Fax:00966266080'13
E-mail:prd@drfakeehhospltal.com
PublicRelationsDepartrnent
cor
www.drtaaeehlospilal
Joint Commissionfor lnternational
Accreditation(JCIA)
MockSurvey
The JCIA mock survey was conductedfrom the
27th of Novemberthrough December1st, 2005.
The international
team memberswere Dr. Derick
Pasternak,l\4D, l\.48A,FACPE, Engineer David
Kitchin, FASHE, FHFI, CHE and lvls. Ann
Jacobson,RN, MSN,CNNA
During their visit they conducteda mock survey
throughout the Hospital. including surveying
variousHospitalDepartments,individualSections
and Units, as well as meeting with numbers ol
hospital employees, from medical, nursing,
executiveand f inancial
operational,
administrative.
divisions. On the last day of their visit,they submitteda lull reporton their
for the preparationof the final
findingsand presentedtheir recommendations
survey,due sometimeduringthe middleof 2006.
Acquiring the InternationalCertificateof Accreditation,from the Joint
both medicaland non-medical,
Commission,will requirethat all Departments,
manner.
work as a team,suppodingeach other,in a harmoniousprofessional
ScientificMeetingon Recent
in LiverTransplantation
Developments
of Dr. Soliman
To mark the upcominginauguration
Fakeeh Hospital Liver TransplantCenter, DSFH
recentlyhosteda scientificmeetingto discussrecent
entitled"Current
developments
in livertransplantation,
by ProfessorDr.
Status of Liver Transplantation"
RonaldW. Busuttil,lvlD,PhD,Chief,Divisionof Liver
of the David Gefin
and PancreasTransplantation
School of lvledicine,Universityof California,Los
(UCLA)and Director
of the Pfleger
Angeles,Calilornia
Liver lnstitute. The meetingwhich took place on
December
3, 2005was attendedby leading
Saturday,
physicians
the Kingdom
throughout
withthe ongoingeffortsin
Dr. Busuttilwas impressed
of the DSFH Liver Transplantation
the preparation
to reviewthe
Program.He also had the opportunity
art surgicalequipmentwhichDr Fakeeh
state-ot-the
has purchasedfrom worldJamousmedicalsupply
companres.
Dr. Busultilhas pedorrhec! over 4,000 successful liver tnnsplants
California and the USA.
in