الفهرس 
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Abstract
Patient safety is the cornerstone of high-quality health care. Over the past 10 years, patient safety has become a key priority for health systems.one of the challenges in treating children is lack of safety and quality research focused on the pediatric population. Because pediatrics population is often a small part of what a hospital dose.
This study was carried out at El Galaa teaching hospital during the period from April 2009 to May 2010 to assess the present situation in accessible studied pediatric health care services to know how much near it to the Egyptian patient safety heath care quality standards. By the use of check list observation of performance of health care providers in the Landry, kitchen, sterilization department, blood bank, laboratory services, radiology department, inpatient department and intensive care unit.
This study showed that borderline improvement of check list observation scoring as regarding, in patient department, intensive care unit, kitchen, Landry, sterilization department, x- ray department and laboratory but no change in chic list observation scoring as regarding blood bank after one year of the study.
The study also included the outcome of implementing quality indicators through self-coded questionnaire was developed to evaluate parent’s satisfaction with their child’s care during a hospital stay. The sample consisted of 400 patients caregivers selected at random from inpatient department and intensive care unit.
The study revealed that the majority of patients were satisfied with accessibility of hospital facilities as regarding clinic facilities (98.54%), hospital cleanliness (87.3%) for room cleanliness, (78.3%) for bed cleanliness, (70.3%) for bathroom cleanliness.
In this study(99.8% )of patient’s parents satisfied with doctor attentiveness, (99.0%) satisfied with clinical examinations ,physician’s explanation of diagnosis (96.0%), admission time (88.3%) and admission procedures (87.5%) and (99.8%) services cost, listening to patients’ complaints (91.5 %), responding to patients ’new symptoms (78.0%), doctors availability (92.5%), parents’ satisfaction with nurses’ performance mainly due to nurses’ attitude towards patients including good follow up of patient general condition (90.8%) and medical care (92.3 %).But dissatisfaction from doctors’ performance that need to be reformed first were deficient information given to patients (61.0%), deficient shared management, (77.8%) and deficient pain management (69.3%), drug unavailability(38.5%).
The study included self-coded questionnaires were applied to staff member (40 doctors and 40 nurses) in a different unit to assess to which extent they are convinced with the value of application of health care quality standards.
The study revealed that the doctors opinion about patient right in shared management as regarding diagnosis (60. %), investigations (30.5 %), treatment plan (12.5 %), consent for invasive procedures (27.5 %), refusal of treatment (32.5 %), degree of fellow medical instruction by parent (40.0 %), infection control guidelines implementation, (90.0 %) presence of trained infection control team work to train employers on infection control programs, (82.0%) degree of follow of infection control polices.
The medical equipment availability (30.0%), Sterilization (37.5%), maintenance (30.0%), rapid response if there is malfunction in one of medical equipment (12.5%) and hospital management policies as regarding easy communication (55.0%), rapid response from management when there is problem interfere with good medical services (40.0%).
As regarding nurses’ performance the study revealed that (90.0%) followed safe policies and procedures in giving drugs, (100.0%) recording giving drugs doses, (75.0%)informed parent by possible side effect of drugs, regular follow up of patient general condition (100.0%), presence of Infection control policies and procedures including uses & chooses of detergents (95.0%), hand wash (100.0%), cleanliness steps (100.0%).knowing of nursing staff by infection control policies (47.5%), availability of
Infection control equipment (70.0%), safe get rid of patient wastes (100.0%) and easy communication (16.0%), rapid response from management when there is problem interfere with good medical services (60.0%).