FRONT OFFICE SERVICES AUDIT CHECKLIST
S.No DISPLAY Status Responsibility Target Date Remarks
1 Scope of services - Bilingual
2 Patient rights & responsibilities
3 vision & Mission,Values
4 Vulnerable patient priority board
5 Department organogram display
6 Critical alert in OPD
7 Health education displays
8 In case of any patient complaints displays
9 Vulnerable patient safety sticker
10 Emergency codes display
11 Staff escalation matrix
12 Safe exit plan
13 Patient safety goals
14 Save electricity display above switch board
15 Indication on swithches F, L for Fan and light
16 MSDS display
17 Occupational Hazards
18 Consultant Name with visiting time
FACILITY
Safety of electrical plugs &Sockets-(Check for loosely
tangling wires)Any damaged items in the area which
1 has potential for Injury.
2 Patient Suggestion box
3 Patient ID tag
4 Vulnerable patient tag
5 Separate Username and password
DOCUMENTATION
1 Departmental Manual
2 Consultant Name with visiting time
3 Patient feedback form
4 Registration form
5 Admission order slip
6 OP General consent
7 IP General Consent
8 Refusal for treatment consent
9 Release of authorization consent
10 Case sheet requisition form
11 Referral list of hospitals, lab, scan, ambulance
12 Ambulance Communication Register
13 Transfer Register
14 Referral Form
15 Admission counselling form
16 Tariff list of services
17 Health education pamphlets
18 OPD Doctor assessment form
19 OPD doctor follow up sheet
20 Prescription form
21 Patient Complaint register
22 Vulnerable patient screening form
23 LAMA consent
24 CPR register
25 Emergency mock drill reporting form
26 Code blue report form
27 Incident reporting form
28 List of Internal and external contact information
29 Grievance form
30 Grievance box
31 Interpreter list
