An ISO 9001:2008 Certified Organisation

Quality & Performance ( Jul 2014 - Sep 2014 )

SR NOSERVICE QUALITYPROCESS/ FUNCTION/ DEPARTMENTEXPECTED PERFORMANCEJULY-14AUG-14SEP-14
1 Lab Reporting errors Lab 5 errors per 1000tests 0 0 0
2 Radiology reporting errors Radiology 5 errors per 1000tests 0 0 0
3 Adverse drug reactions Nursing 0% 0 0 0
4 Unplanned ventillation post anasthesia OT 0.50% 0 0 0
5 Adverse anasthesia events OT 0% 0 0 0
6 Compliance with Surgical  "Time-out" procedure OT 99% 100 99.37 100
7 Compliance with Prophylactic antibiotic usage within specified time OT 99% 100 100 100
8 Blood transfusion reactions Blood Storage Unit 0% 0 2.16 0.79
9 Catheter associated UTI (CAUTI) HIC 0% 0 0 0
10 VAP HIC 0% 0 0 0
11 CLABSI HIC 0% 0 0 0
12 SSI HIC 0% 0 0 0
13 Return to ICU within 48hrs during same admission ICU 1% 0 2.35 0
14 Return to emergency within 72 hours with similar complaints Emergency 5% 0 0 1.89
15 Number of Re-intubations within 48 Hours of Extubation Med Admin 0% 0 0 0
16 Patient falls Safety 0 0 0 0
17 Bed occupancy Med Admin 90% 91.34 73.92 81.28
18 ALOS Med Admin 7.5 8.79 8.42 11.26
19 OPD patient satisfaction index OPD 85% 84.79 85.24 84.60
20 IPD patient satisfaction index IPD 90% 83.89 82.39 82.65
 

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