An ISO 9001:2008 Certified Organisation

Quality & Performance ( Jul 2015 - Sep 2015 )

SR NOSERVICE QUALITYPROCESS/ FUNCTION/ DEPARTMENTEXPECTED PERFORMANCEJUL-15AUG-15SEP-15
1 Lab Reporting errors Lab 5 errors per 1000 tests 0 0 0.83
2 Radiology reporting errors Radiology 5 errors per 1000 tests 2.31 2.55 0
3 Adverse drug reactions Nursing 0% 0 0.06 0
4 Unplanned ventillation post anasthesia OT 0.25% 0 0 0
5 Adverse anasthesia events OT 0% 0 0 0
6 Compliance with Surgical  "Time-out" procedure OT 99% 100 100 100
7 Compliance with Prophylactic antibiotic usage within specified time OT 99% 98.54 94 95
8 Blood transfusion reactions Blood Storage Unit 0% 0 0 1.67
9 Catheter associated UTI (CAUTI) HIC 0.0% 0 0 0
10 VAP HIC 0.0% 0 0 0
11 CLABSI HIC 0.0% 0 0 0
12 SSI HIC 0.0% 0 0 0
13 Return to ICU within 48hrs during same admission ICU 1% 0.52 0 1.83
14 Return to emergency within 72 hours with similar complaints Emergency 1% 0 0 0
15 Number of Re-intubations within 48 Hours of Extubation Med Admin 0% 0 0 0
16 Patient falls Safety 0.50% 1.89 0 0
17 Bed occupancy Med Admin 90% 73.61 76.36 79.87
18 ALOS Med Admin 6.20% 6.8 6.7 6.22
19 OPD patient satisfaction index OPD 87.50% 88.19 88.2 88.05
20 IPD patient satisfaction index IPD 87.50% 86.12 88.68 87.51
 

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