| SR NO | SERVICE QUALITY | PROCESS/ FUNCTION/ DEPARTMENT | EXPECTED PERFORMANCE | JUL-15 | AUG-15 | SEP-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 |
