+91 20 6731 3000 +91 98220 55986 sainathhospitalinfo@gmail.com
New Offers!
+91 20 6731 3000 +91 98220 55986 sainathhospitalinfo@gmail.com

QUALITY & PERFORMANCE ( OCT 2017 – DEC 2017 )

SR NO Service Quality
Process/ Function/ Department
Unit of measurement
Expected performance
Oct 2017
Nov 2017
Dec 2017
1 Lab Reporting errors
Lab
Per 1000 tests done
5 errors per 1000tests
0.27
0
0
2 Radiology reporting errors
Radiology
Per 1000 tests done
5 errors per 1000tests
0
0
0
3 Adverse drug reactions
Nursing
% of discharges+deaths
0%
0.06
0
0
4 Unplanned ventillation post anasthesia
OT
% of patients anesthesized
0.50%
0
0
0
5 Adverse anasthesia events
OT
% of patients anesthesized
0%
0
1.27
0
6 compliance with Surgical  “Time-out” procedure
OT
% of Number of Surgeries performed
99%
100
100
100
7 Compliance with Prophylactic antibiotic usage within specified time
OT
% of Number of Surgeries performed
99%
100
100
100
8 Blood transfusion reactions
Blood Storage Unit
% of number of BTs done
0%
0
1.75
0
9 Catheter associated UTI (CAUTI)
HIC
Per 1000 Urinary catheter days
0%
0
0
0
10 VAP
HIC
Per 1000 Ventilator days
0%
0
0
0
11 CLABSI
HIC
Per 1000 Central Line days
0%
0
0
0
12 SSI
HIC
% of number of surgeries in the month
0%
0
0
0
13 Return to ICU within 48hrs during same admission
ICU
% of Number of Discharges+ Transfer-outs+ deaths in ICU
1%
0
0.77
1.65
14 Return to emergency within 72 hours with similar complaints
Emergency
% of number of Patients visiting Emergency
5%
0
0
0
15 Number of Re-intubations within 48 Hours of Extubation
Med Admin
% of number of extubations
0%
0
0
0
16 Patient falls
Safety
% of discharges+deaths
0
0
0
0
17 Bed occupancy
Med Admin
% of available bed days
90%
62.86
64.81
52.68
18 ALOS
Med Admin
Days
7.5
5.6
6.4
5.5
19 OPD patient satisfaction index
OPD
Percentage
87.50%
92.34
86.84
91.41
20 IPD patient satisfaction index
IPD
Percentage
87.50%
81.25
82.1
82.7