1 Patient Assessment related quality indicators Time for initial assessment of indoor and emergency patients Percentage of cases (in-patients) wherein care plan with desired outcomes is documented and counter-signed by the clinician. Percentage of cases (in- patients) wherein screening for nutritional needs has been done. Percentage of cases (in- patients) wherein the nursing care plan is documented. Lab related quality indicators Number of reporting errors/1000 investigations Percentage of re-dos Percentage of reports co-relating with clinical diagnosis Percentage of adherence to safety precautions by employees working in diagnostics
Medication related quality indicators Incidence of medication errors Percentage of admissions with adverse drug reaction (s) Percentage of medication charts with error prone abbreviations Percentage of patients receiving high risk medications developing adverse drug event
Anaesthesia related quality indicators Percentage of modification of anaesthesia plan Percentage of unplanned ventilation following anaesthesia Percentage of adverse anaesthesia events Anaesthesia related mortality rate
OT related quality indicators (1) Percentage of unplanned return to OT Percentage of re-scheduling of surgeries Percentage of cases where the MPUH's procedure to prevent adverse events like wrong site, wrong patient and wrong surgery have been adhered to Percentage of cases who received appropriate prophylactic antibiotics within the specified time frame Percentage of transfusion reactions Percentage of wastage of blood and blood products Percentage of blood component usage Turnaround time for issue of blood and blood components OT related quality indicators (2) Urinary tract infection rate Pneumonia rate Bloodstream infection rate Surgical site infection rate Mortality rate Return to ICU within 48 hours Return to Emergency department within 72 hours with similar presenting complaints Re-intubation rate Research related quality indicators Percentage of research activities approved by Ethics committee Percentage of patients withdrawing from the study Percentage of protocol violations/ deviations reported Percentage of serious adverse events (which have occurred in the organisation) reported to the ethics committee within the defined timeframe.
Purchase related quality indicators Percentage of drugs and consumables procured by local purchase Percentage of stock outs including emergency drugs Percentage of drugs and consumables rejected before preparation of Goods Receipt Note Percentage of variations from the procurement process
Safety related quality indicators Number of variations observed in mock drills
Patient Safety related quality indicators Incidence of falls Incidence of bed sores after admission Percentage of employees provided pre-exposure prophylaxis Number of sentinel events reported, collected and analysed within the defined timeframe Percentage of near misses Incidence of blood/body fluid exposures Incidence of needle stick injuries
Patient Satisfaction related Quality Indicators Nurse-patient ratio for ICUs and wards Out patient satisfaction index In patient satisfaction index Waiting time for services including diagnostics and out- patient consultation Time taken for discharge Utilization and Services related quality indicators Bed occupancy rate Average length of stay OT Utilisation rate ICU Equipment Utilisation ICU Bed Utilisation rate Critical equipment down time
Medical Records related Quality Indicators Percentage of medical records not having discharge summary Percentage of medical records not having codification as per International Classification of Diseases (ICD) Percentage of medical records having incomplete and/or improper consent Percentage of missing records
HR related Quality Indicators Employee satisfaction index Employee attrition rate Employee absenteeism rate Percentage of employees who are aware of employee rights, responsibilities and welfare schemes