HR Deptt Quality Indicator

 

QI N	QI Name	Formula	Unit of Measurement
HR
1	Employee satisfaction index	Average Score achieved   X 100  Maximum possible Score	Percentage
2	Employee attrition rate	Number of employees who have left during the month                         X 100 Number of employees at the beginning of month+ newly joined staff	Percentage
3	Employee absenteeism rate	Number of employees who are on unauthorised absence    X 100 Number of employees	Percentage
4	Percentage of emplyees who are aware of employee rights, responsibilities and welfare schemes	Number of employees who are aware of employee rights, responsibilities and welfare schemes                    X 100 Number of employees interviewed	Percentage
5	Percentage of staff provided pre-exposure prophylaxis	Number of employees who were provided pre-exposure prophylaxis              X 100 Number of employees who were due to be provided pre exposure prophylaxis	Percentage

ICU NICU PICU SICU HDU Quality Indicator

 

QI N	QI Name	Formula	Unit of Measurement
ICU/NICU/PICU
1	ICU utilisation rate	Number of equipment utilised days     X 100 Equipment days available	Percentage
2	Re-intubation rate	Number of re-intubation within 48 hours of extubation X 100 Number of patients who have intubated	Percentage
3	Return to ICU within 48 hours	Number of returns to ICU within 48 hours           X 100 Number of patients who have come to the ICU	Percentage
4	Bed utilization	Number of bed utilized days X 100 Bed days available	Percentage

Operation Theater Quality Indicator

 

QI N	QI Name	Formula	Unit of Measurement
Operation Theatre (OT)
1	Percentage of re-schedulling and Cancellation of surgeries	Number of cases re-scheduled/cancellations  X 100 Number of surgeries planned	Percentage
2	Re-exploration rate	No. of re-explorations done during same admission X 100  Total number of surgeries	Percentage
3	Average operating time	Sum of operating time for each patients Total no. of surgeries	Value
4	Percentage of unplanned return to OT	Number of unplanned return to OT    X 100  Number of patient operated	Percentage
5	Surgical site marking	No of cases where surgical site marking done           X 100 No of cases where surgical site marking applicable	Percentage
6	Percentage of adverse anaesthesia events	Number of adverse anaesthesia events occurred    X 100 Total number of surgeries performed in OT	Percentage
7	Percentage of modification of anaesthesia plan	Number of patients in whom the anaesthesia plan was modified                               X 100  Number of patients who underwent anaesthesia	Percentage
8	Percentage of unplanned ventilation following anaesthesia	Number of patients requiring unplanned ventilation following anaesthesia                          X 100 Number of patients who underwent anaesthesia	Percentage
9	Anaesthesia related mortality rate	Number of anaesthesia related deaths          X 100  Total no of patients undergone anaesthesia	Percentage
10	Percentage of cases where the organisation procedure to prevent adverse events like wrong site, wrong patient and wrong surgery have been adhered to	Number of cases where the procedure was followed    X 100   Number of Surgeries performed	Percentage
11	Percentage of cases who received appropriate prophylactic antibiotics within the specified time frames	Number of patients who did receive appropriate prophylactic antibiotic(s)    X 100  Number of surgeries performed	Percentage
12	Percentage of cases in which the planned surgery is changed imtraoperatively	No. of cases in which the planned surgery is changed intraoperatively                                X 100 Total no. of surgeries performed	Percentage
13	OT utilisation rate	OT utilisation time in hours   X 100   Resource hours	Percentage

Radiology Unit Quality Indictor

 

QI N	QI Name	Formula	Unit of Measurement
Radiology
1	Pain Score below 2 for patients who undergo Biopsy/procedure in Radiology	No. of patients having score below or equal to pain score 2 x 100 Total No. of biopsies/procedures done for a month	Percentage
2	Frequency of contrast reaction	Total no. of contrast reactions    x 100 Total no. of contrast CT studies	Percentage
3	Percentage of adherence to safety precautions by employees working in diagnostics.	No. of times investigations done with safety criteria  x 100 Total no. of random checks done	Percentage
4	Waiting time of OPD patients for USG , CT scan and MRI who have taken prior appointment	Sum (Patient-in-time for consultation - Patient Reporting Time in OPD / Diagnostics) No. of patients reported in OPD/ Diagnostics	Minutes
5	Submission of PNDT report within the defined time frame.	No. of report submitted on time x 100 Total no. of report submitted	Percentage
6	Number of Radiology Reporting Errors / 1000 investigations	Total no. of Radiology report with error x 100 Total no. of tests done	Errors / 1000 investigations
7	Percentage of Radiology investigation Re-dos	Total no. of Re-dos in a month       x 100 Total no. of tests done in a month	Percentage
8	Percentage of mammography reports co-relating with diagnosis reports	No. of +ve mammography reports of suspected +ve patients   x 100  total no. of mammography cases with suspected anomalies	Percentage
9	Percentage of x-ray(non-emergency) cases reported within defined time frame	Total No. of X ray non-emergency cases reported within time frame of  x 100 Total number of X ray (non-emergency )films received	Percentage
10	Percentage of USG(non-emergency) cases reported within defined time frame	Total No. of USG non-emergency cases reported within time frame of  x 100 Total number of USG non-emergency cases	Percentage
11	Percentage of CT(non-emergency) cases reported within defined time frame	Total No. of CT (non-emergency) cases reported within time frame  (24 hrs for OPD & IPD)                                x 100 Total number of CT non-emergency cases	Percentage
12	Percentage of Mammography (non-emergency) cases reported within defined time frame.	Total No. of Mammography non-emergency cases reported within time frame  (12 hrs for OPD & IPD)                x 100    Total number of Mammography (non-emergency) cases	Percentage
13	Percentage of Doppler(non-emergency case) cases reported within defined time frame	Total No. of Doppler non-emergency cases reported within time frame  (12 hrs for OPD & IPD)                x 100 Total number of Doppler(non-emergency) cases	Percentage
14	Percentage of MRI (non-emergency) cases reported within defined time frame	Total No. of MRI (non-emergency) cases reported within time frame  (24 hrs for OPD & IPD)                x 100 Total number of MRI non-emergency cases	Percentage
15	Percentage of CT reports co-relating with diagnosis reports.	No. of Positive co-relation                    x 100               Total no. of Trauma cases screened	Percentage
16	Percentage of MRI reports co-relating with diagnosis reports	No. of Positive co-relation                   x 100                Total no. of Spine cases screened	Percentage
17	Percentage of Critical Imaging cases reported within the defined time frame of (60 mins )	Total No. of Critical Imaging results communicated  within defined time frame ( 60 mins) /                      X 100  Total no. of Critical imaging results reported	Percentage