Emergency Deptt Quality Indicator

 

QI N	QI Name	Formula	Unit of Measurement
Emergency
1	Time taken for initial assessment of patients attending emergency services.	Sum of time taken for the assessment Total Number of patients in emergency	Value
2	Return to Emergency department within 72 hours with similar presenting complaints	Number of returns to emergency within 72 hours with similar presenting complaints                                     X 100 Number of patients who have come to the emergency	Percentage
3	Incidnece of needle stick injuries	a. In IPD Areas: Number of parenteral exposures X 100                           Number of in-patient days                   b, In OPD Areas: Number of Parentral exposures  X 100                         Number of OPD Patient visits	Percentage

IPD patients quality indicator

 

QI N	QI Name	Formula	Unit of Measurement
Inpatients
1	Time for initial assessment of indoor patients	Sum of time taken for the assessment Total Number of patients in indoor	Value
2	Percentage of cases (in-patients) wherein care plan with desired outcomes is documented and countersigned by the clinician	Number of in-patient case records wherein the care plan with desired outcomes has been documented    X 100 Total number of patients	Percentage
3	Percentage of cases (in-patients) wherein screening for nutritional needs has been done.	Number of in-patient case records wherein the nutritional assessment has been documented     X 100 Total number of patients*100	Percentage
4	Percentage od cases (in-patients) wherein the nursing care plan is documented	Number of in-patient case records wherein the nursing care plan has been documented    X 100 Total number of Patients	Percentage
5	Incidence of medication errors ( Medication errors per patient days)	Total number of medication errors    X 1000 Number of patient days                                                                                                                                                   a. Total no. of prescription errors  X 1000     No. of patient days              b. Total no. of medication dispensing errors  X 1000     No. of patients days	Percentage
6	Percentage of medication charts with error prone abbreviations	Number of medication charts with error prone abbreviations   X 100 Number of medication charts reviewed	Percentage
7	Percentage of admissions with adverse drug reaction(s) ( Adverse drug reactions per 100 separations)	Number of adverse drug reactions   X 100 Number of discharges and death	Percentage
8	Number of variations observed in mock drills	Total number of variations in a mock drill	Value
9	Incidence of hospital associated pressure ulcers after admission (Bed sore per 1000 patient days)	Number of patients who develop new/worsening of pressure ulcer   X 1000 Total no.of patient days	Percentage
10	Nurse-patient ratio for ICUs and wards	Number of nursing staff  Number of beds                                                                         (To be calculated for each shift seperately)	Value
11	In patient satisfaction index	Average Score achieved      X 100 Maximum possible score	Percentage
12	Time taken for discharge	Sum of time taken for discharge Number of patients dicharged	Value
13	Number of sentinal events reported, collected and analysed within the defined timeframe	Number of sentinal events analysed within the defined timeframe   X 100 Number of sentinal events reported/collected	Percentage
14	Percentage of near misses	Number of near misses reported   X 100 Number of incidents	Percentage
15	Incidence of blood body fluid exposures	a. In IPD Areas: Number of blood body fluid exposures    X 1000                           Number of in-patient days                                                                                        b. In OPD Areas: Number of blood body fluid exposures   X 1000                             Number of OPD Patient visits	Percentage
16	Appropriate handovers during shift change ( To be done deperately for doctors and nurses)- (per patient per shift)	Total no. of handovers done appropriately   X 100  Total no.of handovers opportunities	Percentage
17	Incidence of Patient identification errors	No. of patient identification errors   X 100 No. of patients	Percentage
18	Percentage of Thrombo Phlebitis	Number of patients having phlebitis                           X 100 Total Number of patient days with invasive lines / tubes	Percentage
19	Percentage of Patient Falls	Total Number of Patient Fall                         X 100 Total Number of Discharges and Deaths	Percentage
20	Percentage of Accidental removal of lines and tubes	Total Number of accidental removal of invasive lines/ tubes   X 100    Total Number of Patient Days with invasive lines/tubes	Percentage

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