CQI _ Quality Indicators

S.No. S.No.

Proce Process ss

Qualit Quality y Indica Indicator tor

UOM

Data Data Collec Collectio tion n Period riodic icit ity y method

Respon sponsi sib bilit ility y

Repor porting ting Method

Monthly total total no. of report reportss X 1000 Redo/no.of   Monthly investigations /surgeries Non correlation Monthly /no.of investigations

Quality Committee

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Quality Committee

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Quality Committee

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Quality Committee Quality Committee Quality Committee

Trend Chart

No.of   Monthly explorations/total no.of surgeries No.of removal /total Monthly  patients on catheters & tubes No.of hematomas Monthly

Quality Committee

Trend Chart

Quality Committee

Trend Chart

Quality Committee

Trend Chart

No.of   rescheduling/total surgeries posted No.of modify anes anesth thes esia ia / tota totall no.of planned cases No.of modify anes anesth thes esia ia / tota totall no.of planned cases No.of adverse anesthesia events/no.of 

Monthly

Quality Committee

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Monthly

Quality Committee

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Monthly

Quality Committee

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Monthly

Quality Committee

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Quality Indicators Repor Reporti ting ng erro errorr /

1. Diagn iagnos osti ticc services

% of reporting errors per  thousand.

%

2.

% of redo

%

3.

% of correlation between clinical and diagnostics

%

4.

% of safety deviations.

%

Random check

5.

% of contrast reactions.

6.

Submission of report / data / form pertaining to PNDT act and radiation safety within the defined timeframe. % of explorations

%

No.of contrast Monthly reactions No.of submissions Monthly

% of accidental removal of   catheters & tubes.

%

9.

Incidents of hematoma at surgical site.

%

10.

% of rescheduling.

%

11. anes anesth thes esia ia

% of of Mod Modif ific icat atio ion n of  of  anesthesia plan.

%

12.

% of unplanned ventilation after anesthesia.

%

13.

% of adverse anesthesia events.

%

7.

8.

OT

%

Monthly

Trend Chart Trend Chart

Budget Required Required %

Quality Indicators

Prepared By

Reviewed By

Approved By

Issued By