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Sr. No |
INDICATOR |
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1a |
Time for initial assessment of indoor and emergency patients |
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1b |
Time for initial assessment of indoor and emergency patients |
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2 |
Percentage of cases (in-patients) Wherein care plan with desired outcomes is documented and counter-signed |
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3 |
Percentage of cases (in-patients) wherein screening for nutritional needs has been done. |
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4 |
Percentage of cases (in-patients) Wherein the nursing care plan is documented. |
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5 |
Number Reporting Error/1000investigations |
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i) Radiology |
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ii) Pathology |
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6 |
Percentage of re-dose. |
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i) Radiology |
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ii) Pathology |
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7 |
Percentage of reports co- relating with clinical diagnosis. |
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i) Radiology |
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ii) Pathology |
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8 |
Percentage of adherence to safety precautions by employees working in diagnostics. |
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i) Radiology |
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ii) Pathology |
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9 |
Incidence of medication errors |
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10 |
Percentage of admissions with adverse drug reaction (s) |
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11 |
Percentage of medication charts with error prone abbreviations |
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12 |
Percentage of patients receiving high risk medications developing drug event. |
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13 |
Percentage of modification of anaesthesia plan |
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14 |
Percentage of unplanned ventilation following anesthesia. |
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15 |
Percentage of adverse anaesthesia events |
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16 |
Anaesthesia related mortality rate |
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17 |
Percentage of unplanned return to OT |
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18 |
Percentage of re-scheduling of surgeries |
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19 |
Percentage of cases where the organization’s procedure to prevent adverse events like wrong site, wrong patient and wrong surgery have been adhered to |
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20 |
Percentage of received appropriate prophylactic antibiotics within the specified time frame. |
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21 |
Percentage of cases in which the planned surgery is changed itraoperatively |
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22 |
Re-exploration rate |
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23 |
Percentage of transfusion reactions |
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i) MT |
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ii) OT |
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24 |
Percentage of wastage of blood and blood products |
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i) MT |
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ii) OT |
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25 |
Percentage of blood component usage |
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|
i) MT |
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ii) OT |
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|
26 |
Turnaround time for issue of blood and components |
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|
i) MT |
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ii) OT |
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|
27 |
Catheter associated Urinary tract infection rate |
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28 |
Pneumonia rate |
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29 |
Bloodstream infection rate |
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30 |
Surgical site infection rate |
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31 |
Mortality rate |
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32 |
Return to ICU within 48 hours |
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33 |
Return to the emergency department within 72 hours with similar presenting complains |
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34 |
Re-intubation rate |
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35 |
Percentage of research activities approved by Ethics committee |
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36 |
Percentage of patients withdrawing from the study |
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37 |
Percentage of protocol violations/ deviations reported |
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38 |
Percentage of serious adverse events (which have occurred in the organization) reported to the ethics committee within the defined time frame. |
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39 |
Percentage of drugs and consumables procured by local purchase |
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|
40 |
Percentage of stock outs including emergency drugs |
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41 |
Percentage of drugs and consumables rejected before preparation of goods receipt note |
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42 |
Percentage of variations from the procurement process |
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43 |
Number of variation observed in mock drills |
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|
44 |
Incidence of falls |
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45 |
Incidence of bed sores after admission |
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46 |
Percentage of employees provide pre-exposure prophylaxis |
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47 |
Bed occupancy rate and A |
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|
average length of stay B |
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|
48 |
OT and ICU utilization rate •ICU-NA |
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|
49 |
Critical equipment down time |
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|
50 |
Nurse- Patient ratio for ICUs and wards • ICU-NA |
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51 |
Out patient satisfaction index |
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52 |
In patient satisfaction index |
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53 |
Waiting time for including diagnostics and |
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Outpatient consolation |
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|
54 |
Time taken for discharge |
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|
55 |
Employee satisfaction index |
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56 |
Employee attrition rate |
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57 |
Employee absenteeism rate |
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58 |
Percentage of employees who are aware of employee rights, responsibilities and welfare schemes |
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59 |
Number of sentinel events reported, collected and analyzed within the defined timeframe |
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|
60 |
Percentage of near misses |
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61 |
Incidence of blood body fluid exposures |
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|
Safety Officer |
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|
MT |
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|
62 |
Incidence of needle stick injuries. |
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|
Safety Officer |
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|
ICN |
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|
63 |
Percentage of medical records not having discharge summary |
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|
64 |
Percentage of medical records not having codification of Diseases(ICD) |
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65 |
Percentage of medical records having incomplete and/or improper consent |
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66 |
Percentage of missing records |
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67 |
Appropriate handovers during shift change (to be done separately for doctors and nurses )-( per patient per shift) |
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|
68 |
Incidence of Patient identification errors |
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|
69 |
Compliance to Hand Hygiene partactice |
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|
70 |
Compliance rate to medication Prescription in capitals |
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|
71 |
Depression status monitoring at the time of discharge |
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|
72 |
Adherence to antibiotic policy |
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73 |
Mobility status monitoring at the time of discharge |
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|
74 |
Time for initial assessment of indoor patients by paramedics |
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|
75 |
TAT for referral and transfer |
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|
76 |
TAT for dispatch of Medical Record at MRD post discharge |
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|
77 |
Response tiime for breakdown of critical equipment |
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|
78 |
Vocational establishment rate and mobility aid provision rate |