S.No. Process 1. Diagnostic services 2. 3. 4. 5. 6.

Quality Indicator % of reporting errors per thousand. % of redo % of correlation between clinical and diagnostics % of safety deviations. % of contrast reactions. Submission of report / data / form pertaining to PNDT act and radiation safety within the defined timeframe. % of explorations % of accidental removal of catheters & tubes. Incidents of hematoma at surgical site. % of rescheduling. % of Modification of anesthesia plan. % of unplanned ventilation after anesthesia. % of adverse anesthesia events. % Medication errors.

UOM

Data Collection Periodicity method

Responsibility Quality Committee Quality Committee Quality Committee Quality Committee Quality Committee Quality Committee Quality Committee Quality Committee Quality Committee Quality Committee Quality Committee Quality Committee Quality Committee Quality

Reporting Method Trend Chart Trend Chart Trend Chart Trend Chart Trend Chart Trend Chart

Quality Indicators Reporting error /

% % % %

Budget Required %

Monthly total no. of reports X 1000 Redo/no.of Monthly investigations /surgeries Non correlation Monthly /no.of investigations Random check Monthly

No.of contrast Monthly reactions No.of submissions Monthly

7. 8. OT 9. 10. 11. anesthesia 12. 13.

% % % % % % %

No.of Monthly explorations/total no.of surgeries No.of removal /total Monthly patients on catheters & tubes No.of hematomas Monthly No.of rescheduling/total surgeries posted No.of modify anesthesia / total no.of planned cases No.of modify anesthesia / total no.of planned cases No.of adverse anesthesia events/no.of aneasthesia given no.of medications Monthly Monthly Monthly Monthly

Trend Chart Trend Chart Trend Chart Trend Chart Trend Chart Trend Chart Trend Chart

14. Pharmacy/

Monthly

Trend Chart

Quality Indicators
Prepared By Reviewed By Approved By Issued By