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    QUALITY Indicator 5th Edition

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    Prabhat Kumar
    This document discusses quality indicators for hospitals accredited by the National Accreditation Board for Hospitals and Healthcare Providers (NABH) in India. It notes there are a total of 35 indicators divided into clinical, managerial, safety-related, and infection control categories. The indicators measure factors like medication errors, patient wait times, hand hygiene compliance, and adherence to safety protocols. The document provides examples of specific indicators within each category such as catheter-associated infections, falls rate, and stock outs of emergency drugs.

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    QUALITY Indicator 5th Edition

    Uploaded by

    Prabhat Kumar
    15K views6 pages
    This document discusses quality indicators for hospitals accredited by the National Accreditation Board for Hospitals and Healthcare Providers (NABH) in India. It notes there are a total of 35 indicators divided into clinical, managerial, safety-related, and infection control categories. The indicators measure factors like medication errors, patient wait times, hand hygiene compliance, and adherence to safety protocols. The document provides examples of specific indicators within each category such as catheter-associated infections, falls rate, and stock outs of emergency drugs.

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    QUALITY indicator 5th edition

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    This document discusses quality indicators for hospitals accredited by the National Accreditation Board for Hospitals and Healthcare Providers (NABH) in India. It notes there are a total of 35 indicators divided into clinical, managerial, safety-related, and infection control categories. The indicators measure factors like medication errors, patient wait times, hand hygiene compliance, and adherence to safety protocols. The document provides examples of specific indicators within each category such as catheter-associated infections, falls rate, and stock outs of emergency drugs.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    15K views6 pages

    QUALITY Indicator 5th Edition

    Uploaded by

    Prabhat Kumar
    This document discusses quality indicators for hospitals accredited by the National Accreditation Board for Hospitals and Healthcare Providers (NABH) in India. It notes there are a total of 35 indicators divided into clinical, managerial, safety-related, and infection control categories. The indicators measure factors like medication errors, patient wait times, hand hygiene compliance, and adherence to safety protocols. The document provides examples of specific indicators within each category such as catheter-associated infections, falls rate, and stock outs of emergency drugs.

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    QUALITY INDICATOR

    PRESENTED BY :
    PRABHAT KUMAR
    MANAGER-ADMIN & QUALITY
    INTRODUCTION

    5th edition of NABH standards was introduced in 15


    Feb 2020 and became enforced from July 2020
    onwards.

    It is divided into


    10 chapters
    100 Standards
    651 objective elements
    CHAPTERS

    1. AAC – Access, Assessment & Continuity Of Care


    2. COP- Care Of Patients
    3. MOM- Management Of Medications
    4. PRE – Patient’s Rights & Education
    5. HIC – Hospital Infection Control
    6. PSQ – Patient Safety & Quality Improvement
    7. ROM – Responsibilities Of Management
    8. FMS – Facilities Management & Safety
    9. HRM – Human Resource Management
    10. IMS – Information Management System
    QUALITY INDICATOR

    Quality: Degree of adherence to pre-established


    criteria or standards.

    Indicator: A statistical measure of the performance


    of functions, systems or processes over time.
    NABH QUALITY INDICATORS

    Total count: 35

    Clinical indicators- 13
    Managerial indicators- 10
    Safety Related Indicators – 7
    Infection control related - 5
    CLASSIFICATION OF INDICATORS
    Clinical Safety Related Infection Control Related
    Time taken for initial assessment of IP Number of variations observed in mock Catheter associated Infections
    drills
    Reporting errors Fall rate VAP

    Medication error rate Percentage of near misses Central line associated Blood stream
    infections
    Transfusion Reaction Beds sores SSI

    Medication charts with errorprone Needle stick injuries Hand Hygiene Compliance Rate
    abbreviations
    No. of inpatients developing ADR Adherence to safety precautions in
    diagnostics
    Un planned returns to OT Adherence to prevention protocol of wrong
    patient, wrong site, wrong surgery
    Standardized Mortality Ratio for ICU Managerial
    Return to emergency department within 72 Waiting time for diagnostics Rescheduling of surgeries
    hours with similar complaints
    Surgical prophylaxis given within timeframe Waiting time for outpatient consultation TAT for blood and blood components

    Re-scheduling of surgeries Time taken for discharge Waiting for OP consultation

    Compliance to medication prescription in Medical records with incomplete/improper Waiting time for diagnostic services
    capitals consent
    Appropriate handovers during shift change Stock out of emergency drugs Nurse-patient ratio for ICUs and
    wards

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