Measuring Operational Efficiency of 210 Beded Multi Super Specialty Hospital
- Heena Kausar
- Agency : 210 Bedded Hospital, Multi Super Specialty Hospital, Operational Efficiency
- Objective : The objective of this report is to measure the operational efficiency of the hospital, as per set standards and to find out the gaps in input/process/outcome for enhancing the overall quality of system.
- Background : Health care is becoming transparent and customer focused. Patients and their relatives have the right to know the standard of care and its cost. It is therefore becoming more and more mandatory for the institution to monitor quality indicators/parameters and compare their performance level with the national standard or international bench marks. By monitoring operational efficiency and further providing feedback based on indicator data can be effective in changing health care professional practice.
- Methodology : This operational efficiency study is retrospective - prospective analytical study. The study is based on primary data.
- Findings : The main outcome of this study is that although hospital is following all the quality indicators still there is potential of improvement. For example in initial nursing assessment (within 30 minutes) of inpatients comparative trend is higher from Feb. to March i.e. 84% compliance to 92%. Initial assessment by consultant within 24 hrs there is initially only 62.7% cases received assessment within 24 hrs which increased to 85.7% later on. In needle stick injury indicated only one nurse suffered needle stick injury in the whole study period. Nurse patient ratio is 1:4 which is sufficient for providing quality nursing care but in ICU it is not as per the standards which should be 1:1. The cases of redoes which was 1.96% in the month of January falls to 1.58% in Feb, which is an appreciable outcome but on the contrary the same has risen up in march to 1.66%, though still less than Jan redoes. Records without nursing care is also declining from Jan i.e. 25% to march i.e.14.1%.
- Recommendations : Suggested to have regular meeting with staff, proper distribution of work between all the staff, negligence part should to be looked upon by continuous monitoring, only personnel with required qualification should be appointed, continuous training and proper communication for staff should be there. Clarity of authority & responsibility at all the level should be there to minimize gaps.