Study on Patient Care Quality Standards at General Hospital, Rajkot
- Agency : Patient Care, Quality Standards, General Hospital, TQM, NABH Standards
- Objective : The present study is aimed to assess the health care service delivery the hospital against patient centric standards of NABH. The study assessed the current level of performance as per standards, identified the gaps and proposed recommendations. Few of the recommendations were implemented in the hospital under quality improvement programs.
- Background : The state of Gujarat has been regarded as one of the best performing state in India on various economic and health parameters. However, Gujarat health care system faced lack of adequate standards in public health services. With the effort to improve the quality of healthcare delivery, the GoG adopted Total Quality Management (TQM) system in 2007 to strengthen medical institutions as per NABH and NABL standards in three phases. General Hospital in District Rajkot was covered under the third phase of NABH implementation.
- Methodology : The study was conducted in General Hospital, Rajkot. All the staffs from the clinical departments, wards were questioned about the standards. The staff from support services like laboratory and radiology and utility services like house-keeping were also involved. The assessment of the hospital was conducted by using the self- assessment toolkit provided on NABH website. The toolkit was modified according to the study requirement. To fill the toolkit, the data was collected through primary as well as secondary sources.
- Findings : The study showed that the hospital scored well on standards related to management of medication and was poorly compliant to standards for hospital infection control. Out of the total applicable objective elements hospital compliance was 43.9 percent, partial compliance was 20.8 percent and non-compliance was 35.3 percent. Overall the hospital was found to be 56.4 percent compliant to NABH patient centric standards. As per the results, quality improvement programs were initiated like signage system, training regarding basic life support, biomedical waste management, proposing hospital committees, hand washing practices, vaccination to employees etc.
- Recommendations : Any journey starts with a single step and Quality Improvement Programs (QIPs) for these vital areas was the first step taken towards the journey of quality improvement in patient care services and achieving NABH accreditation.