Inpatient Care

Group No. 2
Achint Kumar Dhruv Kulshreshtha Huzaifa Bilal Neeraj Mehta Priyanka Sharma Saurav Aneja Wasim Akram Dar

Problems identified in IPD

Hospital acquired infections Drug Error Surgical Error

Prioritization
on the basis

High Risk High Volume Problem Prone Function

HOSPITAL ACQUIRED INFECTIONS

Causes
Urinary Bladder Catheterization Respiratory Procedures Surgery and wounds Intravenous Procedures

Elements Inputs Man Power

Quality Characteristics Adequate competent man power , CME

Standards IPHS Norm At least 90% of required skill 2 training session/year IPHS Norm(Ancillary room- area separating OPD and IPD)(50mt) Separate male n female utilities. Space b/w beds(10 ft) IPHS norm 30 beds 24*7

Infrastructure

Availability & proper design

Renewable consumable(Sterile gloves, disinfectant, syringes)

Food Processes

Available

Hygienic failed culture media test

Indicator Proportion of available manpower Proportion of skilled manpower

Numerator No. of Manpower available No. of manpower have adequate knowledge

Denominator No. of Manpower required Total no. of manpower Total no. of training planned Standard distance b/w IPD & OPD Standard distance b/w 2 beds No. of beds required Total hour in a week

Proportion of training No. of training delivered delivered Average distance between IPD & OPD Average distance b/w 2 beds Proportion of bed available Proportion of availability of renewable consumable/week Proportion of food Average actual distance b/w IPD & OPD Average actual distance b/w 2 beds No. of beds available Total time for which renewable consumable are present in a week(in hr) Total no. of food

Total no. of food

Indicator Proportion of surgeries followed SOP in an year Proportion of drug prescribed with generic name Proportion of prescription prescribed with antibiotic

Numerator No. of surgeries followed SOP in an year No. of drugs prescribed with generic name in 1 month No. of prescription prescribed with antibiotic

Denominator Total no. of surgeries performed in an year Total no. of drugs prescribed in 1 month

Total no. of prescription in 1 month

Proportion of knowledge about proper waste disposal techniques

Proportion of disposed waste

No of staff having adequate knowledge

Total no of staff

Quantity of waste disposed not complying with standard norms

Total quantity waste disposed

Proportion of

No. of doctor & nurse Total no. of doctors &

Outcomes

Quality Cha
racteristics

Standards

Availability HAI HAI Mortality

Availability of man power, Equipments, Infrastructure, Food etc Reduction in No. of HAI Cases Reduction in deaths due to HAI

HAI morbidity

Reduction in morbidity due to HAI

At least 90% compliance with IPHS norms. At least 80% reduced HAI incidence rate At least 75% reduction in mortality due to HAI. At least 80% reduction in morbidity due to HAI.