Department of Surgery

Presenter:

Dr. Nasir Siddique

Registrar
Surgery
University of Lahore Teaching Hospital
Department of Surgery March 2021 to June 2021

1. Initial Indoor patient Assessment

2. Percentage of inpatient with care plan

3. Date and time mentioned on chart

4. Comparison with last quarter

 Statistics for CQI 14 Comparison
Mar April May June CQI 14 CQI 15
2020 2020 2021 2021

Total number of In Patients 33 40 50 88 204 211

Treatment plan mentioned 33 40 50 88 204 211

100%
100%
Date mentioned on admission 33 40 50 88 204 211
chart 100% 100%

Time mentioned on chart 24 32 46 79 123 181

60% 85%

Initial Indoor Assessment 31 39 48 83 171 199

within 30 min 83% 94%

Total Surgeries Done 69 66 44 119 269 298

Cases Postponed Nill Nill Nill Nill 00 00

 Indicator 101

Monitoring of all invasive procedures

 March April May June 2021
2020 2020 2021

 Percentage of unplanned invasive procedures 00 00 00 00

 Percentage of rescheduling of invasive procedure 00 00 00 00

 Percentage of cases where the SOP’s have been adopted

to prevent adverse events i.e.

a) wrong patient
100% 100% 100% 100%
b) wrong procedure

c) wrong surgical site

 Total no. of the patients who return to the operating rooms 0 0 0 0

within 24 hours of surgery

 Percentage of readmission within 24 hours if any invasive 0 0 0 0

procedure has been carried