OBEID SPECIALIZED HOSPITAL

QUALITY INDICATOR FORM-2019

1 Measure Category : Individual Department/ Services

Hospital Wide
Strategic Priority Improvement
Others

2 Area Monitored : Radiology

3 Indicator Name : Panic Finding Reports Compliance Rate

4 Rationale : To ensure the patient safety

To ensure compliance with IPSG

To ensure the quality of service

5 Dimensions of Quality:
Safe Timely Effective Efficient
Equitable Patient-centered Respect Continuity
Appropriateness Availability Accessibility

6 Numerator : Total number of Panic Finding Reports informed to the requested doctor in one month as
per the policy X 100

· Inclusion Criteria All informed panic findings

· Exclusion Criteria None

7 Denominator : Total number of critical results in that month

· Inclusion Criteria All panic findings

· Exclusion Criteria None

8 Selection Criteria "Prioritization Mechanism"

High Risk High Cost High Volume Problem Prone

CBAHI

9 Type of Measure/Indicator:

Structure Process Outcome Process and outcome

10 Sample Size: As per the statistical sample size policy

11 Data Collection Methodology : Retrospective Concurrent

12 Target : 100%

13 Benchmark: (if applicable)

14 Indicator Frequency : Daily Weekly Monthly Quarterly

Semi-annual Annual

15 Source of Data : Panic Finding Reports log book

16 Responsibility : Quality Designee

(Ownership)

17 Reporting to : QIPS Committee

 OBEID SPECIALIZED HOSPITAL

QUALITY INDICATOR FORM-2019

18 Aggregation & Analysis :

Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Numerator 94 37 59 59 50 70
Denominator 94 37 59 59 50 70
Compliance 100 100 100 100 100 100

Panic Findings Reports Compliance Rate

100
100 100 100 100 100
100
80
Compliance
60 Linear (Compliance)
40

20 Target =
100%
0
Jan Feb Mar Apr May Jun

19 Actions Taken/Sustainability mechanism:

20 Comments/Remark:

Prepared by:
Quality Designee

Reviewed by: Approved by:

Management of Information Quality Director