OBEID SPECIALIZED HOSPITAL

QUALITY INDICATOR FORM-2019

1 Measure Category : Individual Department/ Services

Hospital Wide
Strategic Priority Improvement
Others

2 Area Monitored : Anesthesia Department

3 Indicator Name : Post Operative Anesthesia Complication in Recovery Room

4 Rationale :
To improve quality service
To improve patient safety
To evaluate performance

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

6 Numerator : No. of Patient Who had Post Operative Anesthesia Complication in Recovery Room in a
Month X 100

· Inclusion Criteria All Patients receiving Anesthesia

· Exclusion Criteria None

7 Denominator : Total No. of Procedures performed Under Anesthesia

· Inclusion Criteria All Patients receiving Anesthesia

· Exclusion Criteria None

8 Selection Criteria "Prioritization Mechanism"

High Risk High Cost High Volume Problem Prone

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:

14 Indicator Frequency : Daily Weekly Monthly Quarterly

Semi-annual Annual

15 Source of Data : Patient Medical Records

16 Responsibility : O.R Head Nurse

(Ownership)

17 Reporting to : Medical Director, 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
Denominator
Compliance #DIV/0!

Post-Sedation Assessment Compliance Rate

100.00
90.00
80.00
70.00
60.00
50.00 Compliance
40.00
30.00 Linear
20.00 (Compli-
ance)
10.00
0.00
Jan Feb Mar Apr May Jun Target = 100%

19 Actions Taken/Sustainability mechanism:

20 Comments/Remark:

Prepared by:
Quality Designee

Reviewed by: Approved by:

Management of Information Head of the Department