QUALITY INDICATOR WORKSHEET

INDICATOR NOSOCOMIAL INFECTION RATE

TYPE OUTCOME
MONTH 07-1440H TO 12-1440H
TARGET 3%
FREQUENCY MONTHLY
OBJECTIVE To search for causes and to improve our services and patient safety
METHODOLOG  Monthly data collection
Y  Interpretation of data collection
 Find out the causes
 Find out the possible corrective actions
 Implement
 Monitoring of the corrective actions adopted

QUALITY INDICATOR GRAPHIC AND TEXT

NOSOCOMIAL INFECTION RATE

2369 2338 2338
2186
2500 2069
1943

2000

1500 Total number of infected patient

Total number of patient days
1000

500
2 1 2 2 2 1
0
Month 7

Month 8

Month 9

Month 10

Month 11

Month 12
INTERPRETATION: LIMITATION ON
Base on the data gathered we met our target of less than 3% in INTERPRETATION:
nosocomial infection rate with an average of 0.6%

NOSOCOMIAL INFECTION RATE

1.0300%
0.8500%
0.8500%

1.2000%
1.0000%
0.4800%

0.4600%

0.8000%
0.6000%
0.0800%

0.4000%
0.2000%
0.0000%
Month 8
Month 9

Month 11
Month 7

Month 10

Month 12

PREPARED BY: HEAD OF DEPARTMENT:

ANALYSIS DONE BY:

NAME:_DR. EMAD KOTB POSITION: QM SIGN:___________________

__ DIRECTOR___ _

NAME:_DR. ASHRAF POSITION: RISK SIGN:___________________

ALI___ MANAGER__ _

REVIEWED APPROVED
BY: DR. MOHAMED SHAMS BY: MOHAMMED MOUHIDI AL
UDDIN NAJDI
MEDICAL DIRECTOR HOSPITAL DIRECTOR