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INTRODUCTION:
In-patient wards are the place where most of the patient care activities happens. While
preparing for NABH, wards requires high amount of attention as a large number of NABH
standards applies to it. This post identifies such requirements and can be used as a checklist
by hospitals preparing for NABH accreditation. The checklist, being general in nature, must
be reviewed for its suitability to individual hospital, before use.
The checklist is relevant for an inter-mediate care ward. There are additional requirements
for specialized wards such as ICU, emergency etc. which will be listed under separate
heading in upcoming posts. Readers are requested to subscribe to the blog through email
for getting regular updates on posts.
Before going through this checklist please also go through ‘Infrastructure checklist for
NABH accreditation’
E. Quality Indicators for wards: These QIs can be calculated in each ward and
then combined for hospital wide QI
1. Average time for initial assessment of admitted patient and % outliers
2. Incidence of medication errors
3. Percentage of admissions with adverse drug reactions
4. Percentage of patients receiving high risk medicines and developing adverse drug
reaction
5. Percentage of transfusion reaction
6. Percentage of near miss events
7. Incidence of patient falls
8. Incidence of bed sores after admissions
9. Incidence of patient rights violations
10. Incidence of needle stick injuries
11. Incidence of missing medical records
12. Percentage of non-compliance observed related to infection control practices
13. Patient satisfaction rate of the ward (Checkout a sample form)
14. Time taken for discharge
15. Average nurse patient ratio in each shift
16. Percentage of current medical records that are incomplete as per hospital’s policy.
Besides these there are requirements related to clinical care and nursing care also which are
assessed in wards. These will be listed separately in upcoming posts.