Medical Administration

Internship Project
23/06/2022 – 22/08/2022

Presented By : Rockson Ohene Asante

MBA in Hospital and Healthcare Management
Student Intern
Lovely Professional University 1
 Major Tasks

Computerized Patient Record System (CPRS) Audit

Doctor’s Handover Check

Informed Consent Compliance

International Patient Safety Goals (IPSG)

Departmental visit.

2
 Computerized Patient Record System (CPRS)

CPRS is a patient care With core CPRS, you can

centered system that order lab tests,
enables the user to enter, medications, record a
review, and continuously patient’s allergies or
update information adverse reactions to
connected with any medications, enter
patient in a way that progress notes,
directly supports clinical diagnoses, and treatments
decision-making for each encounter, and
enter discharge
summaries

3
 CPRS AUDIT
Audit is the examination or inspection of various books of
records by an administrative auditor followed by physical
checking of inventory to make sure that all departments are
following documented/approved system of recording and
performing activities/procedures.

CPRS Audit comprise the examination of the various medical

services/clinical procedures performed on a patient within a
hospital to improve quality of healthcare
4
Objectives of the CPRS

Improvement in
quality of care

Improvement in
documentation

5
 Methodology

Study Design: Descriptive Study

Setting: Max Hospital, Shalimar Bagh, New Delhi.

Sample: Total population

Sample size: 250

Period of Study: June 27, 2022 to August 22, 2022.

Study Population:
 Doctors Notes

 Study Tool

 General observation 6
 Mode of Data Collection
 For the purpose of the study and data collection various
departments were crosschecked and observed over the span of two
months using the CPRS tool. These included wards and ICUs;
2nd Floor – ICUs
4th Floor - SICU
5th Floor
6th Floor
7th Floor
8th Floor
9th Floor
 The observations were noted in checklists and compared with the
existing policies for the same.
7
Checklist for Audit

8
Analysis & Result

9
 DOCTOR’S HANDOVER AUDIT

This the examination of the registry of doctors

on the clinical exercises performed each day
based on their respective shifts.

A book called the doctor’s handover register

is used as a record database where all
activities(diagnoses, treatment actions and
plan, etc.) are kept.
10
 Objectives

Ensuring accurate,
Improving Ensuring
reliable,
physician continuity of
communication of
handover safe and
task-relevant
documentation effective
information across
process shift changes working 

11
 Features for observation

Properly Timely
Up to date Complete
documented updation of
documentation documentation
notes handover notes

12
 Methodology
Study Design: Descriptive Study
Setting: Max Hospital, Shalimar Bagh, New Delhi.
Sample: Total population

Sample size: 40
Period of Study: June 27, 2022 to August 19, 2022.
Study Population:
 Doctors Handover Notes
 Study Tool

 General observation 13
Checklist for Audit

14
 Analysis & Result
PARTICULARS JULY AUGUST

No. Of handovers done 206 220

appropriately
No. Of handovers 312 315
opportunities
Compliance 66% 70%

Doctor’s Handover Compliance Audit

312 315

206 220

NO. OF HANDOVERS DONE APPROPRIATELY NO. OF HANDOVERS OPPORTUNITIES

JULY AUGUST
15
 Informed Consent Audit

To obtain informed consent is considered an

integral part of modern clinical practice. It
works as a safeguard of patient's rights and
minimizes the chances of legal action against
the physician in case of any complication arising
from the proposed therapy. 

16
Objective

To evaluate the
practice of
informed
consent in
patients
undergoing
surgery

17
 Methodology
Study Design: Descriptive Study
Setting: Max Hospital, Shalimar Bagh, New Delhi.
Sample: Total population

Sample size: 300

Period of Study: June 27, 2022 to August 19, 2022.
Study Population:
 Patients files

 Study Tool
 General observation
18
 Mode of Data Collection
 For the purpose of the study and data collection, various
departments were crosschecked and observed over the span of
two months. These included wards and ICUs;
2nd Floor – ICUs
4th Floor - SICU
5th Floor
6th Floor
7th Floor
8th Floor
9th Floor
 The observations were noted in checklists and compared with the
existing policies for the same.
19
Checklist for Audit

20
Analysis & Result

21
 DEPARTMENTS VISITED
 Obstetrics and  Paediatrics ICU
Gynaecology  Neurology ICU
 Internal Medicine  Neonatal ICU

 DMO  Emergency

 Surgery  Dialysis Unit

 Cath Lab
 Orthopedics
 CSSD
 Medical ICU
 Blood Center
 Surgical ICU
22
 CRITICAL CARE UNITS VISITED

Medical ICU Surgical ICU Neuro ICU

HDU NICU PICU

MAX SHB 23
 DEPARTMENTS VISITED

Emergency Visit to the Cath-Lab

Visit to the CSSD Visit to the blood center

24
Thank You