QUALITY INDICATOR
Presented by AQC
Definition Indicator
Quality Indicators are the backbone on
which quality assurance programme of a
hospital relies.
NABH accreditation expects hospitals to
calculate several quality indicators and use
it for monitoring the quality of care.
Indicators are the source of information
which detects the level of care in the
organization
Classification of indicator
Broadly we can classify the indicators into 4
types:-
Patient’s safety assurance indicator.
Non clinical indicator.
Diagnostic non clinical indicator.
Hospital infection control.
Classification of indicator
Patient’s safety assurance indicator :
Incidence of fall.
Percentage of medical record having
incomplete and/or improper consent.
Non clinical indicator :
Critical equipment downtime.
No. of complaint received in a month.
Feedback analysis.
Classification of indicator
Diagnostic non clinical indicator :-
No. of radiological reporting errors per 1000
investigation.
Percentage of RE-Dos in radiology.
Safety audit precaution.
Hospital infection control:-
Incident of needle stick injury.
Indicator
Patient’s safety assurance indicator:
INDICATOR FORMULA REMARKS
Incidence of fall (Number of patient fall
reported in a period /
Patient fall must be
defined. Generally, all
Total patient days in that kind of fall (fall from
period) x 1000 bed, in washroom, on
stairs, while walking
etc.) must be counted
Percentage of medical (Number of medical Standard process of
record having records having informed consent must
incomplete and/or incomplete and be in place to determine
improper consent. improper consent / Total what constitutes
number of medical incomplete or improper
records where consent consent
was applicable)
Indicator
Non clinical indicator:-
INDICATOR FORMULA
REMARKS
Critical equipment Total duration (in A list of critical
downtime. days or hours) for equipment shall be
which a critical made.
equipment was This indicator shall be
down / Total duration calculated separately
(in days or hours) in for each critical
that period equipment
No. of complaint
received in a month.
Feedback analysis: 1)A standard patient
satisfaction feedback
1) Out-patient form can be used for obtaining
satisfaction index 1)Average rating given by patient
rating from patients. Number of
Indicator
Diagnostic non clinical indicator:-
INDICATOR FORMULA REMARKS
No. of radiological (Number of lab reports The error rates can be
reporting errors per in which errors separately calculated
1000 investigation. detected / Number of for each imaging
lab reports checked) x modality
1000
Percentage of RE-Dos (Number of Imaging Only those repeat test
in radiology. tests that has to be shall be considered in
repeated in a period / calculation, where the
Total Imaging tests reason of repeating is
conducted in that related to errors,
period) x 100 mistake or quality
issues
Safety audit precaution
Indicator
Hospital infection control:-
INDICATOR FORMULA REMARKS
Incident of needle (Number of needle Needlestick injury
stick injury. stick injury reported / reporting and data
Total patient days in collection mechanism
that period) x 100 must be in place.
Indicator format
Incidence fall
PERIOD NO. OF NO OF INCIDENCE SIGNATURE
FALLS PATIENTS OF FALLS
Indicator format
Incident of needle stick injury :-
PERIOD NO OF NO OF INCIDENCE OF SIGNATURE
PARENTERIAL DIAGNOSTIC NEEDLE STICK
EXPOSURES DAYS INJURY
