inpatient care.pdf
TRANSCRIPT
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Group No. 2
Achint Kumar
Dhruv Kulshreshtha
Huzaifa BilalNeeraj Mehta
Priyanka Sharma
Saurav Aneja
Wasim Akram Dar
Inpatient Care
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Problems identified in IPD
Hospital acquired infections Drug Error
Surgical Error
Prioritizationon the basis
High Risk
High Volume
Problem Prone
Function
HOSPITAL ACQUIRED
INFECTIONS
CausesUrinary Bladder Catheterization
Respiratory Procedures
Surgery and wounds
Intravenous Procedures
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Elements Quality Characteristics Standards
Inputs
Man Power
Infrastructure
Renewable
consumable(Sterilegloves, disinfectant,
syringes)
Food
Adequate
competent man power ,
CME
Availability & proper design
Available
Hygienic
IPHS Norm
At least 90% of required
skill2 training session/year
IPHS Norm(Ancillary
room- area separating OPD
and IPD)(50mt)
Separate male n femaleutilities.
Space b/w beds(10 ft)
IPHS norm
30 beds
24*7
failed culture media test
Processes
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Indicator Numerator Denominator
Proportion of
available manpower
No. of Manpower
available
No. of Manpower
required
Proportion of skilled
manpower
No. of manpower
have adequate
knowledge
Total no. of
manpower
Proportion of training
delivered
No. of training
delivered
Total no. of training
planned
Average distance
between IPD & OPD
Average actual
distance b/w IPD &OPD
Standard distance
b/w IPD & OPD
Average distance b/w
2 beds
Average actual
distance b/w 2 beds
Standard distance
b/w 2 beds
Proportion of bed
available
No. of beds available No. of beds required
Proportion of
availability of
renewable
consumable/week
Total time for which
renewable
consumable are
present in a week(in
hr)
Total hour in a week
Proportion of food Total no. of food Total no. of food
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Indicator Numerator Denominator
Proportion of
surgeries followed
SOP in an year
No. of surgeries
followed SOP in an
year
Total no. of surgeries
performed in an year
Proportion of drug
prescribed with
generic name
No. of drugs
prescribed with
generic name in 1
month
Total no. of drugs
prescribed in 1 month
Proportion of
prescriptionprescribed with
antibiotic
No. of prescription
prescribed withantibiotic
Total no. of
prescription in 1month
Proportion of
knowledge about
proper waste disposaltechniques
No of staff having
adequate knowledge
Total no of staff
Proportion of
disposed waste
Quantity of waste
disposed not
complying with
standard norms
Total quantity waste
disposed
Proportion of
man ower doctor &
No. of doctor & nurse
have ade uate
Total no. of doctors &
nurses
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Outcomes Quality Cha
racteristics
Standards
Availability
HAI
HAI Mortality
HAI morbidity
Availability of man power, Equipments,
Infrastructure, Food etc
Reduction in No. of HAI Cases
Reduction in deaths due to HAI
Reduction in morbidity due to HAI
At least 90%
compliance with
IPHS norms.
At least 80%
reduced HAI
incidence rate
At least 75%
reduction in
mortality due to
HAI.
At least 80%
reduction inmorbidity due to
HAI.
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