Quality and Performance of Services in Our Hospital

Clinical Outcomes

  1. Hospital Acquired Infection Rate (HAI) 👉The number of patients who develop an infection admission after 48 hours
Catheter associated urinary tract infection (CAUTI), surgical site infection (SSI), ventilator associated pneumonia (VAP) and central line blood steam infection (CLABSI) rates are 0%. The infection rate of our hospital in the last month was 0%, indicating that no patients developed infections during or after receiving care.
  1. Re-admission Rate 👉The percentage of patients who return to the hospital within a specific time period (often 30 days) after being discharged, for the same or related health problem.
The hospital recorded a Re-Admission Rate of 0 % in the last month, indicating that no patients were readmitted within 30 days after discharge for same or related health condition.
  1. Mortality Rate 👉The number of patient deaths in the hospital during a specific period, usually expressed as a percentage of total admissions.
The mortality rate was 1% in our hospital during the last month, continuously monitoring and analysing outcomes to maintain safe, high-quality care for all patients.  

Patient Safety Indicators

  1. Medication Errors 👉Any preventable mistake in prescribing, dispensing, or giving medicines that may harm the patient.
Types of errors Medication administration errors: Errors that occurs during the administration of medications, such as wrong medication, dose, or route. Prescribing errors: Errors that occur when medications are prescribed, such as incorrect medication, dose, or frequency. Dispensing errors: Errors that occur when medications are dispensed, such as incorrect medication or dose. The medication error rate in our hospital in the last month was 1%, reflecting our continuous commitment to patient safety and quality care through monitoring, staff training, and corrective measures.
  1. Patient Falls 👉A patient fall is defined as any Unplanned descent of a patient to the floor, either with or without injury, during hospital stay.
The patient fall rate in our hospital was 0 in the last month, indicating that no patient falls where reported during the period which reflects adherence to safety protocols and effective fall prevention measures.
  1. Near-Miss Events 👉Near-Miss Events are incidents that could have caused harm to a patient but were prevented before reaching them.
The number of near-miss events reported in the last month was 0, indicating that no potential errors or incidents that could have caused patient harm were observed during the period.
  1. SENTINEL EVENTS
A Sentinel Event is an unexpected occurrence in a hospital that results in death, serious physical or psychological injury, or the risk thereof. No sentinel events were reported in our hospital during the last month.

Operational Indicators

  1. Waiting Time 👉The average time a patient spends waiting to receive a service, such as consultation.
The benchmark for outpatient waiting time is within 15 minutes. currently the average consultation is being completed in 12 minutes, which is within the benchmark and reflects efficient patient flow management.
  1. Discharge Process Time 👉The time taken from the doctor’s discharge order until the patient actually leaves the hospital.
The discharge process time for cash patients is approximate 4 hours, whereas for insurance patients it averages around 6 hours (depending on the insurance claim approval process).
  1. Average Length of Stay (ALOS) 👉The average number of days patients stay in the hospital from admission to discharge.
The average length of stay in our hospital in the last month was 3 days, ensuring efficient and quality care for our patients.
  1. Patient Satisfaction:
Patient Satisfaction is the measure of how well the health care services provided meet the expectations, needs and preferences of patients Our patient satisfaction score was 96% in the last month, reflecting the trust and positive experience of our patients.

A. Clinical Outcomes

1. Hospital Acquired Infection Rate (HAI)
👉 The number of patients who develop an infection after admission (beyond 48 hours).

  • Catheter Associated Urinary Tract Infection (CAUTI), Surgical Site Infection (SSI), Ventilator Associated Pneumonia (VAP), and Central Line Blood Stream Infection (CLABSI) rates: 0%

  • Overall hospital infection rate in the last month: 0%, indicating no infections during or after care.

2. Re-admission Rate
👉 Percentage of patients who return to the hospital within 30 days after discharge for the same or related condition.

  • Last month’s re-admission rate: 0%, showing no patients required readmission.

3. Mortality Rate
👉 The number of patient deaths during a specific period, expressed as a percentage of admissions.

  • Last month’s mortality rate: 1%, with continuous monitoring to ensure safe, high-quality care.

B. Patient Safety Indicators

1. Medication Errors
👉 Preventable mistakes in prescribing, dispensing, or administering medicines.

  • Types:

    • Medication administration errors (wrong drug, dose, or route)

    • Prescribing errors (incorrect drug, dose, or frequency)

    • Dispensing errors (incorrect medication or dose)

  • Last month’s medication error rate: 1%, with strong corrective measures and staff training in place.

2. Patient Falls
👉 Any unplanned descent of a patient to the floor during hospital stay.

  • Last month’s patient fall rate: 0, reflecting strict safety protocols and fall prevention strategies.

3. Near-Miss Events
👉 Incidents that could have caused harm but were prevented before reaching the patient.

  • Last month’s near-miss events: 0

4. Sentinel Events
👉 Unexpected hospital events resulting in death, serious injury, or significant risk.

  • Last month’s sentinel events: 0

C. Operational Indicators

1. Waiting Time
👉 Average time a patient waits for consultation or service.

  • Outpatient waiting benchmark: 15 minutes

  • Current average: 12 minutes, showing efficient patient flow.

2. Discharge Process Time
👉 Time from doctor’s discharge order to patient leaving the hospital.

  • Cash patients: ~4 hours

  • Insurance patients: ~6 hours (depending on claim approvals)

3. Average Length of Stay (ALOS)
👉 The average number of days patients stay in the hospital from admission to discharge.

  • The average length of stay in our hospital in the last month was 3 days, ensuring efficient and quality care for our patients.

D. Patient Satisfaction

Patient Satisfaction is the measure of how well the health care services provided meet the expectations, needs and preferences of patients Our patient satisfaction score was 96% in the last month, reflecting the trust and positive experience of our patients.