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Vol - 28, Issue - 08
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[This article belongs to Volume - 28, Issue - 08]
International Medical Journal
Journal ID
:
IMJ-02-09-2021-914
Total View
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350
Title
:
Towards Continuous Quality improvement in an Accredited Hospital
Abstract
: An accreditation body is a statutory organization that is usually established by an act of parliament. An accreditation body promotes development and maintenance of standard practices in patient care. Benefits of Accreditation-Patients are the biggest beneficiary among all the stakeholders, Accreditation results in high quality of care and patient safety, the patients are serviced by credentialed medical staff, Rights of patients are respected and protected. Patient’s satisfaction is regularly evaluated. Data was collected from three ICUs of the hospital. Each ICU was 10 bedded, and data was collected in three phases. In the first phase, the quality team was interviewed; in the second phase, a surprise check was done on staff of the ICU with the help of checklist, which included NABH standards; and in the third phase, the data related to quality indicators was collected for 1 year Nine indicators, applicable to the ICU were analysed 1. Needle stick injury (NSI) 2. Central line-associated blood stream infection. 3. Incidence of pressure sores. 4. Catheter-associated urinary tract infection (CAUTI) 5. Ventilator-associated pneumonia (VAP) 6. Surgical site infection (SSI) 7. Fall rate. 8. Reintubation rate within 48 hours of extubation and 9. Return to ICU within 24 hours of discharge. A functional CQI process should be focused directly on accreditation standards to result in the improvement of educational quality and outcomes, be feasible to implement, avoid duplication of effort and have both commitment and resource support from the sponsoring entity and the individual medical schools.
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