Quality Audit & Review Program in EMC

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Quality Audit & Review in EMC

We believe that anything that is not measured cannot be improved.

We measure the parameters set for the hospital quality improvement programs for all the operating units on a daily, weekly or monthly basis through a process of scheduled audits.

Key Performance Indicators (KPIs) are measures of performance that are used by the hospital to measure how well we are performing against the standards set for our Total Quality Improvement Program targets or expectations.

KPIs are set for all departments in the hospital and are documented and reviewed by the concerned quality committee as per schedule.

• Internal audit: every four months
• Clinical audit: as and when required
• Nursing audit: weekly
• Patient safety audit: daily
• Facility management rounds: weekly: team lead – fire safety officer

Reviews and updates as per the hospital’s Total Quality Improvement Program are carried out in the following areas.

• Hospital incidents
• Hospital quality indicators
• New policies and procedures
• New forms and formats for data collection
• Performance of various committees
• Internal audit findings
• Clinical audit reports
• NABH assessment findings
• Corrective and preventive action reports

The analysis of the audit results conducted by a professional team help us to review our existing processes and/or implement any course correction measures, if required.