Introduction
It
is envisaged to transform SVIMS into a “High
Reliability Organization” and an
“Accountable Health System”. Towards that path of transformation
& global repute, the Director, on
behalf of the institute, has laid out a road-map of value based health care.
A major step towards this value proposition is emphasis on quality and
patient safety as drivers of health system performance. To drive the
performance, a programme of
SVIMS Quality Council (SQC) is
commissioned by the Director for iterative self improvement. Cataloguing,
reporting, analyzing and learning from errors has
become the lynchpin for quality
improvement in health care.
The SQC planning
process resulted in the formation of nine focus groups and four core groups
of workforce consisting of Doctors, Nurses, Administrators, Allied health
staff and various other types of employees representing all segments of
health system. The focus groups were formed to address: Emergency services,
Never events, Medication safety, workforce/workplace safety, fire safety /
disaster management, Radiation safety, Hospital Acquired Infections, Blood /
injection safety and operating room / interventional areas safety. The four
core groups will find sustainable solutions through – Root cause
analysis of sentinel events, check lists / communications, accreditations
and hospitality services.
Read on to explore more
Explore Quality & Safety
Topics
SVIMS CODE BLUE
It is well recognized that preventable deaths
occur in hospitals due to ‘failure to rescue’ a patient with deteriorating
condition. When cardiopulmonary arrest or acute deterioration of condition
occurs, appropriate resources need to be summoned to resuscitate & rescue
the patient. This concept is codified in ‘CODE BLUE’. Code blue teams are in
existence for many years in health systems of developed countries, but need
emphasis in India. Accordingly, under the leadership of SVIMS Director a
working group was formed and
CODE BLUE
is launched in June to
establish the process. It is formally unveiled on 12-7-2016 by the
Hon’ble
Health Minister.
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SVIMS NEVER EVENTS
First introduced
in 2001, the term ‘Never Events’ refers to shocking, egregious, unambiguous
and measurable events that should never occur in healthcare. During
the last 15 years, a list of such highly serious adverse events have been
catalogued in many countries. These events result in death or significant
disability and are preventable. SVIMS has started measuring each of these
‘Never Events’ and has put in place safety parameters to mitigate any harm
with the goal to eliminate them. Thus, SVIMS become the First Health Care
System in India, to voluntarily report safety record, towards continuous
quality improvement. Never Events indicate fundamental safety problems
within an organization or system. They are grouped into 7 categories SVIMS
will choose one from each of these groupings as outlined above & will
methodically put in place safety measures to eliminate them:
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HEALTHCARE ASSOCIATED
INFECTIONS (HAI)
About 5% - 10% of
patients admitted to hospitals acquire one or more infections, as per the
data reported from developed countries.
In the USA,
it is reported that 1 out of every 136 hospital patients becomes seriously
ill as a result of acquiring an infection in the hospital. It is estimated
that in developing countries (including India) the risk of Healthcare
Associated Infections (HAI) is 2 to 20 times higher than in developed
countries. In India, indiscriminate use of antibiotics both in community
settings and in hospital settings contributes to development of antibiotic
resistance. Further there is need for robust reporting of HAI in India. This
‘double-edged-sword’ of indiscriminate antibiotic use and lack of reporting
of healthcare associated infections needs to be addressed. The
Director-cum-Vice Chancellor of SVIMS announced that
SVIMS is taking a step forward to
contribute in containing HAI in India. Adapting international guidelines (eg
WHO, CDC) SVIMS is invoking a ten pronged strategy. One key component is
‘Antimicrobial Stewardship’, which aims to optimize antibiotic use among
patients in order to reduce antibiotic resistance, improve patient outcomes
and safety and ensure cost effective therapy. Hon’ble Health Minister of
Andhra Pradesh, released the first edition of “SVIMS Antimicrobial
Stewardship pocket guide” on 12.07.2016. This is revised 6 monthly and new
editions are released every January and July to inform all health care
personnel (doctors, nurses, and allied health staff) of pathogen
surveillance, antimicrobial use, infection control measures and outcomes.
This programme is jointly
monitored by Hospital Infection Control Committee and SVIMS Quality Council.
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BIOMEDICAL EQUIPMENT LIST & PERFORMANCE REPORT
In
order to improve
efficiency, effectiveness and reduce Non Performing Assets (NPA) in the
health system, SVIMS has put forth an accountable system of making a full
list of Biomedical Equipments and enumerate the functional status of each
and every equipment. The goal is to ensure that 99-100% of equipments are
functional and repairs are done in a timely fashion according to benchmark
(days in disrepair). In addition
all equipments will be listed with their price and date of commissioning in
the website.
Real Time Actionable Patient Experience of Care
On
the World Patient Safety Day December 9th,2018 , SVIMS is adding another KPI
metric in the Quality domain Public view of website : Real Time Actionable
Patient Experience of Care. This important addition is the work in progress
over the last 2 years, to bring patients as our key stakeholder , so that
they can give feedback confidentially, freely without concern, such that
they help SVIMS to improve for meeting each patient’s need.
On
behalf of my institution, with thanks to our collaborator “ Kotii Group of
Ventures “,I am pleased to unveil this important patient care data . This is
in keeping with our principles of transparency, accountability and
continuous improvement. Each feedback is addressed in real-time and our
thanks are conveyed to the provider of the feedback
MORTALITY
All clinical departments are mandated to conduct weekly mortality and
morbidity meetings. The non-clinical departments are to hold weekly quality
audits.
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