SVIMS

Quality & Patient Safety

 

 

Quality & Patient Safety

 

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 new Director / Vice Chancellor Dr. T.S.Ravikumar, 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.

 

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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)

 

Between 5% and 10% of patients admitted to hospitals acquire one or more infections, based on reporting data largely 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 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 Dr. T.S.Ravikumar 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, Dr. Kamineni Srinivas garu will release the first edition of “SVIMS Antimicrobial Stewardship pocket guide” on 12.07.2016. This will be revised 6 monthly and new editions will be 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.
 
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MORTALITY RATE (GDR & NDR) 

 

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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