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Rate of Major Patient Safety Events or Errors Related to Surgical Procedures
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Indicator Name:Rate of Major Patient Safety Events or Errors Related to Surgical ProceduresJANFEBMARAPRMAYJUNJULAUGSEPOCTNOVDEC
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Numerator:No of major patient safety events or errors related to surgical procedures reported in the monthNumerator
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Denominator:Total No of surgeries done in the monthDenominator
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RationaleMonitors errors such as wrong-site surgery or retained surgical items, addressing critical areas highlighted by JCI to reduce surgical risks and enhance procedural safety.Rate#DIV/0!#DIV/0!#DIV/0!#DIV/0!#DIV/0!#DIV/0!#DIV/0!#DIV/0!#DIV/0!#DIV/0!#DIV/0!#DIV/0!
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Inclusion Criteriaall major safety events and errors Target 0%0%0%0%0%0%0%0%0%0%0%0%0%
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Exclusion criteriaNon-surgical patient safety events
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Indicator Owner: Head Nurse
OT Nurse in charge
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Selection criteria:√ High Risk □ High Volume □IPSG √ Problem Prone □ High Cost
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□ Contract Monitoring □ Regulatory Requirement
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□Others: Accreditation requirement
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Type of Indicator:□ Structure √ Process □ Outcome □ Process & Outcome
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Frequency:√Monthly □ Quarterly □ Bi-Annual □ Annual
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Department/ UnitOT
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Sample Size: All Safety Events related to Surgical Procedures
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Data collection method / Source KPI facilitator will compile the data from the incident report
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Data methodology:√ Retrospective □ Concurrent
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Unit of MeasurementIn percentage
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Target:0%
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Benchmark (If Applicable)
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Data Analysis:
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Common variations
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Action plan:
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