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Site marking compliance rate
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Indicator Name:Site marking compliance rateJANFEBMARAPRMAYJUNJULAUGSEPOCTNOVDEC
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Numerator:Total No of site marking done as per policyNumerator
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Denominator: Number of surgeries eligible for site marking as per policyDenominator
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RationaleTo ensure all the patients are properly verified & documentation done as appropriate.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 surgical and invasive procedures where laterality, level, or multiple structures are involved (e.g. Right vs left limb, bilaterial eyes, specific vertebra or multiple digits) Target-100%100%100%100%100%100%100%100%100%100%100%100%100%
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Exclusion CriteriaMidline or single site surgeries (e.g. appendectomy, C section etc)
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Indicator Owner: OT Manager
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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/ Unit
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Sample Size: All eligible surgery cases
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Data collection method / Source KPI facilitator will observe all patients site marking done as per policy and compile the data in KPI data collection tool.
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Data methodology:□ Retrospective √ Concurrent
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Unit of MeasurementPercentage
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Target:100%
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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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