Patient Safety & Quality Improvement

Problem Statement

The safety and quality of services provided by public health care facilities require efforts that transcend the boundaries of hospital jurisdiction. it important to identify the critical bottlenecks that hinder collaboration and eliminating them to streamline making it selfdriven and sustainable.

Programme Description

1. Identify the concerned departments for collaborative efforts.
2. Create ownership of responsibilities among stakeholder departments to encourage a proactive role.

Process Flow

1. Meeting convened by PS Health with secretaries of all concerned departments.
2. Commitment of senior officials secured.
3. Directives issued to district officials.
4. District Magistrates sensitized on the issue.
5. Continuous monitoring by the concerned departments on progress made in the districts.

Bottle Necks

• Police and Fire services—Infrequent on site hands-on trainings provided in hospitals.
• Disaster Management departmentTrainings not provided in health facilities.
• Municipal corporations- Infrequent audits and checkups.
• Panchayati Raj institutions-Poor engagement with health related issues. Social audits not done.
• Horticulture department -No plans for maintenance of planted trees and gardens and Long processing time for requests.
• Public Works departments- Delayed response to requests for budgetary estimates.
• Police-Inadequate support from home guards in facilities and inadequate crowd management support during emergency and disaster.
• Ministry of Urban Department-Lack of awareness for compost pit for biodegradable waste.
• Department of Excise- Delay In issue of licence for storage of spirit.
• Department of Medical educationPoor emphasis on preventive aspects of medicine.

Way Forward

The SOP to detail the sequence of activities with clear roles and responsibilities with due mention of timelines for completion of each activity to make the process self-driven.

Source : We Care Coffee Table Book - Good, Replicable and Innovative Practices 2019