QUALITY INDICATOR WORKSHEET

INDICATOR HAND HYGIENE COMPLIANCE RATE

TYPE OUTCOME
MONTH January to June 2019
TARGET 75%
FREQUENCY MONTHLY
OBJECTIVE To improve and evaluate the quality of care provided to
patients
METHODOLOGY  Monthly data collection
 Interpretation of data collection
 Find out the causes
 Find out the possible corrective actions
 Implement
 Monitoring of the corrective actions adopted

QUALITY INDICATOR GRAPHIC AND TEXT

HAND HYGIENE COMPLIANCE RATE

80%

78%
78%

76% 76% 76%

75%
74%

72%
71%
70%
69%
68%

66%

64%
Jan Feb Mar Apr May June
 INTERPRETATION: LIMITATION ON
INTERPRETATION:
Base on the data gathered we did not met our target of 75% in
hand hygiene compliance for the past 6months with the general
average of 74% only.

PREPARED BY: HEAD OF DEPARTMENT:

ANALYSIS DONE BY:

NAME:_DR. EMAD KOTB___ POSITION: QM DIRECTOR___ SIGN:____________________

NAME:_DR. ASHRAF ALI_____ POSITION: RISK MANAGER__ SIGN:____________________

REVIEWED BY: APPROVED BY:

DR. MOHAMAD SHAMS UDDIN MOHAMMED MOUHIDI ALNAJDI

MEDICAL DIRECTOR HOSPITAL DIRECTOR