1

Measuring Hospital Key Performance

Indicators and outcome Indicators

QI- NHSRC 26/09/2023

 Objective of this session
2

Discussion on Area of Concern-H (Outcome)

Discussion on all 4 Standards and 8 ME related to
area of concern-H
Discussion on KPI and Outcome indicators
Try to understand about calculations of few
important and peculiar outcome and KPI indicators.
Quiz

QI- NHSRC 26/09/2023

26/09/2023 QI- NHSRC
• The facility measures Service Quality Indicators and H4
endeavors to reach State/National Benchmarks
• The Facility measures Clinical care and Safety
H3
indicators and tries to reach State/National
Benchmarks
• The facility measures efficiency indicators and H2
ensures to reach State/National Benchmarks
• The facility measures Productivity indicators and H1
ensures compliance with State/National Benchmarks
3
4 Standards & 8 ME
 Aspects of Measuring Quality of Care
4

Productivity
Volume of the services provided.
e.g.: OPD attendance, BOR,
Lab test done
Efficiency
Volume of the services provided
in given resources i.e. Output to
input ratio.
E.g.: OPD per doctor , Surgery
done per Surgeon

Clinical care and Service Quality

safety How acceptable the
How effective and safe are our services are.
hospital services.
e.g.: Waiting times,
e.g.: Maternal death, Neonatal
death , Complication rates. Satisfaction score

QI- NHSRC 26/09/2023

 Key Performance
5
Indicators
Productivity Efficiency
• Emergency Death Rate
• Bed Occupancy Rate • Referral Rate
• Lab Utilization Index • Major Surgeries per Surgeon
• Percentage of High Risk Pregnancy/ • OPD per Doctor
Obstetric Complications • External Quality Assurance Score for Lab
• Percentage of Surgeries done at Night test
• Percentage of Surgeries done during day • Stock out percent of supplies for RMNCHA
• C- Section Rate

Clinical Quality Service Quality

 Maternal Death Rate
 Neonatal Death Rate
 Percentage Maternal Death Review done
 Average Length of Stay
 Surgical Site Infection Rate
 SNCU Mortality Rate
 No. of Sterilization Failures
 No. of Sterilization Complications
 No. of Sterilization Deaths
 Blood unit replacement Rate
 Partograph Recording Rate
 Antibiotic use rate
QI- NHSRC
 LAMA Rate
 Patient Satisfaction Score (OPD)
 Patient Satisfaction Score (IPD)
 Registration to Drug time
 Percentage of JSY payment done before
discharge
 Percentage of women provided drop back
after delivery
26/09/2023
Standard H1 . The facility measures Productivity Indicators and ensures compliance with
State/National benchmarks
ME H1.1. Facility measures No of Emergency cases per thousand
productivity Indicators on population
monthly basis
RR
No of trips per ambulance RR
No. of trauma cases treated per 1000
emergency cases
RR
No. of poisoning cases treated per
1000 emergency cases
RR
No. of cardiac cases treated per 1000
emergency cases
RR
No. of obstetric cases treated per
1000 emergency cases
RR
No of resuscitation done per thousand
population
RR
Proportion of Patients attended in
Night RR
ME H1.2. The Facility measures Proportion of BPL Patients
equity indicators
periodically RR

QI- NHSRC 6 26/09/2023

Standard H2 The facility measures Efficiency Indicators and ensure to reach State/National
Benchmark
ME H2.1. Facility measures Response time for
efficiency ambulance
Indicators on
monthly basis
RR
Proportion of cases
referred
RR
Response time at
emergency for initial
assessment
RR
Average Turn Around
Time
Average time a patient
stays at emergency
RR observation bed
Proportion of patient
referred by state
owned/108
ambulance per 1000
referral cases

QI- NHSRC 7 RR 26/09/2023

S.No Department Numbers S.No Department Numbers

1 A&E 17 10 ICU 16

2 OPD 30 11 IPD 11

3 Labour Room 16 12 Blood Bank 19

4 Maternity 19 13 Lab 22
Ward

5 Paed. Ward 19 14 Radiology 20

6 SNCU 24 15 Pharmacy 10

7 NRC 19 16 Aux. Services 14

8 OT 20 17 Mortuary 6

9 PPU 21 18 General Admin 23

QI- NHSRC 8 26/09/2023

 Productivity
9

1. Bed Occupancy Rate

2. No. of Emergency Cases Per Thousand Population
3. Proportion of BPL patients
4. Percentage of High Risk Pregnancy/ Obstetric Complications
5. Percentage of Surgeries done during Night
6. C- Section Rate
7. Proportion of users using limiting method
8. CSSD/TSSU Productivity index
9. Linen index
QI- NHSRC 26/09/2023
 Bed Occupancy Rate
10
Significance - Indicator of utilization of Indoor services of the Hospital
Formula – Patient Bed Days
______________________ X100
Functional Beds X days in Month
Numerator- Patient Census of each day added for the month
Exclusion –
1. Newborns in Maternity Wards
2. Day Care Patients
Denominator - Product of Functional Beds in the Hospital and Days in
the Month Exclusion
1. Labour Room Tables
2. Observation Beds
Source of Data - Daily Mid Night Census

Reference:- KPI, IPD, Maternity Ward, Paediatric ward, ICU etc.

QI- NHSRC 26/09/2023

 Quiz-1
11

What would be the BOR if Total Bed days (Sum of Midnight census) is 6616
for a 300 bedded DH for the month of February 2018.

6616 X 100
_____________ = 78.76%
300 X 28

QI- NHSRC 26/09/2023

 No. of Emergency Cases Per Thousand Population
12

Significance - Indicator of Utilization of Emergency Services

Formula – Total no. of cases attended by A&E department of the
hospital *1000
Total Population

Numerator- Total number of emergency cases treated or managed in A&

E department.

Denominator - Total population in defined geographical area of the

Hospital
Source of Data - Emergency Register

Reference:- A&E, OPD, Labour Room

QI- NHSRC 26/09/2023

 Proportion of BPL patients
13

Significance – Utilization of services by BPL patients

Formula – Total Number of BPL Patient attended in A& E
department
Total Number of patient attended in A& E Department

Numerator- Total number of BPL Patients

Inclusion:- Patients having BPL card or equivalent card

Denominator - Total Number of patients attended in A&E department

Source of Data - Emergency Register
Reference:- OPD, Labour Room, NRC, Paediatric ward, SNCU, Lab,
ICU

QI- NHSRC 26/09/2023

 Proportion of High Risk Pregnancy/ Obstetric Complications
14

Significance - Indicator for preparedness and utilization of EmOC

services
Formula – Total no. of High Risk Pregnancies/ Obstetric
Complications Managed

Total No of Obstetric cased registered

Numerator- No. of cases of High Risk Pregnancies Managed each day
in labour room, Wards and OT added for the month
Inclusion – Severe Anaemia, PPH, PIH/Eclampsia/Pre Eclampsia,
Retained Placenta, HIV Positive Pregnant women, Septic Cases,
Obstructed labour including C- Section
 Exclusion - Cases Referred
Denominator - Sum all obstetric cases admitted in the hospital
Source of Data - Labour Room Register, OT Register, Indoor Registers
QI-Reference:-
NHSRC KPI, Labour Room 26/09/2023
 Percentage of Surgeries done at Night
15

Significance - Indicator of preparedness and utilization of Surgical

Services
Formula – No. of Surgeries done at Night
X 100
Total No. of Major Surgeries Done
Numerator- No. of Major surgery done each night (8PM to 8AM)
added for the Month
Exclusion – Minor Surgeries
Denominator - Total no. of Major Surgeries done
Exclusion – Family Planning Surgeries , Minor Surgeries
Source of Data - OT Register
Reference:- KPI, OT

QI- NHSRC 26/09/2023

 C- Section Rate
16

Significance - Indicator of preparedness and utilization of Surgical

Services
Formula – No. of C Section done
X 100
No. of Deliveries conducted
Numerator- No. of C Section Surgeries done each day added for the
month
Denominator - Total no. of deliveries done for Month
Inclusion – Normal Deliveries, Assisted and C-section
Source of Data - OT Register , Labour Room Register

Reference:- KPI, OT

QI- NHSRC 26/09/2023

 Quiz-2
17

What will be the C-Section rate of a CHC having total

C-section during the month of March 2018 was 15
and normal delivery 268 and assisted delivery 18.

Answer:- 4.98%

QI- NHSRC 26/09/2023

 Proportion of users using limiting method
18

Significance - Indicator to measure utilization of limiting methods of family

planning
Formula –
Total number of clients accepted limiting method of FP services
Total number of clients accepted both limiting and spacing methods of FP
Numerator- Total number of clients accepted Limiting Method of Family
planning.
Inclusion:- Female sterilization(laparoscopic & Minilap), Male
sterilization(Non scalpel/Conventional vasectomy)
Denominator - Total number of clients accepted limiting and spacing
methods of family Planning
Source of Data - Family Planning Register
Reference:- PPU

QI- NHSRC 26/09/2023

 CSSD/TSSU Productivity index
19

Significance - Indicator to measure utilization of CSSD/TSSU department

of the hospital.
Formula – Total number of packs sterilized
Total number of autoclaves available in CSSD/TSSU
Numerator- Total number of packs sterilized during the whole month
Inclusion:- Drums, Trays, kits etc.

Denominator - Total number of functional autoclaves available

Source of Data - CSSD/TSSU Register

Reference:- OT

QI- NHSRC 26/09/2023

 Diet Index
20

Significance - Indicator to measure utilization of Dietary department of

the hospital.
Formula – Total number of diets provided during the month
Patient bed days
Numerator- Total number of diets provided during the month for all
patients
Inclusion:- Normal and Special diet
Denominator - Mid night Census
Source of Data - Diet Register

Reference:- Auxiliary services

QI- NHSRC 26/09/2023

 Efficiency
21

1. Percentage of follow up patients Referral rate

2. Response time for ambulance
3. Response Time at Emergency for Initial Assessment
4. Skin to Skin Time for C-section
5. Referral out Rate
6. Major Surgeries Per Surgeon
7. Surgery OPD per Doctor
8. Down time critical Equipment
9. Percentage of blood units discarded
10. Readmission Rate
11. Stock out percent of supplies for Essential Commodities
12. Defaulter Rate
13. Relapse Rate
14. Case fatality Rate

QI- NHSRC 26/09/2023

 Percentage of follow up patients
22

Significance - Efficiency OPD Services

Formula – Total old cases visited the OPD for follow up *100
Total patient attended in OPD for the month

Numerator- Total number of follow-up cases during the month

Inclusion:- Old Patients

Denominator - Total OPD registration during the month

Source of Data - OPD Registration

Reference:- OPD

QI- NHSRC 26/09/2023

 Response Time at Emergency for Initial Assessment
23

Response time:- Time taken from the moment

patient entered in A&E department to the moment
patient's assessment initiated by emergency medical
officer

Calculation:- Mean of response time for the derived

sample observed in time motion study done at peak
hours on sample basis (at least 5% patients but not
less than 30)
 Reference:- A&E, IPD, SNCU,MW, PW

QI- NHSRC 26/09/2023

 Referral Out Rate
24

Significance - Indicator of efficiency of clinical process

Formula – No of cases referred out from the hospital
X 100
Total no. of cases admitted
Numerator- No of referred out cases each day added for the month.
Exclusion – LAMA & Absconding
Denominator Total no of patients admitted in the Hospital for the
month
Exclusion – Day care procedures
Source of Data - Referral Register/ Indoor Register
Reference:- KPI, Labour Room, IPD, SNCU, NRC

QI- NHSRC 26/09/2023

 Major Surgeries Per Surgeon
25

Significance Indicator of efficiency of Surgeons and Operation theatre

Formula – Total No. of Major Surgeries
No. of surgeon appointed at Hospital
Numerator- No. of major surgeries conducted each day added for
month
Exclusion – Minor Surgeries
Denominator No. of full time surgeons appointed at hospital including
contractual and regular Ortho, General, Gynae & Obs, EmOC trained
MOs
Source of Data - OT Register
Reference:- KPI, OT

QI- NHSRC 26/09/2023

 Surgery OPD Per Doctor

26

Significance Indicator of efficiency of Doctors in Surgery OPD

Formula – No of Patients attended in surgery OPD
No of Surgeon appointed at Hospital

Numerator- No. of patients consulted in Surgery OPD each day added

for the month

Denominator No. of Surgeon appointed in the facility

Source of Data - Surgery OPD Register

Reference:- KPI, OPD

QI- NHSRC 26/09/2023

 Down Time Critical Equipment
27

Significance indicator for measuring efficiency of critical equipment

Down time:- Total number of days critical equipment are not functional
during the month

Inclusion:- Radiant warmer, Phototherapy units, Oxygen concentrator,

Pulse Oximeter, Infusion Pump for SNCU
Formula –
 Total number of break down days added for department

Source of Data - Equipment maintenance Register

Reference:- IPD, ICU, OT, SNCU, PPU, Lab, Radiology

QI- NHSRC 26/09/2023

 Percentage of Blood Units Discarded
28

Significance Indicator for measuring efficiency of blood bank procedure

Formula:-
Total number of blood units discarded in the month*100

Total number of blood units collected for the month

Numerator:- Total number of blood units discarded during the month

Denominator – Total number of blood units collected for the month

Source of Data - Blood Bank Register

Reference:- Blood bank

QI- NHSRC 26/09/2023

 Re-admission Rate in ICU
29

Significance Indicator of efficiency of Clinical services of ICU

Formula:-
Total number of Patient readmitted
Total number of Patient admitted in ICU

Numerator:- Total number of patients readmitted.

Readmission:- Readmission to the ICU within 24 hrs. of transfer during a
single hospital stay
Denominator – Total number of patient admission in ICU
Source of Data - ICU Register
Reference:- ICU

QI- NHSRC 26/09/2023

 Case fatality rate
30

 Case fatality Rate:-The case fatality rate (CFR) is a measure of the severity of a
disease and is defined as the proportion of reported cases of a specified disease or
condition which are fatal within a specified time
 Inclusions:-
1) Respiratory distress syndrome(RDS)
2) Meconium aspiration syndrome(MAS)
3) Hypoxic-ischemic encephalopathy HIE/
4) Moderate/Severe birth asphyxia(BA),
5) Sepsis
6) Pneumonia
7) Meningitis
8) Major congenital malformation
9) Prematurity
 Formula:-
Total number of deaths due to particular case
Total number of patient admitted with that particular disease
Reference:- ICU

QI- NHSRC 26/09/2023

 Stock out percent of supplies for Essential Commodities
31

Significance Indicator for availability of essential drugs and

consumables
Formula – No. of Stock out days for Essential Commodities
X100
Total no. of commodities X Days in Month
NumeratorStock outs occurred for essential commodities each day
added for the month
 Inclusion – List of Commodities
 Exclusion – Strockout of any other drug
Denominator Product of Total no. of Commodities and days in the
month
Source of Data - Pharmacy Register Departmental indent expenditure
register
Reference:- IPD, ICU, SNCU, NRC,
QI- NHSRC 26/09/2023
S.No Name of Drug and Consumable Stock out Days
1 IUCD 15
2 Oral Contraceptive Pills 0
3 Emergency Contraceptive Pills 30
4 Pregnancy Test Kits 17
5 Tab Mifepristone 8
6 Tab Misoprostol 32 2
7 Inj Oxytocin 0
8 Inj Magnesium Sulphate 20
9 Inj Tetanus Toxoid 10
10 Tab Methyldopa 6
11 Inj Labetalol 23
12 Inj Vit K 10
13 BCG 0
14 OPV 0
15 Hepatitis B 30
16 ORS 7
17 DPT 8
18 Measles 0
19 Zinc Sulphate Tablets 10
20 Syrup Salbutamol 5
21 Syrup Vit A 5
22 Syrup Albendazole 0
23 IFA Tablets 0
24 Ampicillin 17
25 Metronidazole 12
26 Gentamycin 8
27 Amoxicillin 7
28 Paracetamol 0
29 Choloroquin 0
30 Dexamethasone 0

Total 250
QI- NHSRC 26/09/2023
 Quiz-3
33

What would be stock out percent of supplies for 30

essential commodities if total stock out days is 250
for the month of Feb 2019.
250
------------- 100 = 29.76 %
30 X 28

QI- NHSRC 26/09/2023

 Clinical Care
34

1. Maternal Death Rate

2. Consultation time at Medicine OPD
3. Number of adverse events per thousand patients
4. Neonatal Death Rate
5. Average length of stay
6. Surgical site infection rate
7. Hospital Acquired Infection Rate
8. Percentage of Critical values reported within one hour
9. SNCU Mortality Rate
10. Blood unit replacement Rate
11. Test Demography
12. Partograph Recording rate
13. Proportion of Prescription found Prescribing Non Generic Drugs
QI- NHSRC 26/09/2023
 Maternal Death Rate
35

Significance Indicator of Quality of obstetric Clinical Care

Formula – Maternal Death occurred at Hospital
X100
No. of pregnant woman admitted
Numerator No. of Maternal deaths occurred in the month at the
facility
Denominator Total No. of pregnant woman admitted in the hospital in
the Month

Source of Data - Indoor Register, Labour Room Register, Death

Register, OT Register

QI- NHSRC 26/09/2023

 Consultation time at Medicine OPD
36

Significance Indicator for measuring clinical care at Medicine clinic

Formula – Total number of clinic days in a months* Functional hours
in a day*60
Total Patients in Medicine OPD

Numerator Total Consultation time (Total number of medicine clinic

days*number of minutes medicine clinics )
Denominator Total No. of OPD Patients in Medicine OPD (Both old and
New)
Source of Data - Medicine OPD Register

QI- NHSRC 26/09/2023

 No. of Adverse Events Per Thousand Patients
37

Significance Indicator to measure safe clinical practices

Formula – Total number of incidences of adverse events*1000

Total Number of patients attended in the department

Numerator Total number of adverse events

Inclusion:- Patients fall, Medication error, Needle stick injury

Denominator Total number of patients attended in the department

Source of Data - Adverse event Register

QI- NHSRC 26/09/2023

 Neonatal Death Rate
38

 Significance Indicator of Quality of Newborn Clinical Care

 Formula – No. of Neonatal Deaths occurred in Hospital

X100
No of Live births and Neonatal admission

Numerator Neonatal deaths occurred in Hospital each day added for month
Inclusion – Neonate died during first 28 days while admitted in Hospital
including Out borns admitted in neonate ward/SNCU
Exclusion – Still Birth
Denominator Total no. of neonates admitted including live births in Hospital and
out born admissions
Exclusion – Still Birth

 Source of Data - Labour Room Register

Death Register

QI- NHSRC 26/09/2023

 Average Length of Stay
39

Significance Indicator of Quality of Clinical care and infection control

practices
Formula – Patient Bed Days

Total No. of Discharges

Numerator- Patient Census of each day added for the month
Exclusion –Day care Patients
Denominator Total no. of Discharges in the Months
Inclusion- LAMA, Death, Refferal and Absconding in the Month
Source of Data- Indoor Register
Reference:- KPI, IPD, ICU

QI- NHSRC 26/09/2023

 Quiz-4
40

For the SDH with Patient Bed days of 5000, Total

discharges are 1450, Deaths are 15, Referrals 55,
Absconding patients are 35 and LAMA 45, what would
be the ALOS

Answer:- 3.12 Days

QI- NHSRC 26/09/2023

 Surgical Site Infection Rate
41
Significance Indicator of Quality of Infection Control and Surgical Safety
Practices
Formula – No. of Surgical Site infective Cases observed X100
Total no. of Surgeries Done
NumeratorTotal no of cases of Surgical Site infection in the Month
Inclusion -Any purulent discharge, abscess, or spreading cellulitis at
the surgical site during the month after the operation conducted at the
Facility
Denominator Total no of surgeries conducted
Inclusion – All Major surgeries, Family Planning Surgeries , Episiotomy
and D&C
Exclusion –Minor Surgical Procedures at OPD , Emergency where
patient is not admitted
Source of Data- OT Register
Infection Control Monitoring Register
QI- NHSRC 26/09/2023
 Hospital Acquired infection rate
42

Significance Indicator for infection control practices

Formula – Total number of Hospital acquired infections*100

Total number of admission

Numerator Total number of Hospital acquired infections detected in the

facility
Inclusion:- Surgical site infection, Device related infections , Respiratory
and blood borne infections
Denominator Total admission in the facility
Source of Data- Infection Control Monitoring Register
References:- General Admin

QI- NHSRC 26/09/2023

 Percentage of Critical values reported within one hour
43

Significance Critical values reporting is considered an important

laboratory process because it can impact clinical decision making, patient
safety and operational efficiency.
Formula – Number of critical values of lab results reported within
one hour*100
Total number of critical values of lab results detected
Numerator- Total number of lab test results which are critical from
patient point of view that can impact clinical decision and are reported
within one hour
Denominator Total number of critical values of lab results detected in
laboratory
Source of Data- Critical Value Register
Reference- Lab, Radiology

QI- NHSRC 26/09/2023

 SNCU Mortality Rate
44
 Significance Indicator of Quality of Clinical Care in SNCU

 Formula – No of Newborn Deaths occurred in SNCU

X100

No of newborn admitted in the SNCU

 Numerator- Total no of newborn deaths occurred in the SNCU in the
Month

 Denominator Total no of admitted in the SNCU in the Month

Inclusion – Inborn and Outborn
 Source of Data- Admission Registers
Death register

QI- NHSRC 26/09/2023

 Partograph Recording Rate
45

Significance Indicator of adherence to Labour Room Clinical Protocol

Formula No. of Delivery cases Partograph Recorded X100
No. of Delivery Conducted in Labour Room

Numerator- No. of cases for which paragraph maintained in each day

added for month.

Denominator Total no. of delivery conducted in the labour room.

Including no. cases referred to Operation Theatre

Source of Data- Labour Room Register

Reference:- Labour Room, KPI

QI- NHSRC 26/09/2023

Proportion of Prescription found Prescribing Non Generic
Drugs
46

Significance Indicator of prescription practices and adherence to

Standard treatment Guidelines
Formula Total number of prescription found with brand name
during prescription audit
Total number of prescription audited

Numerator- Total number of prescription found with brand name

during prescription audit
Denominator Total number of prescriptions audited during the month
At least 5% of prescriptions but not less than 30

Source of Data Prescription / Medical Audit Record

Reference- Pharmacy

QI- NHSRC 26/09/2023

 Service Quality
47

1. LAMA Rate
2. Patient Satisfaction Score (OPD)
3. Patient Satisfaction Score (IPD)
4. Registration to Drug time
5. Waiting time at General OPD
6. Operation cancellation Rate

QI- NHSRC 26/09/2023

 LAMA Rate
48

Significance Indicator of service quality and patient satisfaction with

treatment and stay in Hospital
Formula No. of LAMA Patients X100
Total no. of admission
Numerator- No. patients sent on LAMA ( Left against medical advice)
each day added for month
Denominator Total no of admission in the month
Exclusion – Day Care Patients , Absconding
Source of Data- Indoor Register

Reference:- KPI, IPD, SNCU

QI- NHSRC 26/09/2023

 Patient Satisfaction Survey (OPD & IPD)
49

Significance Indicator of patient satisfaction in OPD & IPD

Formula Mean of scores given by each patients in Patient

satisfaction survey for OPD/Indoor Department done each
month on statistically adequate sample (at least 30)

Source of Data- Patients Satisfaction Survey Records

Reference:- KPI, OPD, IPD

QI- NHSRC 26/09/2023

 Patient Satisfaction Score of OPD
S no Attributes P1 P2 P3 P4 50P5 P6 P7 P8 P9 P10 Average

1 3 2 4 3 3 3 4 5 2 4 3.3

2 4 4 3 4 4 4 5 4 3 5 4

3 3 3 2 2 4 3 3 3 4 3 3

4 3 4 4 4 2 3 1 3 3 3 3

5 1 1 1 2 2 1 2 3 3 2 1.8

6 4 3 2 4 3 2 2 2 4 2 2.8

7 3 3 3 2 2 2 1 2 2 3 2.3

8 4 5 4 4 3 5 4 5 4 4 4.2

9 3 1 1 1 2 2 2 1 1 2 1.6

10 2 2 2 3 4 3 3 2 4 4 2.9

Average 3 2.8 2.6 2.9 2.9 2.8 2.7 3 3 3.2 2.89

QI- NHSRC 26/09/2023

 Registration to Drug time
51

Significance :- To observe Patient waiting time for our OPD service

delivery.
Formula Average time taken by a patient from entering in queue for
OPD registration to finally getting drugs at Pharmacy counter observed
in time motion study done at peak hours on sample basis (at least 30
patients) for General OPD

Source of Data- Time motion Study

Reference:- KPI, OPD

QI- NHSRC 26/09/2023

 Waiting time at General OPD
52

Waiting time at General OPD will be the moment

patient entered in the Queue at general OPD to
finally being consulted by MO

Mean of waiting time for the derived sample

observed in time motion study done at peak hours on
sample basis (at least 5% patients but not less than
30)
Reference:- OPD

QI- NHSRC 26/09/2023

 Operation Cancellation Rates
53

Significance Indicator to measure service delivery of OT

Formula Number of cancelled operation*100

Total surgeries conducted

Numerator- Total number of operation cancelled after scheduling

(Because of any reason)

Denominator Total number of surgeries conducted (Major & minor

surgeries)
Source of Data- OT Schedule Register
Reference- OT

QI- NHSRC 26/09/2023

 Thank You

QI- NHSRC 54 26/09/2023