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Quality & Safety

PHC compliance · JCIA-aligned KPIs · incident tracking

Key quality indicators
Door-to-doctor (ER)
8 mintarget <10 min
On track
Avg LOS (IPD)
4.2 daystarget <5 days
On track
30-day readmission
6.8%target <8%
On track
Surgical site infection
1.2%target <2%
On track
Hand hygiene compliance
92%target >85%
On track
Medication errors / 1000
0.8target <1.0
On track
Patient satisfaction
4.6 / 5target >4.0
On track
HAI rate
1.5%target <2%
On track
Mortality (ICU)
9.2%target <12%
On track
Falls / 1000 bed-days
1.4target <2
On track
OT cancellation rate
3.1%target <5%
On track
CSR sterilization audits
100%target 100%
On track
Incidents reported
  • medication errormedium

    Wrong dosage caught before administration

    By Staff Nurse · Yesterdayresolved
  • falllow

    Patient slipped in bathroom, no injuries

    By Staff Nurse · Wed, 29 Apr 2026resolved
  • infectionhigh

    Suspected hospital-acquired UTI in ward 2

    By Staff Nurse · Sun, 26 Apr 2026resolved
  • needle stickmedium

    Nurse needle stick during disposal — PEP started

    By Staff Nurse · Sat, 25 Apr 2026investigating
Code Blue history
  • ICU Bed 4Yesterday
    Response: 90s · Outcome: stabilized
  • General Surgical Ward Bed 7Wed, 29 Apr 2026
    Response: 120s · Outcome: resuscitated
Avg response
105s
ROSC rate
68%
Survival to discharge
32%
Compliance dashboard
PHC (Punjab Healthcare Commission)Compliant

License R-83395 valid until 2026-08-15

PNRA Radiation LicenseCompliant

X201(620) · annual TLD reading on file

Fire SafetyCompliant

Last drill 2026-03-12

Biomedical WasteCompliant

EPA-licensed disposal contractor

Anti-money LaunderingCompliant

Quarterly review complete

HIPAA / Data PrivacyIn progress

Encryption rollout 80% complete