Hospital Quality Indicators & Clinical Audits
Measuring What Truly Matters in Surgical Care
Quality Assurance Systems in Thane – By Dr. Ankur Bhanushali
What Are Hospital Quality Indicators?
Hospital Quality Indicators are measurable parameters used to assess:
✔ Patient safety
✔ Clinical effectiveness
✔ Surgical outcomes
✔ Hospital efficiency
They help hospitals identify gaps, improve performance, and maintain high standards of care.
Why Quality Indicators Are Crucial in Surgical Hospitals
Surgery involves:
❌ Invasive procedures
❌ Anesthesia risks
❌ Post-operative complications
Quality indicators help:
✔ Detect problems early
✔ Reduce complications
✔ Improve patient satisfaction
✔ Ensure accountability
What gets measured, gets improved.
Types of Hospital Quality Indicators
🔹 Structure Indicators
Measure hospital infrastructure:
✔ OT availability
✔ ICU beds
✔ Trained staff
✔ Equipment readiness
🔹 Process Indicators
Measure how care is delivered:
✔ Surgical checklist compliance
✔ Antibiotic timing
✔ Consent documentation
✔ Hand hygiene adherence
🔹 Outcome Indicators
Measure final results:
✔ Surgical site infection rates
✔ Readmission rates
✔ Mortality rates
✔ Patient satisfaction
Key Surgical Quality Indicators Monitored
✔ OT utilization rate
✔ Surgical site infection (SSI) rate
✔ Post-op complication rate
✔ Unplanned ICU admissions
✔ Average length of stay
Each indicator reflects surgical performance.
What Is a Clinical Audit?
A clinical audit is a systematic review of clinical practice against established standards to improve patient care.
It answers one key question:
👉 Are we doing what we should be doing?
Steps of a Clinical Audit Cycle
1️⃣ Identify problem area
2️⃣ Define standards
3️⃣ Collect data
4️⃣ Analyze gaps
5️⃣ Implement corrective action
6️⃣ Re-audit
Audit is a continuous cycle, not a one-time task.
Role of Clinical Audits in Surgery
✔ Identify protocol deviations
✔ Reduce errors
✔ Improve team coordination
✔ Enhance patient outcomes
Audits turn data into action.
Common Surgical Audit Areas
✔ OT checklist compliance
✔ Antibiotic prophylaxis timing
✔ Documentation accuracy
✔ Post-op infection tracking
✔ Discharge summary quality
Small fixes create big impact.
Multidisciplinary Involvement in Audits
✔ Surgeons
✔ Anesthetists
✔ Nurses
✔ Quality managers
✔ Hospital administrators
Quality is everyone’s responsibility.
Audit Documentation & Reporting
✔ Audit tools & checklists
✔ Data analysis reports
✔ Corrective action plans
✔ Review meeting minutes
Documentation proves commitment to quality.
NABH Requirements for Quality Indicators & Audits
NABH mandates:
✔ Defined quality indicators
✔ Regular clinical audits
✔ Actionable improvement plans
✔ Monitoring of outcomes
Quality systems are essential for accreditation.
Quality Monitoring at Aayush Multispeciality Hospital
✔ Regular surgical audits
✔ Quality indicator tracking
✔ Multidisciplinary review meetings
✔ Continuous improvement initiatives
Excellence is measured, not assumed.
Why Dr. Ankur Bhanushali Focuses on Quality Audits
✔ Improves surgical outcomes
✔ Reduces preventable complications
✔ Builds patient trust
✔ Strengthens hospital credibility
Quality is a habit, not an event.
Aayush Multispeciality Hospital – Full Address
📍 1st Floor, Marigold Apartment, Almeda Road, Panch Pakhdi, Thane West – 400602, Maharashtra, India
📞 +91 86910 33033
🌐 https://drankurbhanushali.com
📍 https://maps.app.goo.gl/3Msc7YZqVkV9mQMQ7
Dr. Ankur Surgical Clinic – Full Address
📍 Shop No 4, Laxmi Krupa Building, Edulji Road, Charai, Thane West – 400602, Maharashtra, India
📞 +91 86910 33066
🌐 https://bestsurgeoninthane.com
📍 https://maps.app.goo.gl/XmmGNbgFyhGcqfvV6
