Clinical Quality and outcomes

Quality and Safety of care are the cornerstone of our services

GKNM Hospital was the first Hospital in Tamilnadu to be accredited by the ‘National Accreditation Board for Hospitals and Healthcare Providers’.

Quality excellence and safety programs are implemented for both medical and nonmedical departments. Data is closely monitored and outcomes are shared with the Staff for continual improvement. A hospital which has checks and balances is always viewed upon with respect. Our audit programs are indeed models of Quality assurance.

TNPCB Annual Report - 2018
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TNPCB Annual Report - 2019
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TNPCB Annual Report - 2020
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1. Door - to - balloon time among patients who have presented with acute ST segment elevation Myocardial infarction ( STEMI)

What does it mean?

Average time between arrival of patient to the emergency room and when the compromised vessel is re perfused via coronary intervention in the Cath lab. Prompt percutaneous coronary intervention (PCI) for patients with ST-segment elevation myocardial infarction (STEMI) significantly reduces mortality and morbidity

Name of Parameter Bench Mark Reference GKNMH data Jan – Dec 2019
Door – to – balloon time among patients who have presented with STEMI 90 mins American College of Cardiology (ACC) and the American Heart Association (AHA). 73 mins

2. Door to CT time in suspected Stroke in the Emergency Room

What does it mean?

Average lag time between the arrival of the patient in Emergency Room and the time when a CT scan is done, in cases of acute stroke. Lesser the time, the better the outcomes.

Name of Parameter Bench Mark Reference GKNMH data Jul – Dec 2020
Door to CT time in stroke in ER 30 mins Internal GKNMH 18 mins

3. Complication rate in image guided interventions

Complication rate in image guided interventions

Image-guided percutaneous needle biopsy (PNB) is an established, effective procedure for selected patients with suspected pathology. While practicing , physicians should strive to avoid complications during this diagnostic procedure.

Name of Parameter Bench Mark Reference GKNMH data Jan – Dec 2020
Complication rate in image guided interventions Overall threshold: Lung Procedures – 10%, Others 2% American College of Radiology 0.49%

4. Operative mortality following isolated CABG

What does it mean?

Operative mortality has been defined as any death, regardless of cause, occurring within 30 days after surgery in or out of the hospital, and after 30 days during the same hospitalization subsequent to the operation.

Name of Parameter Bench Mark Reference GKNMH data Jan – Dec 2019
Operative mortality following isolated CABG 1.80% STS Adult Cardiac Surgery database 0.78%

5. Incidence of stroke post isolated CABG

What does it mean?

Stroke is one of the most devastating complications after coronary artery bypass graft (CABG) surgery, entailing permanent disability, a 3–6 fold increased risk of mortality, an increased cost of hospitalisation and a longer length of hospital stay.

Name of Parameter Bench Mark Reference GKNMH data Jan – Dec 2019
Incidence of cereberovascular accident post isolated CABG 1.30% STS Adult Cardiac Surgery database 1.79%

6. Incidence of renal dysfunction post isolated CABG

What does it mean?

The indicator captures all patients who develop worsening of kidney function (new onset or worsening) after isolated CABG . Perioperative acute kidney injury is independently associated with an increase in short-term morbidity, costs of treatment, and long-term mortality.

Name of Parameter Bench Mark Reference GKNMH data Jan – Dec 2019
Incidence of renal dysfunction post isolated CABG 2.10% STS Adult Cardiac Surgery database 1.30%

7. Prevalence of pressure ulcer developed after 48 hrs of admission

What does it mean?

Pressure ulcers are associated with increased morbidity, cost to patient and prolonged length of stay. Effective pressure ulcer prevention practices , early recognition by nursing team and an interdisciplinary approach to care can reduce the incidence

Name of Parameter Bench Mark Reference GKNMH data Jan – Dec 2020
Prevalence of pressure ulcer developed after 48 hrs of admission 0.05% Chauhan et al.J Wound Care. 0.03%

8. Incidence of surgical site infection following Cesarean section.

What does it mean?

Surgical site infection (SSI) is an infection that occurs after surgery within 30 days in the part of the body where the surgery took place. Surgical site infections are one of the main complication of cesarean section and are associated with elevated health care costs and maternal morbidity.

Name of Parameter Bench Mark Reference GKNMH data Aug `20 – Jan `21
Incidence of surgical site infection following cesarean section 4.13% 3 -15%* International Nosocomial Infection Control Consortium (INICC) world wide 1.72%

9. Quality measures for Pediatric cardiac surgery

What does it mean?

The Pediatric cardiothoracic services in G.Kuppuswamy Naidu Memorial Hospital is a Children`s Heart link partner participating in the International Quality Improvement Collaborative for Congenital Heart diseases (IQIC). All data submitted is verified and validated by the team from Boston children`s Hospital. The annual benchmarking report of IQIC allows to track performance and compare our results with our IQIC partners.

Name of Parameter Bench Mark International Quality Improvement collaborative for congential Heart disease(IQIC) annual report Reference GKNMH data Jan– Dec 2019
RACHS –1 adjusted standardised in- hospital mortality ratio Range of standardised in- hospital mortality ratio across all sites 0.00- 5.90 0.39
Risk adjusted standarised major infection ratio Average performance across all sites 1 0.31
In Hospital death All sites combined data 4.50% 1.70%
Perfusion events All sites combined data 0.50% 0.30%
Surgical site infection rate All sites combined data 1.50% 0.30%
Bacterial sepsis rate All sites combined data 4% 1.40%
Major infection rate All sites combined data 5% 1.40%
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