Performance Indicator is a measurement of the service/clinical management, by looking at its structure ,process and outcome.BTMC have met and exceed the Benchmark set by MSQH Accreditation for below Performance Indicator for Year 2023
| # | DEPARTMENT | PERFORMANCE INDICATOR | MSQH BENCHMARKING |
|---|---|---|---|
| 1 | Emergency Department | Waiting time relative to triage category – Red zone seen immediately | 100% |
| Waiting time relative to triage category – Yellow zone seen within 30 minutes | ≥85% | ||
| Waiting time relative to triage category- Green zone seen within 90 minutes
|
≥70% | ||
| 2 | CATHLAB | Major Complication Rates during Percutaneous Coronary Intervention | < 1% |
| Major Complication Rates during Diagnostic Coronary Angiogram | < 1% | ||
| 3 | Infection Control | Percentage of healthcare associated infections | < 5% |
| Number of Resistant Organisms to Antibiotics within a specified period of time | MRSA <0.3%
ESBL <0.3% |
||
| 4 | Internal Medicine | Dengue Case Fatality Rate | 0% |
| 5 | Surgical | Percentage of unplanned re-admission within 72 hours of discharge | ≤1%
|
| 6 | Operation Theater | Rate of Compliance to Safe Surgery Saves Lives (SSSL) Practice | 100% |
| 7 | ICU | Rate of Catheter Related Blood Stream Infection | < 5 per 1000 catheter days |
| Rate of Ventilator Associated Pneumonia (VAP) | < 10 per 1000 ventilator days | ||
| 8 | Radiology | Perfect, Good, Moderate, Inadequate (PGMI) audits for mammography | ≥ 97% for Perfect, Good & Moderate |
