SELF EVALUATION IN KORCA HOSPITAL Dr. Spiro PINE

KORÇE HOSPITAL KORÇE HOSPITAL

WORK ORGANIZATION DIAGRAMME DIRECTOR doctor Head of cervice Head of wards finance Statistic office Nurse Statistic Nurse- statistics Chief nurse Ward-Chief nurse coordinators

CLINICAL EFFECTIVITY CLINICAL EFFECTIVITY 1. Antibiotic prophylaxis - S/caesarea - S/caesarea - Kolecistectomoia - Kolecistectomoia - Hernia - Hernia - Prostata - Prostata - Apendectomia - Apendectomia - Cistocela - Cistocela 2. %- e s/caesarea 3. Maternal deaths intrapartum 4. Perinatal deaths over 22 weeks 5. Return of patients in the emergency Inside 72 hours 6. Deaths in emergency 7. Nursing records - Temperatura - Temperatura - Pulsi - Pulsi - TA - TA

CLINICAL EFFECTIVITY DIFFICULTIES  LACK OF UNIFIED PATIENT FILE MODELS  LACK OF COORECT FILE RECORDING  UNREADIBLE RECORD READING  ANTIBIOTICS ARE ALWAYS APPLICABLE AS CONSEQUENCE OF LACK OF DRUGS

CLINICAL EFFECTIVITY PROPOSALS  Hospital infections should be considered a performance indicators and should be measured  Introduction of unified patient records with all data recording profiles  Drafting of clinical guidelines.

SAFETY Data from:  Patient records  Registry of 24 service doctors  Registry of laboratory data  Nursing records

SAFETY DIFFICULTIES  There is no always data collection on patient and personnel's accident

SAFETY PROPOSALS:  Blood typing obligatory and recorded  The doctor should fulfill the first page of patient record  All data to be recorded in the nursing record file  Reporting of accidents at work place  Staff safety and protection

STAFF ORIENTATION  THERE ARE ONLY ABSENCE AT WORK FROM NURSES AND ADMINISTRATION  BUDGET FOR TRAINING -NUL  TRAINING ONLY SPONSORED BY PHARMACEUTICAL COMPANIES OR NGO-S AND INDIVIDUAL POSSIBILITES

STAFF ORIENTATION PROPOSALS  Defined budget earmarked for training  Staff appraisal introduced  Rewarding according to outcomes

EFICIENCY DIFFICULTIES  LACK OF ARCHIVE ACCORDING TO THE LAW  LACK OF CLASIFIFCATION OF DISEASES CODES-ICD-9 AND 10

EFICIENCY PROPOSALS  DRUG LIST  Diagnosis to be written fully and correctly  Strengthening of information and data collections  Training of statistic personnel

Thank you !