SELF EVALUATION IN KORCA SELF EVALUATION IN KORCA HOSPITALHOSPITAL

Dr. Spiro PINEDr. Spiro PINE

KORÇE HOSPITALKORÇE HOSPITAL

WORK ORGANIZATION WORK ORGANIZATION DIAGRAMMEDIAGRAMME

DIRECTOR

doctor finance Chief nurse

Head of cervice

Head of wards

Statistic office

Nurse Statistic

Nurse- statistics

Ward-Chief nurse

coordinators

CLINICAL EFFECTIVITYCLINICAL EFFECTIVITY

1. Antibiotic prophylaxis1. Antibiotic prophylaxis - S/caesarea- S/caesarea - Kolecistectomoia- Kolecistectomoia - Hernia- Hernia - Prostata- Prostata

- Apendectomia- Apendectomia - Cistocela- Cistocela

2. %- e s/caesarea2. %- e s/caesarea3. Maternal deaths intrapartum3. Maternal deaths intrapartum4. Perinatal deaths over 22 weeks4. Perinatal deaths over 22 weeks

5. Return of patients in the emergency Inside 72 hours5. Return of patients in the emergency Inside 72 hours6. Deaths in emergency6. Deaths in emergency7. Nursing records7. Nursing records - Temperatura- Temperatura

- Pulsi- Pulsi - TA- TA

CLINICAL EFFECTIVITYCLINICAL EFFECTIVITY

DIFFICULTIESDIFFICULTIES LACK OF UNIFIED PATIENT FILE LACK OF UNIFIED PATIENT FILE

MODELSMODELS LACK OF COORECT FILE RECORDINGLACK OF COORECT FILE RECORDING UNREADIBLE RECORD READINGUNREADIBLE RECORD READING ANTIBIOTICS ARE ALWAYS ANTIBIOTICS ARE ALWAYS

APPLICABLE AS CONSEQUENCE OF APPLICABLE AS CONSEQUENCE OF LACK OF DRUGSLACK OF DRUGS

CLINICAL EFFECTIVITYCLINICAL EFFECTIVITY

PROPOSALSPROPOSALS Hospital infections should be considered a Hospital infections should be considered a

performance indicators and should be performance indicators and should be measuredmeasured

Introduction of unified patient records with Introduction of unified patient records with all data recording profilesall data recording profiles

Drafting of clinical guidelines.Drafting of clinical guidelines.

SAFETYSAFETY

Data from:Data from: Patient recordsPatient records Registry of 24 service doctorsRegistry of 24 service doctors Registry of laboratory dataRegistry of laboratory data Nursing recordsNursing records

SAFETYSAFETY

DIFFICULTIESDIFFICULTIES There is no always data collection on patient There is no always data collection on patient

and personnel's accidentand personnel's accident

SAFETYSAFETY

PROPOSALS:PROPOSALS: Blood typing obligatory and recordedBlood typing obligatory and recorded The doctor should fulfill the first page of The doctor should fulfill the first page of

patient recordpatient record All data to be recorded in the nursing record All data to be recorded in the nursing record

filefile Reporting of accidents at work placeReporting of accidents at work place Staff safety and protectionStaff safety and protection

STAFF ORIENTATIONSTAFF ORIENTATION

THERE ARE ONLY ABSENCE AT WORK THERE ARE ONLY ABSENCE AT WORK FROM NURSES AND ADMINISTRATIONFROM NURSES AND ADMINISTRATION

BUDGET FOR TRAINING -NULBUDGET FOR TRAINING -NUL TRAINING ONLY SPONSORED BY TRAINING ONLY SPONSORED BY

PHARMACEUTICAL COMPANIES OR PHARMACEUTICAL COMPANIES OR NGO-S AND INDIVIDUAL POSSIBILITESNGO-S AND INDIVIDUAL POSSIBILITES

STAFF ORIENTATIONSTAFF ORIENTATION

PROPOSALSPROPOSALS Defined budget earmarked for trainingDefined budget earmarked for training Staff appraisal introducedStaff appraisal introduced Rewarding according to outcomesRewarding according to outcomes

EFICIENCYEFICIENCY

DIFFICULTIESDIFFICULTIES LACK OF ARCHIVE ACCORDING TO THE LACK OF ARCHIVE ACCORDING TO THE

LAWLAW LACK OF CLASIFIFCATION OF DISEASES LACK OF CLASIFIFCATION OF DISEASES

CODES-ICD-9 AND 10 CODES-ICD-9 AND 10

EFICIENCYEFICIENCY

PROPOSALSPROPOSALS DRUG LISTDRUG LIST Diagnosis to be written fully and correctlyDiagnosis to be written fully and correctly Strengthening of information and data Strengthening of information and data

collectionscollections Training of statistic personnelTraining of statistic personnel

Thank you !