Clinical Quality and Outcomes
Our Story Of Growth and Success
We care
And it shows...
Overview
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.
What does it mean?
The Paediatric cardiothoracic services of G.Kuppuswamy Naidu Memorial Hospital participates 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.
| Parameters in GKNMH Paediatric Cardiothoracic surgery | Benchmark International Quality Improvement Collaborative Combined 41 sites data | GKNMH 2023 |
|---|---|---|
| In hospital mortality | 4.6% | 1.9% |
| Surgical site infection | 2.2% | 0.7% |
| Bacterial sepsis | 6.3% | 1.5% |
| CLABSI | 0.5% | 0% |
| CAUTI | 0.5% | 0% |
| VAE | 1.5% | 0.3% |
| Additional surgery for bleeding | 1.5% | 0% |
| 30-day mortality | 4.8% | 1.7% |
What does it mean?
‘Door to balloon time’ is a phrase that denotes the a time between arrival of a patient with STEMI in the emergency room until the time that a ballon is inflated in the occluded, culprit coronary artery. Prompt percutaneous coronary intervention (PCI) for patients with ST-segment elevation myocardial infarction (STEMI) significantly reduces mortality and morbidity.
| Parameter | Bench Mark | GKNMH data 2024 |
|---|---|---|
| Door to balloon time within 90 mins in patients presenting in ER who underwent PCI for ST segment elevation myocardial infarction (STEMI). | American College of Cardiology and the American Heart Association (ACC–AHA) | Average door to balloon time among patients who presented with ST segment elevation myocardial infarction and gave an early consent: 84.8 in min |
3a. Percentage of unplanned return to cardiothoracic operation theatre
What does it mean?
Unplanned return to the operating theatre (OT) is defined as a return of the patient to the operation theatre due to complications or untoward outcomes related to the initial surgery.
| Parameter | Bench Mark | GKNMH data 2024 |
|---|---|---|
| Percentage unplanned return to Cardio thoracic OT | 2.2 % (Cleveland clinic cardiac surgery performance data, 2019) 2.2- 3.2 % (STS database, 2019) | 2.44% |
3b. Percentage postoperative prolonged mechanical ventilation following isolated coronary artery bypass graft (CABG) surgery.
What does it mean?
Prolonged mechanical ventilation (defined as > 24 hours) is a major complication following cardiac surgery. It is an independent preictor for readmission to the ICU following CABG surgery. Shorter ventilation times are linked to high quality of care.
| Parameter | Bench Mark | GKNMH data 2024 |
|---|---|---|
| Postoperative Prolonged Ventilation following isolated CABG | 4.4% (Cleveland clinic cardiac surgery performance data, 2019) 13.3 % (STS database, 2019) | 1.02% |
3c. 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.
| Parameter | Bench Mark | GKNMH data 2024 |
|---|---|---|
| Percentage of patients who had a post- operative stroke following an isolated CABG | 0.9 % (Cleveland clinic cardiac surgery performance data, 2019) 1.3 - 2.1 % (STS database, 2019) | 0.69% |
3d. Reintubation rate within 48 hrs of extubation among patients of isolated coronary artery bypass graft (CABG) surgery.
What does it mean?
There is evidence that extubation failure and reintubation can worsen outcome and is associated with an increased risk of morbidity and mortality.
| Parameter | Bench Mark | GKNMH data 2024 |
|---|---|---|
| Reintubation rate within 48 hrs of extubation. | Department of Critical Care Medicine, St. John’s Medical College and Hospital, Bengaluru, Karnataka, India 3.5%. | 1.19% |
3e. 30-day mortality after isolated CABG
What does it mean?
This indicator calculates the risk-adjusted rate of all-cause deaths occurring within 30 days for patients undergoing an isolated coronary artery bypass graft (CABG) surgery. Lower rates are desirable.
| Parameter | Bench Mark | GKNMH data 2024 |
|---|---|---|
| 30-day mortality after isolated CABG: | 1.4% (Cleveland clinic cardiac surgery performance data, 2019) 3.0% (US National rate, 2019) | 0.49% |
What does it mean?
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.
| Parameter | Benchmark | GKNMH data 2024 |
|---|---|---|
| Complication rate in image-guided interventions | Overall threshold: Lung Procedures – 10%, Others 2% American College of Radiology | 0.28% |
What does it mean?
The role of infection control is to prevent and reduce the risk for hospital-acquired infections. This can be achieved by implementing infection control programs in the forms of surveillance, isolation, outbreak management, environmental hygiene, employee health, education, and infections prevention policies and management. The major direct complication of an inappropriately managed infection control program is infection risk for the patient.
| Parameter | Benchmark (International Nosocomial Infection Control Consortium (INICC) India 2017) | GKNMH data 2024 |
|---|---|---|
| Surgical Site Infection (SSI) | 4.2% | 1.06% |
| Catheter Related Blood Stream Infection (CLABSI) | 4.1/1000 device days | 0.76/1000 device days |
| Ventilator Associated Pneumonia (VAP) | 9.4/1000 device days | 0/1000 device days |
| Catheter Related Urinary Tract Infection | 2.9/1000 device days | 0.88/1000 device days |