BMQR

  POLICIES & PROCEDURES ON PREVENTION ON ADVERSE EVENT IN SURGICAL PATIENT Policy:   Personnel involved in care of surgical patients shall take all necessary measure to reduce the risk of occurrence of adverse events in surgical patients.   Adverse event in surgical patients those preventable are occurred due to neglect, human errors or due to improper co-ordination. For e.g. Surgery on wrong site, surgery on wrong patient, or wrong surgery on the patient.   Any adverse event with surgical patient shall be reported to hospital management and to safety committee. The committee shall do a root cause analysis and take appropriate preventive measures to prevent occurrence of similar event in future.   Following are re-emphasized for surgical patients   Proper identification of the patient (through identification tag, name and medical record) Proper identification of the site (through site marking) Proper identification of surgery to be perfo...

                                    POLICIES & PROCEDURES ON PAIN MANAGEMENT   Policy:  Pain is identified during the initial and/or subsequent assessments of the patients. The patient's self-report of pain is the single most reliable indicator of pain, and thus must be recorded as described. This assessment and a measure of the characteristics of the pain are recorded in the treatment or medical record. Assessment of cognitively impaired patients will be obtained through a family member/caregiver and/or as demonstrated by nonverbal cues of pain. An individualized plan of care is developed that includes the management of pain. Pain will be measured using one of the standard pain scales in the facility.   The intent of this policy is to provide a standard of care for evaluating pain and to assure that safe methods of assessment, monitoring, evaluating, and reassessment of all pati...