Dilchora General Hospital SBFR

Weekly Forum(#43) From GINBOT 18-

24/2015
Jun 3, 2023
Conten
ts

Triage
OPD
Liaison
Emergency
Inpatient
Laboratory
MCH
Contents
Pharmacy service
Pathology
Biomedical
Major finding
Recommendation
TRIAGE
Triage
DATE Plane Previou Number of Triaged Not Seen on the Pt. with Raised Hyperglycemic
s Week Patient same day BP Pt.

18/09/15 912  Total 84 0 2 2

 
 
 
 
 
 
19/09/15
20/09/15
21/09/15 141 0 3 3
22/09/15 102 0 2 4
23/09/15 120 0 4 2
24/09/15 92 0 3 4
OUT PATIENT DEPARTMENTS
OUT PATIENT DEP.
Date 18/9 19 20/9/2 21/ 22/ 23 24/9 W prev
/201 /9/ 015 9/2 9/2 /9/ /201 K week
5 20 015 015 20 5 43
15 15 Tot
al
  Old New     Old New Old New Ol New Old New Ol New Total
d d
113
CT3 25 2 21 3 18 2 27 0 18 1 10 8 117
8
CT4 0 10 0 29 0 14 0 20 0 15 0 88 88 98
61
CT5 0 7 0 20 0 14 0 11 0 7 0 59 59
83
CT6 0 16 0 21 0 12 0 16 0 15 0 80 80
CT7 0 18 0 15 0 24 0 16 0 13 86 86 100
CT8(Dental 5 8 4 15 2 18 5 22 6 13 22 76 98 88
)
46
Pedi 0 2 1 3 2 1 2 2 2 0 7 7 14
OPD>5
SENIOR OPD
Date 18/ 19/9/2 20/9/2 21/ 22/ 23/9 24/9 WK Prev
9/2 015 015 9/2 9/2 /201 /201 43 week
015 015 015 5 5 Total
  Old New     Old Ne Old New Old New Old New Old New Tota Total
w l
ENT 10 20 0 32 10 52 62 57
Onco 0 2 0 2 2 3
Neuro 10 12 10 12 22 11
surg
Orto OPD 26 8 10 3 36 11 47 59
Pedi surg 9 11 9 11 20 6
Uro Surg 7 17 7 17 24 16
Neurology 5 14 5 14 19 16
cardiology 31 1 31 1 32
Optha 15 33 11 53 12 20 10 40 0 16 48 162 210 179
Derma 2 16 4 15 5 20 11 51 62 90
Psyc 3 2 1 7 1 2 1 2 0 2 12 9 21
Pedi Sen. 2 3 5 0 7 3 10 39
OPD
Gyn Sen. 1 2 1 6 1 0 11 11
OPD
Liaison & Referral
cases DCH Previous DCH Et-FR Et-FR
Liaison
& week This week Liaison Liaison this

“
Referral
service
Previous
week
week

with 90 54 3 0
Communication
Referral IN
With out
communication
41 58 2
”
Referral OUT with 1 0 1 1
communication

With out 25 8 0
communication

Total admission 250 233 8 7

Total discharge 221 187 14 5

Ethio-Frence EOPD
Ethio France ER Previous Week 43 18/9/201 19/9/201 20/9/201 21/9/201 22/9/201 23/9/201 24/9/201
Week 5 5 5 5 5 5 5
Total seen 177 186 34 25 33 22 26 22 24
Kept 8 8 3 2 1 0 0 1 1
Admission ward 4 6 0 0 2 2 0 0 2
Admission ICU 1 0 0 0 0 0 0 0 0
Stablized & 168 159 31 23 32 20 11 21 21
discharged
RTA 40 69 19 3 14 9 15 3 6
Trauma 134 97 14 16 19 13 0 18 17
Poisoning 1 2 0 1 0 0 0 0 1
Death on tx 1 2 1 0 0 1 0 0 0
Death on arrival 0 0 0 0 0 0 0 0 0
>24 hour 3 0 0 0 0 0 0 0 0
Round AM 7 7 1 1 1 1 1 1 1
PM 6 7 1 1 1 1 1 1 1
DilChora ADULT EOPD & Pediatrics
EOPD
DCH Adult ER Previous Week 43 18/9/2 19/9/20 20/9/20 21/9/20 22/9/20 23/9/20 24/9/20
Week 015 15 15 15 15 15 15
Total seen 172 167 22 25 15 26 26 23 30
Kept 96 82 14 15 11 10 11 10 11
Admission ward 53 34 3 2 6 6 3 12 2
Admission ICU 0 2 1 0 0 0 1 0 0
Stablized & 85 58 14 8 3 12 6 5 10
discharged
RTA 0 0 0 0 0 0 0 0 0
Trauma 0 0 0 0 0 0 0 0 0
Poisoning 0 1 0 1 0 0 0 0 0
Death on tx 1 2 0 1 0 1 0 0 0
Death on arrival 1 0 0 0 0 0 0 0 0
>24 hour 23 13 4 0 3 0 3 1 2
Round AM 7 7 1 1 1 1 1 1 1
PM 7 7 1 1 1 1 1 1 1
PEDI ER Previous Week 43 18/9/20 19/9/20 20/9/20 21/9/20 22/9/20 23/9/20 24/9/20
Week 15 15 15 15 15 15 15
Total Seen 143 91 14 19 8 14 10 10 16

Kept 35 19 5 4 2 3 0 1 4

Admission 23 18 2 3 1 3 3 4 2

Stablized & 109 48 9 12 5 10 7 5 10

discharged
Death on tx 1 0 0 0 0 0 0 0 0

Death on arrival 0 0 0 0 0 0 0 0 0

> 24 hours 1 1 0 0 1 0 0 0 0

Round AM 7 7 1 1 1 1 1 1 1

PM 7 7 1 1 1 1 1 1 1
Laboratory Service

EOPD, CENTRAL, PEDI EOPD & MCH

MCH
Date Laboratory
 
CBC Serology U/A Chemistry Electrolyte BG HCG

18/9/15 37 6 6 2 1 9 0

19/9/15 15 3 9 2 2 5 0

20/9/15 15 0 0 0 0 2 0

21/9/15 26 23 17 5 5 22 5

22/9/15 28 10 6 2 1 6 2

23/9/15 27 10 19 2 2 11 3

24/9/15 24 12 8 6 5 18 1

Total 172 64 65 19 16 73 11

Previous Week 136 52 58 13 4 83 9

Ethio-
Date France
  LABORA
TORY
CBC Serology U/A Stool Ex Chemistry Electrolyte BG BF HCG

18/9/15 9 0 1 1 1 0 5 0 0

19/9/15 4 0 1 0 0 0 2 0 0

20/9/15 8 2 1 0 0 5 2 0

21/9/15 13 6 2 1 1 3 1 0

22/9/15 5 0 2 1 0 0 3 1 0

23/9/15 5 0 1 1 0 0 4 0 0

24/9/15 8 0 1 1 0 0 4 1 0
Total 52 0 14 7 2 1 26 5 0

Previous Week 45 0 11 6 4 2 9 4 1
Date Centr
al
Labo
rator
y
CBC Serology U/A Stool Che Electr BG BF BFA PM X-match HCG Available
m Blood

18/9/15 52 6 20 6 31 7 5 7 2 6 5 2 7

19/9/15 16 1 7 3 20 3 1 1 1 1 7 0 6
20/9/15 7 0 0 0 15 11 3 0 1 0 3 0 6
21/9/15 131 19 35 22 20 10 18 10 2 7 10 1 5

22/9/15 70 9 30 12 65 22 19 15 2 5 5 2 5
23/9/15 62 7 35 22 16 9 20 15 3 7 8 2 3

24/9/15 68 30 22 16 40 20 26 10 1 6 7 0 5

Total 406 72 149 81 207 82 92 58 12 32 45 7 5

Previous 462 65 174 92 452 140 122 65 17 35 18 11 19

Week
Date Adult
Medical &
Pediatrics
EOPD
Laboratory
CBC Serology U/A Stool Ex Chm electro BGR BF HCG

18/9/15 27 0 8 7 18 8 5 4 0

19/9/15 37 0 13 13 16 11 5 10 0

20/9/15 26 0 1 1 0 0 13 4 0

21/9/15 36 10 27 16 5 5 8 22 0

22/9/15 53 7 8 9 18 9 8 4 0

23/9/15 21 0 26 19 7 5 10 9 0

24/9/15 46 11 16 13 18 10 13 17 0

Total 246 28 99 78 82 48 62 70 0
TB GENE XPERT Done
Date prev week This week samle Posetive Negetive REMARK
sample done
TB Gene X pert
18/9/15 17 14 5 9 2pnt were
diagnosed
tohave RR

19/9/15
20/9/15
21/9/15 16 9 0 9
22/9/15 15 9 1 8
23/9/15 12 14 0 14
24/9/15 11 1 10
Total 60 57 7 50
Previous
PATHOLOGY
TYPES OF Previous Sample Previous Result This week sample This week Result
PROCEDURE collected
Sample collected
& results
Biopsy 60 40 56 48

FNA 75 53 69 56

Pap smear 18 10 6 4

Peripheral 5 3 9 5

morphology
Autopsy 0 0

Cytology 7 4 3 2
MCH SERVICE
CERVICAL CA
SCREENING
Activities Plane This week
Previous
Week
CA Screening done(VIA) - 12 14

Cryo therapy Done - 03 3

LEEP Done - 0 0
Obstetrics Plan Previous Week Total This Week Total Remark
performance

SVD - 49 41

IUFD - 0 3

Still Birth - 0 0

Maternal Death - 0 1 happened at gyn

ward

PPH Happened & - 1 2

survived

Post partum 1 1
contraceptive
MCH Service Plan Previous Week This Week Total Remark

MCH SBFR REPORT

Total
Total ANC - 142 157

PHICT - 20 36

PMTCT - 15 20

Ultrasound done by Senior - 126 109

Implant - 7 6

Injection - 6 1

COC - 1 2

IUCD - 0 0

Measles 2 - 10 11
Intensive Care Unit(ICU)
Central ICU
GICU Plan Pre. week This WEEK

Admision On Machine 3 3

On monitor 2 1

Discharge 4

Death <30% 1 2

MDT round 14
Trauma ICU Plan Previous week This week total

New Machine - 0 2
Admission

Monitor - 2 1

Death <30% 1 0
 

MDT Round   14 14 9

6/10/23
NICU Plan Previous week This week total

Total new admission 16 15

7 2
CPAP

Discharge 13 10

Death   <15% 3 2

MDT Round 14 14 14
TB & ART Service
Date ART Refill Newly enrolled
ART
OPD Visits
Service
start call /Home Visit VCT VL Sent
IPT/3HP for missed app of Tested
LTFU, ↑VL

18/9/15 18 0 8 1 7 4 11

19/9/15 25 0 1 1 3 9

20/9/15 1 0 0 2

21/9/15 43 0 14 3 6 3 15

22/9/15 25 0 7 2 7 5 12

23/9/15 38 0 8 2 6 13

24/9/15 27 0 9 1 0 9
Total 177 0 47 10 20 23 69

Previous 156 3 47 3 37 26 51
TB
Date Dx with TB Start Anti TB Total No. TB Transfer OUT DOT
Enrolled OPD

Total No.
TB stared
on IPD
18/9/15 6 4 2 2 134

19/9/15 0 0 0 0 134
20/9/15 0 0 0 0 134

21/9/15 2 1 1 1 134

22/9/15 2 2 2 0 136

23/9/15 1 1 0 0 138

24/9/15 2 2 1 0 137

Total 13 10 6 3 137

Previous week 13 8 5 2 11 132

Ward Performance
MEDICAL WARD Perfprmance
Medical plan prev this 18/9/2 19/9/2 20/9/2 21/9/2 22/9/2 23/9/2 24/9/2
ward week week 015 015 015 015 015 015 015
MDT Ward A  14 14 2 2 2 2 2 2 2
round
Ward B 14 13 2 2 2 2 1 2 2

Total Ward A 42 23 4 1 1 5 3 5 4
admisio
n
Ward B 32 44 5 6 3 9 7 5 9

Total Ward A 36 20 3 1 1 5 0 4 6
discharg
e
Ward B 29 42 6 0 1 14 5 14 2

Death Ward A 4 1 0 1 0 0 0 0 0

Ward B 4 1 1 0 0 0 0 0 0
Ward Performance
urgical Ward Plane Previou Total 18/9 19/9 20/ 21/9/ 22/9/201 23/9/ 24/9/2015
s WEEK /201 9/2 2015 5 2015
5 /201 015
5

MDT Senior Round 14 14 14 2 2 2 2 2 2 2

otal # of New - 24 21 0 0 2 8 4 5 2
dmission

otal # of Discharge - 26 16 4 1 2 4 0 3 2

eath <4% 1 0 0 0 0 0 0 0 0
Ward Performance
Orto Ward Plane Previous Total 18/ 19/ 20/9 21/9/2 22/9/ 23/9/2 24/9/
WEEK 9/2 9/2 /201 015 2015 015 2015
01 015 5
5

MDT Senior Round 14 14 14 2 2 2 2 2 2 2

Total # of New 5 11 0 0 2 6 0 2 1
Admission

Total # of Discharge - 11 1 0 0 0 0 0 1 0

Death <4% 0 0 0 0 0 0 0 0 0
Ward Performance
Burn Unit Plane Previou Total 18/9 19/9/201 20/9/2 21/9/2 22/9/2 23/9/2 24/9/2
s WEEK /201 5 015 015 015 015 015
5

MDT Round 14 12 13 2 2 2 1 2 2 2

Total # of New - 0 0 0 0 0 0 0 0 0
Admission

Total # of Discharge - 0 0 0 0 0 0 0 0 0

Death <4% 0 0 0 0 0 0 0 0 0
Ward Performance
GYNI Ward Plane Previou Total 18/9/ 19/9/20 20/9/2 21/9/2 22/9/2 23/9/2 24/9/2
s WEEK 2015 15 015 015 015 015 015

MDT Senior Round 14 14 14 2 2 2 2 2 2 2

Total # of New 14 12 1 1 1 2 5 1 1
Admission

Total # of Discharge - 10 11 2 3 0 1 0 1 4

Death <4% 0 1 0 0 0 0 0 0 1
Ward Performance
Pediatrics Plane Previous Total 18/9/ 19/9/2 20/9/201 21/9/ 22/9/20 23/9/201 24/9/
Ward WEEK 2015 015 5 2015 15 5 2015

MDT Senior 14 14 14 2 2 2 2 2 2 2
Round

Total # of 30 34 6 6 1 4 3 7 7
New
Admission
Total # of - 32 16 2 3 4 3 0 0 4
Discharge

Death <4% 4 3 0 2 0 0 0 0 1
OR Weekly Performance
OR Performance
Dept 18/9/201 19/9/201 20/9/201 21/9/20 22/9/2015 23/9/201 24/9/201 Total pre wk
5 5 5 15 5 5
General 17
Scheduled 1 0 0 0 4 3 3 11 13
Emergency 2 0 0 1 1 2 0 6 4
Canceled 0 0 0 0 1 0 0
surgery
Ortho 6
Scheduled 0 0 0 0 0 1 1 2 1
Emergency 0 0 0 0 0 1 3 4 0
Canceled 0 0 0 0 0 0 0 0 0
surgery
Minor OR 7
ENT 0 2
Scheduled 0 0 0 0 0 1 0 1 1
OR Performance
Dept 18/9/2015 19/9/2015 20/9/2015 21/9/2015 22/9/2015 23/9/2015 24/9/2015 Total pre
week
Neuro surgery 5
Scheduled 0 0 0 3 0 0 0 3 2
Emergency 0 1 0 0 1 0 1 2 2
Canceled 0 0 0 0 0 0 0 0 0
surgery
Pediatric surgery 3
Scheduled 0 0 0 0 0 0 1 1 1
Emergency 0 0 0 0 1 0 1 2 1
Canceled 0 0 0 0 0 0 0 0 0
surgery
Urosurgery 1
Scheduled 0 0 0 0 0 1 0 1 2
Emergency 0 0 0 0 0 0 0 0 0
Canceled 0 0 0 0 0 0 0 0 0
surgery
OR Performance
Dept 18/9/2 19/9/2015 20/9/20 21/9/201 22/9/201 23/9/20 24/9/201 Total pre
015 15 5 5 15 5 week
Gyn 4
Scheduled 0 0 0 0 0 2 0 2 1

Emergenc 0 1 0 1 0 0 0 2 2
y
Canceled 0 0 0 0 0 0 0 0 0
surgery

C/S 1 26
Scheduled 2 0 0 1 1 3 1 8 13

Emergenc 5 2 0 2 6 1 2 18 21
y
Canceled 0 0 0 0 0 0 0 0 0
surgery
Imaging& Radiology
Services
Types of
Radiology
service 

Imaging

Ultrasound X-R CT ECHO

X-R CT Scan Doppler
Reading Reading Ultrasound

This week 94 246 83 67 20 6 25

Previous 98 292 86 81 11 5 21
week
Pharmacy Service
  18/9/20 19/9/201 20/9/20 21/9/201 22/9/201 23/9/201 24/9/201 Week pre
15 5 15 5 5 5 5 43 week
Inpatien 126 120 90 118 101 125 104 784 666
t Credit
Total 126 120 90 118 101 125 104 784 666
Em.genc Cash 46 43 25 37 35 45 44 254
y
Credit 52 32 22 35 25 38 25 207
Total 98 75 47 72 60 83 69 504 461
Central Cash 56 37 15 51 91 80 82 340
Credit 111 54 30 101 88 95 75 716
Total 167 91 45 152 179 175 157 966 956
MCH Credit 72 29 47 54 61 53 49 342
Total 72 29 47 54 61 53 49 365 342
OR Cash 26 20 11 13 33 42 26 167
Credit 25 15 24 46 41 45 44 215
Pharmacy Service
Lists of Stock Out Drugs

In patient pharm Heparin,, DW, Vanco

Central pharma Vanco, Dexa, Atrva

OR pharmacy H202, Formaline,Dexa,

MCH pharmacy 0

Emergency pharmacy adrenaline

BIOMEDICAL ENGINEERING WEEKLY ACTIVITY REPORT
S/N Type of Maintenance or installation Previous week This week

1 Installation 2 0

2 Preventive 2 1

3 corrective 5 4

4 Oxygen Fitting 112

105
DepartRmREVERRRRRRRRNUEents seRErvice Price RRRR
Department Cash CBHI Free Prev. WK WK.43
M.A 78266 36275
M.B 60779 92887
GICU 8820 13916
Trauma Center RTA 2 127678 37726
2
6
5
MOC

EME
/ OR
NICU 18473 30248

Pediatric Ward 5717 2647 SAM M 20516 20516

O
C
9257 2
8
9
5
Departents service Price
Departmen Cash CBHI Free Prev. Price WK. 43
t
ART PC MOC ObGyn NICU 24hr Staff

Surgical 19985 46262 1942 67684 68189

OPD 52246 72299

DCH ER 9046 17712 32904 26758

Laboratory 44577 41771 ----- 86348

Pharmacy 131978.9 299368.05 2451 8861 430676 442662

5
MCH 25130
PATHOLOG 35400
Y
Departments service Price
Imaging Cash Credit Free Prev. WK WK. 43
services
MOC AR NIC SA AGE PC RT Sta
T U M A ff
X ray 40716

Ultrasound 4000 2500 375 1 5 5 7 8250 6875

Echocardiography

Doppler U/S

CT scan 56800

Ttotal revenue Cash

CBHI
Free
Recommendations
Major Findings
Total 584 patients were triaged at COPD ,out of this 14 HTN and
1, on senior OPD when they are busy to avail themselves on assigned day to hey should communicate each other & their OPD should be
cover by one of them. ESP PEDI SENIOR OPD

15 DM were screened
2, We should also implement other SBFR mentioned not started activity E.g:- One stop shop Healthy literacy unit, Block based appointment
system, OPD Shift based Assessment, Digitalization (EMR)

OPDs patient flow decreased from frevious week since referal

3, Staff punctuality & Dressing Code Adherence should be improve
4, Radiology department performance assessment & daily taskforce report should be standard. Esp those request from outside

system practiced
5,Comments & feedbacks from last week weekly forum become included in the next Forum metting.

High patient at Ophthalmologic clinic

Challanges with patients who has no referl paper
Deley to cllect and report data for weekly forum at some
deprtment
Hgh # xry and U/S back logs
Revenue reporting should be complete and limmited to main depart
ment
Recommendations
recommendation
1, on senior OPD when they are busy to avail themselves on assigned day to hey should communicate each other & their OPD should be
Radiology and Ophthalmology needs concern
cover by one of them. ESP PEDI SENIOR OPD
2, We should also implement other SBFR mentioned not started activity E.g:- One stop shop Healthy literacy unit, Block based appointment

Securty should be contenued as it is.

system, OPD Shift based Assessment, Digitalization (EMR)
3, Staff punctuality & Dressing Code Adherence should be improve
4, Radiology department performance assessment & daily taskforce report should be standard. Esp those request from outside
5,Comments & feedbacks from last week weekly forum become included in the next Forum metting.
10Q