Wisal Yousafzai
PESHAWAR: The survey report rejected the PTI-led provincial government claims of bringing revolutionary change in the health sector and declared the government hospital vulnerable and providing poor quality of facilities to the visitors.
The report made by the Khyber Pakhtunkhwa Health Care Commission and Shifa Foundation Islamabad, The report said that in hospitals lose wire hanging in walking corridors , slippery surfaces in various areas , false ceiling damaged, missing or bad condition of furniture , broken tiles , lack of fire alarm, lack of nurse call system.
The report further said that the hospitals did not have a formal process to support the flow of patient; the individual who manage patient flow did not identify reason and implemented improvement.
The hospital did not have entry criteria for admission to intensive and specialized service. Records of patients who were admitted to units providing intensive /specialized service did not contain evidence that they meet the criteria for services were not found.
The report further added that the hospitals standard operating procedure did not have discharge criteria from intensive and specialized services or units to other wards.
The Medical Teaching Institution did not have a dedicated quality department no structure was in place which can be used to develop a hospital wide quality and patient’s safety program, currently no quality improvement patient safety program existed in the hospitals.
The patients were screened to identify if their healthcare needs the hospitals mission and resources however there was no formal documents identifying the scope of service and the services which were not available in the hospital while the process to provide the results of diagnostic tests to those responsible for determining if the patients is to be admitted, transferred, or referred did not exists.
The report added that Emergency department had an emergency management plane where patient prioritized was mentioned however, staff was not trained on it. Furthermore the practices did not reflect its implementation.
The hospital did not have long waiting periods however in case where there were waiting periods or delays for services e.g. plastic surgery, burn units, there was no formal process to inform patients and out patients about the reason for the delay or wait , staff knew how to handle and communicate delays but no record is maintained.
The Outpatient and inpatient registration process was standardized. The hospital had a process for admitting emergency patients to in patient units. There was also process for holding patient for observation staff were familiar with and follow the admission and registration process.
The report said that the hospital did not have a formal process to prioritized patient based on the patient condition at the time of admission as an inpatient to the hospital while the hospital did not have a formal process to support the flow of patient.
During the survey, no documents were found defining timeliness for diagnostic imaging and the timing of the test measurement not found.
The hospital does not have an organized program for calibration and maintenance , no central inventory of all medical equipment used in the radiology was found nor was any periodic prevention maintenance program found , no mechanism was found where recalls and failures are tracked and acted accordingly.
Currently there is no formal quality improvement program in place in the MTI; the staff is putting maximum input in activities related to quality.
When all these loops were taken in front of Senior Health Minister Shahram Khan said that there still some loops in the hospitals and MTI, adding that the government will work on these loops and will make the system more organized very soon.
He further claim that the provincial government take revolutionary measures in health sector as the MTI act is new and there are some loops but soon they will improve all these loops very soon ,adding that the government health reform were appreciated across the globe by international organization.
