14. Changes in Angel because of JCI (1)
Monitored 31 clinical quality measurements.
Carried out 13 QI programs
( 3 at hospital level , and 11 at departmental level ) .
100%
P
D
C
A
Jan
Feb
<6%
PDCA
Mar
Apr
May
Decrease the rate of postpartum hemorrhage
in 2012
Increase the rate of timely emergency testing reports
in 2012
15. Changes in Angel because of JCI (2)
100%
P
D
C
A
P
D
C
A
<10%
Decrease the rate of hypotension in spinal anaesthesia
in 2012
Increase the rate of correct preparation of blood transfusion
in 2012
100%
<60%
P
D
C
A
Increase the rate of file-back-on-time for discharge record
in 2012
P
D
C
A
Jan
Feb
Mar
Apr
May
Decrease the rate of elective delivery
in 2012
16. Changes in Angel because of JCI (3)
≥ 15%
Monitored 22 managerial quality
measurements.
Carried out 10 QI programs.
Increase the rate of exclusive breast milk feeding
in 2012
100%
Increase the rate of accurate report of high-risk
pregnant women in 2012
90%
Increase the inspection pass rate of fire safety
system in 2012