Medical Audit Anjan Prakash
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1 Medical Audit
2 Medical Audit
Anjan Prakash MBBS, MHA (AIIMS), PGDMM, PGDMLS, CDM Safdarjung Hospital New Delhi
3 Published by
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
EMCA House, 23/23B Ansari Road, Daryaganj
New Delhi 110 002, India
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Medical Audit
© 2001, Anjan Prakash
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the authors and the publisher.
This book has been published in good faith that the material provided by authors is original. Every effort is made to ensure accuracy of material, but the publisher, printer and authors will not be held responsible for any inadvertent error(s). In case of any dispute, all legal matters to be settled under Delhi jurisdiction only.
First Edition : 2001
Publishing Director: RK Yadav
9788171798537
Typeset at JPBMP typesetting unit
Printed at Lordson Publishers (P) Ltd, C-5/19, RP Bagh, Delhi 110 007
4
To
My daughters:
Aarti and Deepali
5
Lord Ganesh is always worshiped before starting any important work, for fulfilment for any auspicious work. A hospital administrator should also possess the quality/skill like Lord Ganesh.
  1. SHARP EYES. For keen observation and foresight
  2. LONG EARS. To collect enough informaton, Good and reliable communication with speed
  3. LONG TRUNK. For strong smelling power to judge the danger in advance and anticipate the problems in advance
  4. BIG STOMACH. To digest things without discrimination. A Hospital Administrator should not get involved in conflicts, he should only be connected with important matters.
  5. BROAD FOREHEAD. For keen and sharp memory.
  6. EXPRESSIONLESS FACE. To conceal the emotions and avoid the feelings of any type.
  7. PEN IN HAND. A Hospital Administrator should not solely depend on memory and must make notes on relevant points.
  8. SMALL VEHICLE. Lord Ganesh has rat as his vehicle which can get into nook and corners. Likewise a hospital administrator should be able to visit all areas. People should feel is present every where, at all time.
  9. SWEETS IN HAND. To reward the good worker.
  10. WEAPON IN ONE HAND. To punished the guilty.
  11. Comfortable posture. Whatsoever may happen the Hospital Administrator must look comfortable in his/her seat.
I conclude hereby praying to Lord Ganesh for his blessing to enable us to acquire all the qualities so as to become a successful “Administrator.”
6Preface
It is being increasingly realised that while quantitative development is an important requisite for ensuring accessibility it is the qualitative aspect that determines the outcome of the services provided. Quality of medical care denotes the degree of excellence of the care delivered. Evaluation of quality of care involves two basic concepts, firstly the quality of technical care i.e. adequacy of structure and procedure including diagnostic and therapeutic procedures and secondly the quality of the art of care, relating to the manner in which the care is provided and perceived by the consumers. Quality of medical care can be assessed to a large extent by the analysis of medical records and this is what is meant by Medical Audit.
Medical Audit is a very important regulatory mechanism which aims to raise the quality of medical care through an in-built system of peer review of professional work of the hospital by an in house committee of the medical staff. Medical Audit also helps in streamlining the procedures related to the provision of medical care by pinpointing the bottlenecks in diagnostic, therapeutic and other supportive services of the hospital. In brief, medical audit is beneficial for the patient, the medical staff and the hospital administration.
In this book, an attempt has been made to provide comprehensive information about the complex issue of medical audit which would be educational for the medical staff and beneficial for the patients. It is sincerely hoped that medical audit will not only be useful but will prove to be a milestone in improving the quality of medical care services, provided, it is implemented in its true spirit.
Dr Anjan Prakash
7Acknowledgements
In an endeavour of this kind I have piled up great debts. I am indebted to Late Prof RP Sinha former Head of the Department of Hospital Administration, AIIMS, New Delhi for evoking my interest in the field of medical audit. I shall always remain obliged and grateful to him. He was a rare combination, a visionary and a practical man of affairs and is aptly known as ‘The Father of Hospital Administration in India.’
I acknowledge my sincere thanks to Dr DK Sharma, Associate Professor, Department of Hospital Administration, AIIMS for his critical analysis of the contents and his advice.
I also acknowledge my debt to Prof RK Sharma, Medical Supdtt. AIIMS and to Dr PC Chaubey Additional Professor Department of Hospital Administration, AIIMS, for their great concern and valuable advices at all times.
I express my gratitude to Dr JC Suri, Head, Department of Respiratory Medicine at Safdarjung Hospital for his keenness for precision, continuous guidance and valued suggestions.
With reverence and gratitude I acknowledge the support of my family and my friends. A word of special thanks to my daughters Aarti and Deepali, who have smilingly given up many hours we might have spent together. “They also serve who only stand and wait.”
My sincerest appreciations and grateful thanks to Mr Jitender P Vij and M/s Jaypee Brothers Medical Publishers for bringing out this invaluable book. I am indebted to Mr RK Yadav, Publishing Director for his support. His unwillingness to compromise excellence for expediency has contributed to this book no small measure of such clarity and luster as it may possess. Any deficiencies there in are mine.
My sincerest appreciations to all those who have helped me in the completion of the book.
April, 2001
Dr Anjan Prakash
New Delhi