Surgical Inpatient
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Surgical Inpatient Service Report
Complete all fields for your department and reporting period, then submit.
📋
Basic Information
1. Department
*
Select Department
SURGICAL WARD
ORTHOPEDICS & TRAUMATOLOGY WARD
PLASTIC WARD
MAXILLOFACIAL WARD
OPTHTHALMOLOGY WARD
ENT WARD
GYNE WARD
2. Month
*
Select Month
January (ጥር)
February (የካቲት)
March (መጋቢት)
April (ሚያዚያ)
May (ግንቦት)
June (ሰኔ)
July (ሐምሌ)
August (ነሐሴ)
September (መስከረም)
October (ጥቅምት)
November (ህዳር)
December (ታህሳስ)
Year
*
Select Year
🏥
Inpatient Metrics
3. Number of inpatient admissions
*
4. Number of inpatient discharges
*
5. Total length of stay (in days) during discharge
*
6. Total length of stay (in days) in the reporting period
*
7. Total Number of beds in the reporting period
*
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Mortality Metrics
8. Total Number of inpatient deaths in the reporting period (after 24hr of surgery)
*
9. Number of inpatient deaths within 24 hours
*
10. Number of inpatient deaths after 24 hours
*
11. Number of deaths among patients having one or more procedures in an Operating theatre admitted for major surgery (perioperative deaths)
*
Elective
Emergency
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Surgical Metrics
12. Total number of pre-operative stay in days
*
Elective
Emergency
13. Delay for elective surgical service — Delay for elective surgical admission (in days)(between date added to surgical waiting list to date of admission for surgery)
*
14. Number of patients who were admitted for elective (non-emergency) surgery
*
15. Total number of patients for whom major surgery has been conducted
*
Elective
Emergency
16. Number of surgical site infection
*
17. Number of death notified during the period
*
✅
Quality Metrics
18. Number of all eligible patients for oxygen Treatment
*
19. Number of patients with hypoxemia who received oxygen treatment as per the standard
*
20. Percentage of Data accuracy based routine data quality check (LQAS)
*
21. Percentage of chart completeness
*
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Ophthalmology — Additional Fields
OPTHTHALMOLOGY WARD only
Total cataract surgeries done during reporting period
*
TT surgery
*
🤱
Gynaecology — Additional Fields
GYNE WARD only
Early postnatal care coverage
*
Total Number of postnatal visits within 7 days of delivery
*
0 – 24 hrs
24 hrs (1 day)
25 – 48 hrs (1–2 days)
49 – 72 hrs (2–3 days)
73 hrs – 7 days (4–7 days)
Total CS (Caesarean Section)
*
Emergency
Elective
🔬
22. HIV Prevention and Control
23. Number of individuals who have been tested for HIV and who received their results (total)
*
24. Clients receiving HIV test results (at PITC)
Age Group
Male
Female
<1 yr
1-4 yr
5-9 yr
10-14 yr
15-19 yr
20-24 yr
25-29 yr
30-34 yr
35-39 yr
40-44 yr
45-49 yr
>50 yr
25. Clients testing positive for HIV (at PITC)
Age Group
Male
Female
<1 yr
1-4 yr
5-9 yr
10-14 yr
15-19 yr
20-24 yr
25-29 yr
30-34 yr
35-39 yr
40-44 yr
45-49 yr
>50 yr
HIV Testing Service by Population Group
26. HIV testing service - HTS who received result by population group (total)
*
27. HIV testing service - HTS who tested positive by population group (total)
*
28. Female commercial Sex workers
Received result
positive
29. Long distance drivers
Received result
positive
30. Mobile/Daily Laborers
Received result
positive
31. OVC of PLHIV
Received result
positive
32. Children of PLHIV
Received result
positive
33. Prisoners
Received result
positive
34. Partners of PLHIV
Received result
positive
35. Other MARPs
Received result
positive
36. General population
Received result
positive
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