STANDARDS OF PATIENT MANAGEMENT IN ANAESTHESIA AND SURGICAL DEPARTMENT IN A TERTIARY CARE HOSPITAL IN SOUTH INDIA.

Background: Health care quality is meant for survival and to bring excellence in hospitals. It is the demand of all stakeholders (i.e., patients, health care providers, governments, regulators, and competitors). Excellent services can be used as a competitive strategic tool. Anaesthesia is a speciality in medicine which deals with the safety of the patient who is undergoing a surgical procedure. Aim and objectives: To estimate quality of patient management in aspects like prophylactic antibiotic adherence, modification of anaesthesia and surgery plan, management of adverse events and control of mortality rates. Methods: It is a prospective observational study conducted in a sample size of overall 3868 patients in which 1252 patient?s undergone surgery following anaesthesia during the period of January ? November in 2016. Results: In this study, we measured the highest percent of patients non adherence to prophylactic antibiotics is seen in month of November (8.1%) followed by October (3.1%)., A highest percent of unplanned ventilation is seen in month of October (1.55%). the organization?s procedure to prevent adverse events like wrong site, wrong patient and wrong surgery have been (100%)from January to august, a highest percent of 1.31% of patients in April had changed the planned surgery intra operatively. There were no adverse events & mortality rates observed in our study. Conclusion: To increase the quality of patient management care must be taken in improving the patients prophylactic antibiotic adherence, continuous monitoring of vitals and maintaining check lists by physicians or medical staff ,to prevent the situations like unplanned ventilation during surgery, Multidisciplinary simulation training in anaesthetic emergencies may be beneficial for better patient safety.