Mahindra G, Dangi HK. Brain Drain: Migration of Healthcare Professionals in a Globalized World. Int J Res Foundation Hosp Healthc Adm 2014;2(2):63-72.

Bajpai J, Gurbani NK. Gap Analysis between Patients’ Expectations and Services Provided by Pharmacy Store of a Tertiary Care Hospital. Int J Res Foundation Hosp Healthc Adm 2014;2(2):73-78.

Patient satisfaction is one of the most important parameters of quality. The measurement of patient satisfaction is an important tool for research, administration, and planning. Client satisfaction is a crucial index for determining the quality services and the way in which they are provided by medical staff. The patient satisfaction is of paramount importance in ensuring better quality on the way to total quality management. Patient satisfaction survey are important from the view of improvement of quality of services and to attain the maximum satisfaction of the in-patients.

The aim of the study is to assess the level of satisfaction of in-patients at Tertiary care speciality hospital and to find out the causes for dissatisfaction. The objectives set were, to study the level of satisfaction of in-patients in private and General wards at Tertiary care speciality hospital and to find the causes for dissatisfaction, if any and suggest remedial measures.

A questionnaire based study where views of inpatient were taken regarding various clinical and support services. The data were collected from different patient care areas over a period of 2 months, and analyzed to determine the biggest dissatisfying factors among the patients.

More than 88% of the patients have rated the services as Excellent/Good. The areas where the satisfaction level is low is the cleanliness specially in the toilets and the quality of food served to the patients. As far as clinical care is concerned 95% of the patients are satisfied with the level and expertise of professional care but suggested for development of soft skills in doctors and paramedics.

The study suggests that a majority of in-patients are highly satisfied with the services of the Hospital. The study recommends for the need to develop soft skills among Doctor and paramedics and to improve upon the level of cleanliness and quality of dietary services.

Garg N, Gupta SK, Mahesh R. Patient Satisfaction Survey at a Tertiary Care Speciality Hospital. Int J Res Foundation Hosp Healthc Adm 2014;2(2):79-83.

With advanced medical equipments being developed everyday, hospitals have assets that need expert maintenance in order to ensure their proper functioning. This study was undertaken to understand the problems related to asset management faced by the biomedical engineering department (BMED) at a 390 bedded tertiary hospital in Pune, Maharashtra.

The cross-sectional study was conducted at a 390 bedded tertiary care hospital in Pune, India during May 2013. The BMED staff was interviewed to identify the problems faced by them in the current manual system of equipment record maintenance and the need for a computerized BMED record system. Data from January to April 2013 were analyzed to measure total number of entries/month, time required/entry and related errors.

An average of 16 hours per month were spent on manual data entry of equipment maintenance and errors due to manual system led to problems like inaccurate reports to calculate breakdown time of equipments.

Computerized system software is the need of the hour for managing biomedical equipments. This will save many man-hours and also make the system more efficient.

Patel A, Shukla K, Uttekar U, Mane M, Dubey R, Chandra H. Need for Asset Management Systems to Improve Efficiency of Biomedical Engineering Department in Hospital. Int J Res Foundation Hosp Healthc Adm 2014;2(2): 84-86.

Healthcare associated infections (HCAIs) are directly related to the hand hygiene practices. Differences in implementation of practices may exist among hospitals despite standard guidelines.

To compare the hand hygiene practices in the operation theaters of tertiary care hospitals in Delhi. Design and setting: A 6-months descriptive and cross-sectional study conducted in operation theaters of tertiary level, referral public and private sector hospitals in Delhi.

A 6-months descriptive and cross-sectional study conducted in operation theaters of tertiary level, referral public and private sector hospitals in Delhi.

Six leading multispecialty hospitals, three each from the private and public sectors were selected through purposive sampling. The sample comprised of cases from one major operation theater (OT) from each hospital conducting general surgery cases (10% of all cases).

A performa with 24 parameters was designed using the Center for Disease Control Guidelines for hand hygiene. Hospitals were analysed in categories and also independently.

One thousand nine hundred and twenty observations were analyzed from six hospitals. The level of compliance was higher among the private sector and the autonomous hospital. Statistically significant differences were observed with groups of hand hygiene parameters namely hand washing, selection of hand hygiene agent, skin care, and educational programs and surgical scrub, but not regarding hand hygiene policy or technique. Comparison of five hand hygiene practices strongly recommended by CDC practices revealed significant differences. Adherence to hand washing practices was 76%, surgical scrub practice was 85% and overall compliance of hand hygiene practice was 80.5%.

The study revealed gaps in implementation of hand hygiene practices despite standard guidelines. In future, post interventional studies may reflect the extent of improvement of these practices through reduction in HCAIs.

Kumar P, Gupta SK, Kapil A, Vij A, Singh IB. A Comparative Study of Hand Hygiene Practices in Operation Theaters in Tertiary Level Hospitals in Delhi, India. Int J Res Foundation Hosp Healthc Adm 2014;2(2):87-93.

Singh S, Gupta SK, Arya S, Aggarwal V. To Formulate a Selective Patient Safety-related Policy for a Tertiary Care Hospital. Int J Res Foundation Hosp Healthc Adm 2014;2(2):94-102.

The innovation of modern medical equipment with wide diversity has contributed immensely in improving the quality of healthcare and state of health profile of nations. For effective and efficient control on procurement of medical equipment, it is required to control the lead time (internal) as limited scope exists in case of external lead time.

The study was conducted to analyze the lead time with an aim to identify the issues/bottlenecks and to suggest the appropriate remedial measures in a public sector Tertiary care Hospital.

A retrospective exploratory study was undertaken. A total of 50 such capital equipment was procured in this hospital during March 2007 to 2010 (3 years) were included in this study.

It was observed that the procurement procedure in public sector tertiary care hospital is as per the standard guidelines prescribed by Government of India in General Financial Rules and guidelines issued by MOHFW and DGHS in this regard. The lead time analysis showed that there is a variation in the total lead time, internal lead time (ILT), external lead time (ELT) and their components. It was observed that ILT2 and ILT4 component constituted around 70% of the total ILT for almost all the equipments under study. In case of ELT, 75% time was consumed by ELT1, i.e. the delivery time and receipt of equipment.

Since activities in both ILT2 and ILT4, i.e. laying down the technical specification and bid evaluation are the responsibility of the individual department, the overall delay can also be attributed to the individual departments. This is in contrast to the general impression that there is delay on the part of purchase department. On an analysis of lead time as per VED category, it has been concluded that no concept of VED analysis is applied in the procurement of equipment. On further analysis of lead time analysis, it was concluded that the shortest time was taken by proprietary purchase followed by open tender and maximum time in open tender where approval from higher authority was required.

Prabhakar S, Singhal AK, Vardhan S. Technical Specification and Bid Evaluation: Major Bottlenecks in Equipment Procurement in a Public Sector Tertiary Care Hospital. Int J Res Foundation Hosp Healthc Adm 2014;2(2): 103-110.

Chaudhary P, Kaul P. An Assessment of Diagnostic Equipment Utilization in a Tertiary Healthcare Setup: A Key to Economical Patient Management. Int J Res Foundation Hosp Healthc Adm 2014;2(2):111-116.

Patnaik SK, Gupta SK, Kant S, Chandrasekhar R, Singh MM. Planning and Designing of a Sleep Center. Int J Res Foundation Hosp Healthc Adm 2014; 2(2):117-120.

Singh MM, Patnaik S, Kapoor P, Chaturvedi M, Srivastava P. The Consumer Protection Act: A Review of Legal Perspective. Int J Res Foundation Hosp Healthc Adm 2014;2(2):121-129.

Mehta J, Arya S, Kant S, Gupta SK. A Study of Hospital Infection Control Program against Normative Weighted Criteria at a Large Public Hospital. Int J Res Foundation Hosp Healthc Adm 2014;2(2):130-132.