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SRI LAKSHMI MULTI SPECIALITY HOSPITAL

Patient Safety & Quality Policies

Your privacy is important to us. We are committed to protecting your personal and health information with transparency, integrity and confidentiality while delivering quality healthcare services.

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01
INTRODUCTION

Patient Safety & Quality Policy

Sri Lakshmi Multi Speciality Hospital is committed to providing safe, high-quality and patient-centred healthcare. Patient safety is the foundation of every clinical, diagnostic and support service delivered by our Hospital. We strive to minimise healthcare risks through evidence-based clinical practices, effective communication, continuous staff education and an organisational culture focused on safety and quality improvement.

This policy establishes the Hospital's commitment to protecting patients from preventable harm while promoting excellence in healthcare services through continuous quality improvement, ethical medical practice and compliance with applicable Indian healthcare regulations and recognised quality standards.

02
PURPOSE

Purpose of this Policy

The purpose of this policy is to establish a comprehensive framework that promotes patient safety, clinical quality, risk reduction and continuous improvement across all healthcare services provided by Sri Lakshmi Multi Speciality Hospital.

Our objective is to ensure that every patient receives safe, effective, timely and compassionate healthcare while encouraging accountability, teamwork, transparency and continual learning throughout the organisation.

Patient Safety

Preventing avoidable harm through safe clinical practices.

Quality Care

Delivering evidence-based, patient-focused healthcare services.

Continuous Improvement

Monitoring outcomes and improving healthcare processes.

Teamwork

Promoting collaboration among healthcare professionals.

03
SCOPE

Scope of this Policy

This policy applies to all departments, clinical services, diagnostic units, administrative functions and support services operating within Sri Lakshmi Multi Speciality Hospital.

Every doctor, nurse, allied health professional, pharmacist, laboratory personnel, administrative employee, housekeeping staff, contracted service provider and volunteer is expected to support the principles of patient safety and quality outlined in this policy.

"Patient safety is everyone's responsibility. Every member of the Hospital team contributes to providing safe, ethical and quality healthcare."
04
OUR COMMITMENT

Our Commitment to Patient Safety & Quality

Sri Lakshmi Multi Speciality Hospital is committed to establishing a culture where patient safety, clinical excellence and continuous quality improvement guide every aspect of healthcare delivery. We believe that safe care begins with leadership commitment, staff competency, effective communication and active patient participation.

Promote a culture of patient safety throughout the Hospital.
Follow evidence-based clinical practices.
Prevent healthcare-associated infections through effective infection control.
Encourage reporting of incidents and near misses without fear.
Continuously monitor and improve quality indicators.
Support continuous education and competency development of staff.

Our Quality Promise

We are committed to delivering healthcare that is safe, effective, timely, patient-centred, equitable and continuously improving. Our Hospital promotes a culture of learning, accountability and teamwork to minimise clinical risks and achieve excellence in patient care, while progressing towards nationally recognised quality standards such as NABH accreditation.

05
INFECTION PREVENTION & CONTROL

Infection Prevention & Control (IPC)

Sri Lakshmi Multi Speciality Hospital is committed to preventing healthcare-associated infections through a comprehensive Infection Prevention and Control (IPC) programme. Evidence-based practices are implemented to protect patients, visitors and healthcare workers from avoidable infections.

Our infection control measures include hand hygiene, sterilisation and disinfection of reusable medical devices, environmental cleaning, isolation precautions, biomedical waste management and continuous surveillance of healthcare-associated infections.

Infection Prevention Measures

  • Hand hygiene compliance.
  • Use of appropriate Personal Protective Equipment (PPE).
  • Sterilisation and disinfection protocols.
  • Environmental cleaning and sanitation.
  • Biomedical waste segregation and disposal.

Our Commitment

We continuously monitor infection control practices and educate staff to minimise the risk of healthcare-associated infections and promote a safe healing environment.

06
SAFE MEDICATION MANAGEMENT

Safe Medication Practices

Medication safety is a critical component of patient care. Sri Lakshmi Multi Speciality Hospital follows established medication management processes to reduce the risk of medication errors and ensure safe administration of medicines.

Appropriate prescribing, dispensing, storage, administration and monitoring procedures are followed, particularly for high-risk medications.

Verify the correct patient before administering medication.
Confirm the correct medicine and prescribed dose.
Ensure the correct route and timing of administration.
Monitor patients for adverse drug reactions.
Store medicines according to manufacturer recommendations.
Apply additional safeguards for high-risk medications.
07
PATIENT IDENTIFICATION

Patient Identification & Communication Safety

Accurate patient identification is essential for safe healthcare. Before providing treatment, administering medication, collecting laboratory specimens or performing procedures, Hospital staff verify patient identity using recognised identification methods.

Effective communication among healthcare professionals is encouraged to minimise misunderstandings and reduce the risk of preventable clinical errors.

"The right patient should always receive the right care, at the right time, through accurate identification and effective communication."
08
SAFE SURGERY

Safe Surgical & Procedural Practices

Sri Lakshmi Multi Speciality Hospital follows recognised patient safety practices before, during and after surgical procedures to minimise risks and improve patient outcomes.

Appropriate pre-procedure verification, patient identification, informed consent and procedural safety checks are completed before commencing surgery or invasive procedures.

Safety Verification

  • Confirm patient identity.
  • Verify planned procedure.
  • Confirm procedure site where applicable.
  • Review informed consent.
  • Conduct pre-procedure safety checks.

Surgical Safety Commitment

Our surgical teams follow structured safety protocols, teamwork and communication practices to reduce preventable complications and improve patient safety throughout the surgical journey.

09
EMERGENCY PREPAREDNESS

Emergency Response & Disaster Preparedness

Sri Lakshmi Multi Speciality Hospital maintains emergency preparedness systems to respond promptly and effectively to medical emergencies, fire incidents, disasters and other unforeseen situations. Our emergency response plans are designed to protect patients, visitors, staff and hospital infrastructure while ensuring continuity of essential healthcare services.

Emergency response procedures are periodically reviewed, tested through mock drills and updated whenever necessary to improve preparedness and organisational resilience.

Emergency Readiness

  • 24/7 emergency response services.
  • Code Blue emergency response system.
  • Fire safety and evacuation procedures.
  • Disaster management planning.
  • Regular emergency mock drills.

Our Commitment

We continually strengthen emergency preparedness through planning, staff training, equipment readiness and regular emergency response exercises.

10
EQUIPMENT SAFETY

Medical Equipment Safety & Maintenance

Safe and reliable medical equipment is essential for quality healthcare. Sri Lakshmi Multi Speciality Hospital maintains medical devices through scheduled preventive maintenance, calibration, inspection and timely servicing to ensure accuracy, reliability and patient safety.

Equipment is operated only by appropriately trained personnel in accordance with manufacturer recommendations and hospital procedures.

"Proper maintenance and safe operation of medical equipment are essential components of patient safety and quality care."
11
STAFF TRAINING

Continuous Staff Training & Competency

Competent healthcare professionals are fundamental to safe patient care. Sri Lakshmi Multi Speciality Hospital supports continuous professional development through orientation programmes, clinical education, competency assessments and ongoing training for all categories of staff.

Structured orientation for newly appointed staff.
Continuing Medical Education (CME) programmes.
Regular competency assessments.
Infection control and patient safety training.
Emergency response and Basic Life Support training.
Periodic refresher education programmes.
12
CONTINUOUS QUALITY IMPROVEMENT

Continuous Quality Improvement (CQI)

Sri Lakshmi Multi Speciality Hospital is committed to continuously improving the quality, safety and effectiveness of healthcare services through structured monitoring, measurement, evaluation and improvement activities.

Clinical performance, patient feedback, quality indicators, incident reports and audit findings are regularly reviewed to identify opportunities for improvement and implement corrective and preventive actions.

Quality Indicators

  • Patient satisfaction.
  • Hospital-acquired infections.
  • Medication safety.
  • Patient falls.
  • Clinical audit outcomes.
  • Emergency response performance.

Quality Commitment

We foster a culture of continuous learning, innovation and quality improvement to enhance patient outcomes, strengthen clinical governance and deliver healthcare that meets nationally recognised quality standards.

13
INCIDENT REPORTING

Incident Reporting & Learning

Sri Lakshmi Multi Speciality Hospital encourages the timely reporting of patient safety incidents, adverse events, medication errors, near misses and other clinical risks. Reporting helps the Hospital identify opportunities for improvement and prevent similar events from occurring in the future.

All reported incidents are reviewed objectively to determine their causes, implement corrective and preventive actions, and strengthen patient safety systems. The Hospital promotes a culture of learning, transparency and continuous improvement rather than assigning blame.

Safety Culture

Staff members are encouraged to report incidents and near misses promptly so that lessons can be learned and improvements can be implemented across the organisation.

14
PATIENT PARTICIPATION

Patient Participation in Safety

Patients and their families play an important role in promoting safe healthcare. We encourage patients to actively participate in their treatment by communicating openly with healthcare professionals and seeking clarification whenever required.

Confirm your identity before receiving treatment.
Inform healthcare providers about allergies and medications.
Ask questions if any information is unclear.
Report any concerns regarding your treatment or safety.
Follow infection prevention and safety instructions.
Participate in decisions regarding your healthcare.
15
HOSPITAL RESPONSIBILITIES

Hospital Responsibilities

Sri Lakshmi Multi Speciality Hospital is committed to maintaining systems, resources and professional practices that support safe, ethical and high-quality healthcare. Hospital leadership works collaboratively with healthcare professionals to strengthen patient safety and continuously improve clinical outcomes.

Our Responsibilities

  • Provide safe and quality healthcare services.
  • Maintain qualified and competent healthcare professionals.
  • Support ethical clinical practices.
  • Maintain safe infrastructure and medical equipment.
  • Promote continuous quality improvement.

Quality Vision

Our Hospital strives to deliver healthcare that is safe, patient-centred, effective, timely and continuously improving through leadership, teamwork and innovation.

16
MONITORING & REVIEW

Monitoring, Audit & Policy Review

Patient safety and quality initiatives are regularly monitored through clinical audits, quality indicators, patient satisfaction surveys, incident analysis and departmental performance reviews.

This policy will be reviewed periodically to ensure continued compliance with applicable healthcare regulations, recognised quality standards and evolving best clinical practices.

"Continuous monitoring, measurement and improvement are essential to achieving excellence in patient safety and healthcare quality."
17
CONTACT INFORMATION

Contact Us

For questions regarding patient safety, quality improvement, infection prevention or healthcare services, please contact us using the details below.

Sri Lakshmi Multi Speciality Hospital

Address:
No. 5/91, Near Apollo Hospital OMR,
Church Road, Perungudi,
Chennai – 600096, Tamil Nadu, India.

Phone: +91 98407 92932
Email: contactus@slmsh.com

18
ACKNOWLEDGEMENT

Acknowledgement

Sri Lakshmi Multi Speciality Hospital is dedicated to maintaining the highest standards of patient safety, clinical quality and ethical healthcare. Every member of our healthcare team shares the responsibility of creating a safe environment where patients receive compassionate, reliable and evidence-based care.

"Patient safety is not a single action—it is a culture of continuous vigilance, teamwork, learning and improvement. Every patient deserves safe, respectful and high-quality healthcare."

Our Commitment to Excellence

Sri Lakshmi Multi Speciality Hospital remains committed to strengthening patient safety, enhancing healthcare quality, promoting clinical excellence and continuously improving its systems and services as part of its ongoing commitment towards nationally recognised healthcare quality standards, including future NABH accreditation.