A meta-analysis of quality assessment reports using prevalidated tool to evaluate the quality of health-care services in three-core domains biomedical waste management, Hospital Infection Control Practices, and Patient Safety Practices in government health-care organizations of U.P.

Abstract

Background: Improper biomedical waste management (BMWM) poses a serious threat not only to health-care providers and patients but also to the community and environment at large; hence, with an aim to promote cleanliness, hygiene, and infection control practices in government health-care facilities, GoI launched “Kayakalp-Swacchta Guidelines for public health facilities.” A meta-analysis of quality assessment reports of five government hospitals of U.P. was done with an aim to evaluate the quality of health-care services in three-core domains (BMWM, Hospital Infection Control Practices [HICPs], and Patient Safety Practices [PSPs]).Materials and Methods: Meta-analysis of quality assessment reports pertaining to three domains (BMWM, HICP, and PSP) drawing preidentified parameters from therein was done using purposive sampling technique. Data acquisition was based on record review, patient interview (PI), staff interview, and observation and vendor interview. Parameters were scored for compliance with 2, 1, and 0 score for complete, partial, and noncompliance, respectively.Results: The average compliance of five health-care organizations with respect to the conformance with quality parameters was 77.85%. Wherein, domain-specific scores were 81.42% for BMWM, 78.15% for HICP, and 64% for PSP. The individual highest score in the domains observed was 91.2%, 93.6%, and 100%, respectively. The individual lowest score observed was 58.7%, 49.09%, and 14%, respectively.Conclusion: It can be safely concluded from the overall average compliance score that quality of health-care services pertaining to the three preidentified domains in the health-care organizations is satisfactory; however, the wide gap in the individual highest and lowest score suggests an eminent need for pragmatic strategy toward improvement.