|
Patient Rights and Education
|
||||
|
Gap
Analysis Report
|
||||
|
Standards
and Objective Elements
|
Gap
Analysed
|
Marks
given
|
Solution
|
Time
span needed
|
|
PRE.1.a
|
Not documented and displayed
|
0
|
Documentation and display to be done
|
short
|
|
PRE.1.b
|
No written format maintained
|
0
|
written format will be made
|
short
|
|
PRE.1.c
|
No periodic review
|
5
|
A review committee to be formed
|
short
|
|
PRE.1.d
|
No awareness for staff
|
0
|
Awareness program for staff needed
|
short
|
|
PRE.1.e
|
Not properly documented
|
0
|
Records/ feedback forms will be
maintained
|
short
|
|
Total
Marks
|
|
5
(Average =1)
|
|
|
|
|
|
|
|
|
|
PRE.2.a
|
No awareness/spaces for worship
provided
|
5
|
Awareness and adequate space to be
provided
|
Long
|
|
PRE.2.b
|
No standard guidelines kept
|
5
|
Standard guidelines to be prepared
|
Short
|
|
PRE.2.c
|
No proper awareness provided
|
5
|
Awareness will be given
|
Short
|
|
PRE.2.d
|
No proper awareness provided to staff
|
5
|
Awareness will be given
|
Short
|
|
PRE.2.e
|
No documentation kept
|
5
|
Proper documentation to be done
|
Short
|
|
PRE.2.f
|
Informed consent not obtained
|
0
|
informed consent to be structurally
prepared
|
Short
|
|
PRE.2.g
|
No information given
|
0
|
Information to be displayed
|
Short
|
|
PRE.2.h
|
|
10
|
|
|
|
PRE.2.i
|
No awareness given for staff
|
0
|
Awareness programs to be started
|
Short
|
|
PRE.2.j
|
Not displayed
|
5
|
Information to be displayed
|
Short
|
|
Total
Marks
|
|
40
(Average =4)
|
|
|
|
|
|
|
|
|
|
PRE.3.a
|
Not documented and signed by doctor
|
5
|
To be documented and signed
|
Short
|
|
PRE.3.b
|
|
10
|
Patient feedback form to be kept
|
Short
|
|
PRE.3.c
|
|
10
|
Patient feedback form to be kept
|
Short
|
|
PRE.3.d
|
No structured mechanism available
|
5
|
Structured mechanism to be created
|
Short
|
|
PRE.3.e
|
|
10
|
Patient feedback form to be kept
|
Short
|
|
PRE.3.f
|
|
10
|
Patient feedback form to be kept
|
Short
|
|
PRE.3.g
|
|
10
|
Patient feedback form to be kept
|
Short
|
|
Total
Marks
|
|
60
(Average=8.5)
|
|
|
|
|
|
|
|
|
|
PRE.4.a
|
General consent not obtained
|
0
|
Consent form to be prepared
|
Short
|
|
PRE.4.b
|
No information given
|
0
|
Information will be given
|
Short
|
|
PRE.4.c
|
No documentation procedure available
|
0
|
Documented procedure to be made
|
Short
|
|
PRE.4.d
|
No details maintained
|
0
|
Details to be kept
|
Short
|
|
PRE.4.e
|
Not Addressed
|
0
|
Should be addressed properly
|
Short
|
|
PRE.4.f
|
Not done
|
0
|
To be made
|
Short
|
|
PRE.4.g
|
Not done
|
0
|
To be made
|
Short
|
|
PRE.4.h
|
Not aware
|
0
|
To be made aware
|
Short
|
|
Total
Marks
|
|
0
|
|
|
|
|
|
|
|
|
|
PRE.5.a
|
|
10
|
|
|
|
PRE.5.b
|
Details not listed
|
5
|
structured list should be made
|
Short
|
|
PRE.5.c
|
Information not provided properly
|
5
|
leaflets will be prepared
|
Short
|
|
PRE.5.d
|
|
10
|
stuctured formats to be kept
|
Short
|
|
PRE.5.e
|
|
5
|
Booklets/video/leaflets to be made
|
Short
|
|
PRE.5.f
|
|
10
|
|
|
|
Total
marks
|
|
45(Average=7.5)
|
|
|
|
|
|
|
|
|
|
PRE.6.a
|
|
10
|
|
|
|
PRE.6.b
|
|
10
|
|
|
|
PRE.6.c
|
Not educated
|
0
|
structured formats to be prepared
|
Short
|
|
PRE.6.d
|
No information provided
|
0
|
structured formats to be prepared
|
Short
|
|
Total
marks
|
|
20
(Average=5)
|
|
|
|
|
|
|
|
|
|
PRE.7.a
|
No such structured procedure
|
0
|
SOP should be made
|
Short
|
|
PRE.7.b
|
No standard awareness given
|
0
|
Proper display boards to be made
|
Short
|
|
PRE.7.c
|
No standard format for analysis
|
5
|
Standard format to be followed
|
Short
|
|
PRE.7.d
|
No standard procedure maintained
|
5
|
SOP should be made and followed
|
Short
|
|
Total
marks
|
|
10
(Average=2.5)
|
|
|
|
|
|
|
|
|
|
Total Marks = 180
|
|
|
|
|
|
Average = 4.09
|
|
|
|
|
|
0marks= 19 questions
|
|
|
|
|
|
5 marks = 14 questions
|
|
|
|
|
|
10 marks = 11 questions
|
|
|
|
|
PRE-GAP
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