PRE-GAP






                                 
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