Debarring can be defined as exclusion or preclusion from doing or having something, or some place or condition, on authoritative orders. Blacklisting has the effect of preventing a person from the privilege and advantage of entering into lawful relationship with the Government for purposes of gains. Debarment/blacklisting’ is never permanent and the period of debarment would invariably depend upon the nature of the offence committed by the erring contractor. The competent authority may for the sake of objectivity and transparency formulate broad guidelines to be followed in such cases.There is no legal/statutory provision in Constitution of India for debarring/blacklisting of a vendor.Also, there is no need for any such power being specifically conferred by statute or reserved by contractor because ‘blacklisting’ simply signifies a business decision by which the party affected by the breach decides not to enter into any contractual relationship with the party committing the breach.This case study is a very good example of how vendor’s initially quote very low unsustainable prices to gain entry and then deviate from the terms and conditions of the agreement, which in turn affects the hospital services. Therefore, it becomes important that such vendors may be debarred so that they are not allowed to participate at other institutions. This will act as deterrent for other vendors/suppliers towards unsatisfactory provisioning of services. Although this is not a routine administrative path chosen and very rarely such actions are initiated against the vendors. However, hospital administration should not hesitate in adopting this path in case of defaulting vendors/suppliers.
Keywords: Debarring, Blacklistings
Background of the study: Patient safety concern in operation theater (OT) has become an unending part of the health policy. Since several changes and safety measures have been advocated to improve the patient safety, but these measures could not produce the desired outcomes and the operating room errors are still frequent and often consequential. Objective: Assessment of adherence to the safety protocol in the operating room. Methodology: A descriptive study was conducted with an aims to assess the adherence to the safety protocol in the operating room with the help of a validated surgical safety checklist. Statistical analysis: The SPSS 16.0 was used to obtain average and frequencies respectively. Results: A total of 240 surgeries was observed to assess the practice of various Pre, Intra and Post-operative safety protocols in Operation Theater. The study finding revealed that the safety guidelines are being followed and practiced in the hospital, but there are few aspect which are being neglected. The maximumcompliance was observed in pre-operative phase with an average of 74%, followed by 62% and 31% in both Intra and Post-operative phases. The results also depict that the Post-operative complications are less even when the safety guideline are not being followed completely. Conclusion: Patient safety in surgery need the successful coordination of  surgeons, anesthetists, nursing staff and other specialists, who must all work together to provide the best care to the patient. A minor negligence from any of these professional will lead to devastating results for both the patients as well as health care workers too. It is always suggested that the surgical team should follow these safety protocols as a part of their day to day practice.
Keywords: Assessment, Safety Protocol, Operating Room, Surgical Safety, 
Safe medication management practices not only improve the quality of care for those receiving chemotherapy but also protect the healthcare providers from the possible occupational hazards of chemotherapy. Study objectives were to assess medication management practices at Day Care Facility of Medical Oncology and compare the results with the American Society of Clinical Oncology/ Oncology Nursing Society Chemotherapy Administration Safety Standards. Study was carried out at Day Care Facility, of Regional Cancer Centre of North India over a period of two months from 1st March 2012 to 30th April 2012. This study is descriptive and observational in nature. Key informants were selected by purposive sampling and interviewed to gain an insight into steps and processes involved in Medication Management. Unstructured interviews were done with three doctors and six nurses posted in day care facility. Unstructured in-depth Interview with Nursing In charge, Staff Nurses, Store officer, Store keeper and Group D staff was carried out. Medication management practices were evaluated against standards prescribed by American Society of Clinical Oncology/ Oncology Nursing Society Chemotherapy Administration Safety Standards. All the parameters were assigned equal weightage and scoring was done by assigning non-compliance, partial compliance and compliance on a score of 0, 5 and 10 respectively. Data was collected through direct participant observation and by studying relevant hospital records. Overall compliance against the standards was observed to be 55.32%.
Keywords: Medication Management, Day Care Facility, Chemotherapy, Patient Safety
Patient experience management includes complete interaction between the patient and the hospital. In an inpatient department, it starts from admission of the patient to discharge and follow up. A questionnaire survey with patients have been conducted and a factor analysis is applied to identify factors for patient experience. This paper aims to identify the key factors that influence the patient experience in an inpatient department.
Keywords: Patient Experience, Quality care, Patient satisfaction
Risk science is a term used to encompass both risk assessment and risk management actions taken to reduce risk. Although historically risk science has focused on the large number of chemical substances present in the human environment, Today methods in risk science are widely applied in addressing other risk issues of importance to society, including those of a biological or social nature. [1]
Risks or negative events can result from uncertainty in financial markets, threats from project failures (at any phase in design, development, production, or sustainment life-cycles), legal issues, accidents,  disasters , or events of uncertain or unpredictable root-cause. Risk sources are more often identified and located not only in infrastructural or technological assets and tangible variables, but also in human factor variables, mental states and decision making. 
Intangible risks are those risks that have a 100% probability of occurring but are ignored by the organization due to a lack of identification ability. For example, when deficient knowledge is applied to a situation, a knowledge risk materializes. Relationship risk appears when ineffective collaboration occurs. Process-engagement risk may be an issue when ineffective operational procedures are applied. These risks directly reduce the productivity of knowledge workers, decrease cost-effectiveness, profitability, service, quality, reputation, brand value, and earnings quality. Intangible risk management allows risk management to create immediate value from the identification and reduction of risks that reduce productivity.
Risk management is the identification, assessment, and prioritization of risks followed by coordinated and economical application of resources to minimize, monitor, and control the probability and/or impact of unfortunate events or to maximize the realization of opportunities or positive events.  In ideal risk management, a prioritization process is followed ,whereby the risks with the greatest loss (or impact) and the greatest probability of occurring are handled first, and risks with lower probability of occurrence and lower loss are handled in descending order. In practice the process of assessing overall risk can be difficult, and balancing resources used to mitigate between risks with a high probability of occurrence but lower loss versus a risk with high loss but lower probability of occurrence can often be mishandled. Ideal risk management also minimizes spending (or manpower or other resources) and also minimizes the negative effects of risks.


To improve efficiency of work processes in a dietary facility of a medical college by application of method study “Work Process flow” technique.
An observational and descriptive study was carried out in a dietary facility of a medical college over a period of four weeks. During this period techniques of work process flow was adopted by identifying and recording the activities through a graphical portrayal. The activities were classified as operations, transportations, inspections, delays and storages each being represented symbolically.  Each activity was critically examined for the purpose, place, sequence and means and improvement measures were recommended.
The recording of the process flow resulted identified 58 activities. The graphical portrayal revealed duplicate activities and inefficient work processes including improper layout and flow patterns. The recommended improved flow led to a 23 % reduction of activities 58 to 45 in the mess which open new possibilities and opportunities to bring in efficiency in the service. This included opportunities in reduction of costs, reducing mess staff fatigue, developing flows for segregation of traffic and appropriate waste management. Recommendation for pedestrian traffic, keeping of ration in store room and non mixing of clean and dirty traffic were also made to make the flow process more qualitative.
The present study utilises scientific technique to increase the efficiency and productivity of an operating unit by reorganisation of work normally involving little capital expenditure, improving working conditions and developing safer and hygienic methods of performing operations.
Keywords: Dietary service, method study, process flow, staff fatigue

Keywords. Computerization, SWOT 

The use of Information technologies (ITs) has become increasingly widespread in medicine and off late, healthcare has become dependent on technology. Many health facilities use computers to raise the quality of health services, to increase the scientific information base in medicine and nursing and to decrease healthcare costs(1). It is of essence that positive attitudes toward computers be promoted among users  if they are to use computers at optimal levels in both educational and practical settings(2). Computers have a broad area of application in hospitals. They are used actively in almost all areas such as health problem diagnosis and treatment, healthcare planning, evaluation of results, monitoring patients, and accounting(3). It is essential to use technology both to improve patient outcomes and for lifelong learning.
Contemporary healthcare faces many changes on account of emerging and re-emerging diseases but nothing will change the way health care is provided more than the current advances in information, communication and technology. 
Computer use in nursing began in the 1970s as the need for more information and documenting the services increased for nurses(3). In this period, computers were used effectively in thediagnosis and treatment of the problems of the healthy individual/patient, in planning, applyingand evaluating healthcare and for keeping records(4).
Nursing, being an integral part of the healthcare delivery system, is exposed continually to a variety of changes. The responses of the nurses tochange could vary from unreserved support to total rejection(5). For instance, the introduction of computers could elicit diverse feelings among nurses. A positive attitude could see a rapid adoption with accompanying realisation of the benefits of computerization. A less positive attitude or rejection is likely to retard attempts to modernise service delivery.(6)Computers are used not only for diagnosis and imaging techniques but also in home care and long term facilities. Computers can perform a wide range of activities that save time and help to provide quality nursing care. We need to be aware of the forces having an impact on nursing. Nurses acquire new roles because of computerization, it isa matter of changing the job profile computerization could resolve certain problems and derive benefits including reduction in clerical work required of professionals, reduction in printed forms, centralized patient care data etc. Computerization will improve the efficiency of health care. 


Information, Education, and Communication (IEC) of the healthcare providers has a significant contribution to reduce the health related issues by generating awareness among the people, specially in the rural area. IEC raises awareness about the different diseases and the importance of seeking earlier treatment. It gives proper knowledge to utilize the facilities available in the remote area and also decreases morbidity of the rural people. Effective implementation of IEC gives result to bridge the gap between the relatively high levels of knowledge on healthcare facilities and comparatively low level of practice or avail the benefits of existing service. It may be achieved through the combination of education, information (knowledge based activities) and communication. The purpose of the study is to assess the impact of IEC on individual, families and community where people are taking responsibility for their own action through their own effort on health related issues.

Keywords: communication channels, rural community, IEC, India
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