An Observational Study on In-Patient Department (IPD) of Citizen Hospital, Durgapur

Registration ID: IJNRD_327544

Published ID: IJNRD2607457

: https://doi.org/10.56975/ijnrd.v11i7.327544

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Souvik Laha

In-Patient Department (IPD), Bed Management, Hospital Operations, Healthcare Administration, PEPUPI Triaging, Bio-Medical Waste Management, Citizen Hospital.

Title :- An Observational Study on In-Patient Department (IPD) of Citizen Hospital, Durgapur Author :- Souvik Laha Academic Program :- Master of Business Administration in Healthcare & Hospital Management Institution :- NSHM Business School, NSHM Knowledge Campus, Durgapur (Affiliated to MAKAUT) Background :- The In-Patient Department (IPD) serves as the operational and financial backbone of any multi-specialty healthcare institution, requiring seamless integration between clinical care, nursing workflows, and administrative logistics. High-density frontline units, such as general wards, play a critical role in managing acute admissions, secondary care, and patient throughput. Managing operations within these high-turnover environments requires strict coordination, disciplined resource allocation, and adherence to safety protocols to prevent operational bottlenecks and maintain quality patient care. Objective :- The primary objective of this observational study was to evaluate the daily operational workflows, administrative dynamics, bed management processes, and clinical-administrative coordination within the 22-bed Male General Ward at Citizen Hospital, Durgapur. Additionally, the study aimed to examine infection control protocols, bio-medical waste segregation, patient triaging, and emergency management systems operating within the inpatient environment. Methodology :- A descriptive, cross-sectional, non-experimental observational study design was utilized over a one-month internship duration (November 26, 2025 – December 26, 2025) at Citizen Hospital, Durgapur. Data collection involved both passive observation of clinical and nursing routines and active monitoring of IPD documentation, bed turnaround times (TAT), daily census logs (Patient Daily Sheets), inventory stock registers, and discharge routing forms. Results & Key Observations The study analyzed a representative daily census of 17 active patients across a diverse clinical case mix, including trauma/orthopedics, urology, gastroenterology, and general surgery. Key operational findings include :- 1. Patient Tracking & Triaging :- Real-time patient logging via manual Daily Census Sheets tracked key indicators such as expected discharge dates, clinical diagnoses, and consultant assignments. Patient prioritization was structured using the PEPUPI framework (Pediatric, Elderly, Pregnant, Unconscious, Psychiatric, Intubated) to ensure urgent care delivery during clinical rounds. 2. Safety & Emergency Readiness :- Standardized emergency response mechanisms—including color-coded codes (Code Blue, Code Red, Code Pink, Code Orange) and dedicated internal hotlines—were actively deployed for rapid crisis handling. 3. Infection Control & Waste Management :- Strict adherence to the WHO 5 Moments for Hand Hygiene and 11-step handwashing techniques was maintained. Bio-medical waste management strictly followed the 2016 segregation rules at the source using four distinct color-coded streams (Yellow, Red, White, and Blue). 4. Operational Challenges :- Heavy dependency on manual documentation led to administrative delays during peak discharge hours. Minor logistical delays in bed turnaround times and inventory replenishment were identified as primary friction points. Conclusion & Recommendations :- The study demonstrates that efficient inpatient operations depend on balancing empathetic patient interaction with rigorous administrative discipline and safety compliance. To minimize human error and eliminate administrative bottlenecks, the report recommends transitioning from handwritten tracking sheets to a centralized Electronic Medical Records (EMR) system and real-time digital dashboards. Furthermore, optimizing point-of-care waste bin placement, conducting regular emergency mock drills, and deploying multilingual visual aids for patient attendants are suggested to further streamline operations and enhance overall care delivery.

Published Paper   E-Certificate

Souvik Laha (July-2026). An Observational Study on In-Patient Department (IPD) of Citizen Hospital, Durgapur. INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT, 11(7), e579-e582. https://doi.org/10.56975/ijnrd.v11i7.327544

Volume 11 Issue 7, July-2026

Pages : e579-e582

Paper Reg. ID: IJNRD_327544

Published Paper Id: IJNRD2607457

Research Area: Management All

Author Type: Indian Author

Country: Bankura, West Bengal, India

Published Paper PDF: https://ijnrd.org/papers/IJNRD2607457.pdf

Published Paper URL: https://ijnrd.org/viewpaperforall?paper=IJNRD2607457

Crossref DOI: https://doi.org/10.56975/ijnrd.v11i7.327544

Journal Name: INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT(IJNRD)

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