Clinical Performance Indicators

Union Hospital’s performance against the Australian Council on Healthcare Standards (ACHS) Clinical Indicators is described below:

56 Clinical Indicators have been collected in the 1st half of 2024. There are 26 Indicators performed statistically significantly better than the International Peer Aggregate Rate:

Above International Aggregate Rate
On Par with International Aggregate Rate
Below International Aggregate Rate
Set Clinical Indicator No. Indicator Name Union Hospital's Rate International Peer Aggregate Rate
Anaesthesia and Perioperative Care CI 3.5 Unplanned stay in recovery room >2 hours 0.000% 1.525%
Anaesthesia and Perioperative Care CI 4.1 Unplanned intensive care unit admission within 24 hours after procedure 0.034% 0.159%
Emergency Medicine CI 1.2 Australasian Triage Scale Category 2 - medically assessed and treated within 10 minutes 100.000% 70.710%
Emergency Medicine CI 1.3 Australasian Triage Scale Category 3 - medically assessed and treated within 30 minutes 96.013% 65.928%
Emergency Medicine CI 1.4 Australasian Triage Scale Category 4 - medically assessed and treated within 60 minutes 68.654% 72.008%
Emergency Medicine CI 1.5 Australasian Triage Scale Category 5 - medically assessed and treated within 120 minutes 99.557% 87.425%
Gastrointestinal Endoscopy CI 1.1 Failure to reach caecum / neo-terminal ileum due to inadequate bowel preparation 0.025% 0.300%
Gastrointestinal Endoscopy CI 3.1 Adenoma detection rate 43.053% 31.500%
Gynaecology CI 2.1 Injury to a major viscus during endoscopic surgery 0.000% 0.519%
Hospital-Wide CI 2.1 Unplanned return to the operating room during the same admission 0.045% 0.228%
Hospital-Wide CI 3.1 Inpatients who develop 1 or more pressure injuries 0.000% 0.023%
Hospital-Wide CI 4.1 Inpatient falls 0.024% 0.260%
Hospital-Wide CI 4.2 Inpatient falls resulting in fracture or closed head injury 0.001% 0.008%
Hospital-Wide CI 5.2 Deaths in adult patients who do not have a resuscitation plan 0.021% 0.162%
Infection Control CI 6.1 Reported parenteral exposures sustained by staff 0.007% 0.025%
Infection Control CI 6.2 Reported non-parenteral exposures sustained by staff 0.000% 0.008%
Intensive Care CI 1.4 Adult discharge delay more than 12 hours 0.000% 22.707%
Intensive Care CI 3.1 Venous thromboembolism prophylaxis in adult patients within 24 hours of intensive care unit admission 100.000% 92.850%
Intensive Care CI 1.3 Adult transfer to another facility or intensive care unit due to unavailability of bed 1.852% 0.571%
Maternity CI 7.1 Term neonates - Apgar score less than 7 at 5 minutes post-delivery 0.000% 1.147%
Maternity CI 8.1 Admissions of term neonate to a neonatal intensive care nursery or special care nursery at birth whose length of stay exceeds 24 hours 0.778% 6.762%
Medication Safety CI 6.3 Medication errors - adverse event requiring intervention 0.000% 0.010%
Oral Health CI 1.1 Restorative treatment - teeth retreated within 6 months 0.559% 4.157%
Pathology CI 1.1 Serum / plasma potassium for emergency department - receipt in lab to validated time <40 minutes 97.561% 56.863%
Pathology CI 2.1 Haemoglobin for emergency department - receipt in lab to validated time <35 minutes 100.000% 87.742%
Pathology CI 3.1 Anatomic Pathology complexity level 4 Medicare Benefits Schedule item - received to validated time <4 working days 94.643% 85.280%
Pathology CI 6.1 Misidentified episodes 0.017% 0.370%
Radiology CI 1.5 Contrast extravasation during an intravenous contrast enhanced CT procedure requiring specialist review 0.000% 11.400%
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