Clinical Performance Indicators
Union Hospital’s performance was described using the Clinical Indicators from the Australian Council on Healthcare Standards (ACHS).
A total of 53 quantitative and comparable clinical indicators were collected in the second half of 2023. Among them, 23 clinical indicators performed statistically significantly better than the International Peer Aggregate Rate:
| Set | Indicator Name | Union Hospital's Rate | 99% Confidence Interval for Union Hospital's Rate | International Peer Aggregate Rate |
|---|---|---|---|---|
| Anaesthesia and Perioperative Care | Unplanned stay in recovery room > 2 hours | 0.007% | (0.000 – 0.025) | 2.229% |
| Anaesthesia and Perioperative Care | Unplanned intersive care unit admission within 24 hours after procedure | 0.035% | (0.000 – 0.076) | 0.077% |
| Emergency Medicine | Australasian Triage Scale Category 2 - medically assessed and treated within 10 minutes | 100.00% | (96.500 – 100.000) | 67.059% |
| Emergency Medicine | Australasian Triage Scale Category 3 - medically assessed and treated within 30 minutes | 97.033% | (96.398 – 97.668) | 68.227% |
| Emergency Medicine | Australasian Triage Scale Category 5 - medically assessed and treated within 120 minutes | 98.544% | (97.916 – 99.172) | 90.224% |
| Gastrointestinal Endoscopy | Failure to reach caecum / neo-terminal ileum due to inadequate bowel preparation | 0.000% | (0.000 – 0.085) | 0.400% |
| Gynaecology | Injury to a major viscus during non-endoscopic surgery | 0.091% | (0.000 – 0.326) | 0.409% |
| Hospital-Wide | Unplanned return to the operating room during the same admission | 0.054% | (0.000 – 0.117) | 0.231% |
| Hospital-Wide | Inpatients who develop one or more pressure injuries | 0.000% | (0.000 – 0.005) | 0.026% |
| Hospital-Wide | Inpatient falls | 0.020% | (0.006 – 0.034) | 0.261% |
| Hospital-Wide | Inpatient falls resulting in fracture or closed head injury | 0.000% | (0.000 – 0.005) | 0.007% |
| Hospital-Wide | Significant adverse blood transfusion events | 0.000% | (0.000 – 0.024) | 0.088% |
| Infection Control | Reported parenteral exposures sustained by staff | 0.006% | (0.000 – 0.014) | 0.027% |
| Infection Control | Reported non-parenteral exposures sustained by staff | 0.000% | (0.000 – 0.005) | 0.007% |
| Intensive Care | Adult discharge delay for more than 12 hours | 0.000% | (0.000 – 6.155) | 21.383% |
| Intensive Care | Venous thromboembolism prophylaxis in adult patients within 24 hours of intensive care unit admission | 100.00% | (94.050 – 100.000) | 91.670% |
| Maternity | Term neonates - Apgar score less than 7 at 5 minutes post-delivery | 0.061% | (0.000 – 0.219) | 1.098% |
| Maternity | Term neonates - transferred or admitted to a neonatal intensive care nursery or special care nursery at birth whose length of stay exceeds 24 hours | 1.166% | (0.483 – 1.850) | 7.007% |
| Medication Safety | Medication errors – adverse event requiring intervention | 0.000% | (0.000 – 0.005) | 0.045% |
| Oral Health | Restorative treatment - teeth retreated within 6 months | 0.475% | (0.000 – 1.336) | 6.345% |
| Pathology | Serum / plasma potassium for emergency department - receipt in laboratory to validated time < 40 minutes | 78.125% | (59.344 – 96.906) | 51.021% |
| Pathology | Anatomic Pathology complexity level 4 Medicare Benefits Schedule item - received to validated time < 4 working days. | 95.556% | (90.997 – 100.000) | 81.952% |
| Pathology | Misidentified episodes | 0.000% | (0.000 – 0.014) | 0.291% |
There were 2 clinical indicators performed statistically significantly worse than the International Peer Aggregate Rate:
| Set | Indicator Name | Union Hospital's Rate | 99% Confidence Interval for Union Hospital's Rate | International Peer Aggregate Rate |
|---|---|---|---|---|
| Emergency Medicine | Australasian Triage Scale Category 4 - medically assessed and treated within 60 minutes | 66.334% | (65.672 – 66.995) | 71.421% |
| Pathology | Anatomic Pathology complexity level 6 & 7 Medicare Benefits Schedule item - received to validated time < 7 working days. | 82.813% | (70.693 – 94.932) | 95.502% |