Clinical Performance Indicators
Union Hospital’s performance against the Australian Council on Healthcare Standards (ACHS) Clinical Indicators is described below:
51 Quantitative and Comparable Clinical Indicators have been collected in 2nd half 2022. There are no Clinical Indicators performed statistically significantly worse than the International Peer Aggregate Rates (No Outliers in this Aspect).
There are 25 Indicators performed statistically significantly better than the International Peer Aggregate Rates:
| 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 | 0.025% | (0.000-0.063) | 0.726% |
| Anaesthesia and Perioperative Care | Unplanned intersive care unit admission within 24 hours after procedure | 0.025% | (0.000-0.063) | 0.101% |
| Emergency Medicine | Australasian Triage Scale Category 2 - medically assessed and treated within 10 minutes | 100.00% | (96.430-100.000) | 71.216% |
| Emergency Medicine | Australasian Triage Scale Category 3 - medically assessed and treated within 30 minutes | 96.997% | (96.309-97.685) | 68.229% |
| Emergency Medicine | Australasian Triage Scale Category 4 - medically assessed and treated within 60 minutes | 82.765% | (82.131-83.399) | 71.978% |
| Emergency Medicine | Australasian Triage Scale Category 5 - medically assessed and treated within 120 minutes | 99.955% | (99.840-100.000) | 89.017% |
| Gastrointestinal Endoscopy | Failure to reach caecum / neo-terminal ileum due to inadequate bowel preparation | 0.056% | (0.000-0.157) | 0.472% |
| Gastrointestinal Endoscopy | Failure to reach caecum due to pathology encountered | 0.112% | (0.000-0.255) | 0.345% |
| Gynaecology | Injury to a major viscus during non-endoscopic surgery | 0.032% | (0.000-0.114) | 0.314% |
| Hospital-Wide | Unplanned return to the operating room during the same admission | 0.102% | (0.019-0.186) | 0.212% |
| Hospital-Wide | Inpatients who develop 1 or more pressure injuries | 0.000% | (0.000-0.006) | 0.013% |
| Hospital-Wide | Inpatient falls | 0.015% | (0.002-0.028) | 0.241% |
| Hospital-Wide | Inpatient falls resulting in fracture or closed head injury | 0.002% | (0.000-0.006) | 0.011% |
| Hospital-Wide | Deaths in adult patients who do not have a resuscitation plan | 0.014% | (0.000-0.040) | 0.093% |
| Infection Control | Reported parenteral exposures sustained by staff | 0.007% | (0.000-0.015) | 0.030% |
| Infection Control | Reported non-parenteral exposures sustained by staff | 0.000% | (0.000-0.006) | 0.006% |
| Intensive Care | Adult discharge delay more than 12 hours | 0.000% | (0.000-8.302) | 19.423% |
| Maternity | Term neonates - Apgar score less than 7 at 5 minutes post-delivery | 0.122% | (0.000-0.344) | 1.486% |
| Maternity | Term neonates - transferred or admitted to a neonatal intensive care nursery or special care nursery | 0.795% | (0.231-1.360) | 8.684% |
| Oral Health | Restorative treatment - teeth retreated within 6 months | 0.228% | (0.000-0.813) | 6.200% |
| Paediatrics | Adverse events in a paediatric ward/area | 0.000% | (0.000-0.083) | 0.210% |
| Pathology | Serum / plasma potassium for emergency department - receipt in lab to validated time <40 minutes | 100.000% | (85.125-100.000) | 53.290% |
| Pathology | Haemoglobin for emergency department - receipt in lab to validated time <35 minutes | 100.000% | (90.083-100.000) | 85.038% |
| Pathology | Anatomic Pathology complexity level 4 Medicare Benefits Schedule item - received to validated time <4 working days | 96.903% | (93.941-99.864) | 78.407% |
| Pathology | Misidentified episodes | 0.000% | (0.000-0.009) | 0.218% |