Union Hospital’s performance against the Australian Council on Healthcare Standards (ACHS) Clinical Indicators is described below:
54 Clinical Indicators have been collected in the 2nd half of 2024. There are 26 Indicators performed statistically significantly better than the International Peer Aggregate Rate:
Set | Clinical Indicator No. | Indicator Name | Union Hospital's Rate | International Peer Aggregate Rate |
---|---|---|---|---|
Anaesthesia | 3.5 | Unplanned stay in recovery room >2 hours | 0.01% ![]() | 0.65% |
Anaesthesia | 4.1 | Unplanned ICU admission ≤24 hours after procedure | 0.02% ![]() | 0.14% |
Day Patient | 5.1 | Unplanned return to operating room on same day as initial procedure | 0.00% ![]() | 0.03% |
Emergency Medicine | 1.1 | Australasian Triage Scale Category 1 - medically assessed and treated immediately | 100.00% ![]() | 99.20% |
Emergency Medicine | 1.2 | Australasian Triage Scale Category 2 - medically assessed and treated within 10 minutes | 100.00% ![]() | 60.55% |
Emergency Medicine | 1.3 | Australasian Triage Scale Category 3 - medically assessed and treated within 30 minutes | 98.45% ![]() | 62.09% |
Emergency Medicine | 1.4 | Australasian Triage Scale Category 4 - medically assessed and treated within 60 minutes | 85.10% ![]() | 74.61% |
Emergency Medicine | 1.5 | Australasian Triage Scale Category 5 - medically assessed and treated within 120 minutes | 99.86% ![]() | 89.54% |
Gastrointestinal Endoscopy | 1.1 | Failure to reach caecum due to inadequate bowel preparation | 0.00% ![]() | 0.31% |
Gastrointestinal Endoscopy | 1.2 | Failure to reach caecum due to pathology encountered | 0.21% ![]() | 0.18% |
Gastrointestinal Endoscopy | 2.1 | Treatment for possible perforation post-polypectomy | 0.00% ![]() | 0.01% |
Gastrointestinal Endoscopy | 2.2 | Treatment for possible perforation post-colonoscopy | 0.00% ![]() | 0.01% |
Gastrointestinal Endoscopy | 2.3 | Post-polypectomy haemorrhage | 0.00% ![]() | 0.02% |
Gastrointestinal Endoscopy | 3.1 | Adenoma detection rate | 43.28% ![]() | 34.52% |
Gynaecology | 2.1 | Injury to a major viscus during endoscopic surgery | 0.18% ![]() | 0.37% |
Gynaecology | 2.2 | Injury to a major viscus during non-endoscopic surgery | 0.10% ![]() | 0.22% |
Hospital Wide | 2.1 | Unplanned return to the operating room during the same admission | 0.03% ![]() | 0.15% |
Hospital Wide | 3.1 | Inpatients who develop ≥1 pressure injuries | 0.00% ![]() | 0.02% |
Hospital Wide | 4.1 | Inpatient falls | 0.01% ![]() | 0.18% |
Hospital Wide | 4.2 | Inpatient falls resulting in fracture or closed head injury | 0.00% ![]() | 0.01% |
Hospital Wide | 5.2 | Deaths in adult patients who do not have a resuscitation plan | 0.03% ![]() | 0.14% |
Hospital Wide | 6.1 | Significant adverse blood transfusion events | 0.00% ![]() | 0.09% |
Hospital Wide | 8.1 | Rapid response system calls to adult patients | 0.00% ![]() | 6.74% |
Hospital Wide | 8.2 | Rapid response system calls to adult patients within 24 hours of admission | 0.00% ![]() | 1.59% |
Hospital Wide | 9.2 | Laparoscopic cholecystectomy - bile duct injury requiring operative intervention | 0.00% ![]() | 0.20% |
Hospital Wide | 9.3 | Tonsillectomy - significant reactionary haemorrhage | 0.00% ![]() | 0.26% |
Infection Control | 1.1 | Deep or organ/space surgical site infection – hip prosthesis procedure | 0.00% ![]() | 0.44% |
Infection Control | 1.2 | Deep or organ/space surgical site infection – knee prosthesis procedure | 0.00% ![]() | 0.25% |
Infection Control | 6.1 | Reported parenteral exposures sustained by staff | 0.00% ![]() | 0.02% |
Infection Control | 6.2 | Reported non-parenteral exposures sustained by staff | 0.00% ![]() | 0.01% |
Intensive Care | 1.1 | ICU adult non-admission due to inadequate resources | 6.25% ![]() | 3.36% |
Intensive Care | 1.2 | ICU - elective adult surgical cases deferred or cancelled due to unavailability of bed | 0.00% ![]() | 0.19% |
Intensive Care | 1.3 | ICU - adult transfer to another facility / ICU due to unavailability of bed | 3.23% ![]() | 0.86% |
Intensive Care | 1.4 | ICU - adult discharge delay more than 12 hours | 0.00% ![]() | 20.88% |
Intensive Care | 2.1 | Rapid response system calls to adult ICU patients within 48 hours of ICU discharge | 0.00% ![]() | 2.66% |
Intensive Care | 3.1 | Venous thromboembolism prophylaxis in adult patients within 24 hours of ICU admission | 100.00% ![]() | 81.46% |
Intensive Care | 4.1 | Adult ICU-associated centrally inserted central line-associated bloodstream infection | 0.00% ![]() | 0.10% |
Maternity | 7.1 | Term neonates - Apgar score less than 7 at 5 minutes post-delivery | 0.00% ![]() | 0.96% |
Maternity | 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 | 0.56% ![]() | 6.23% |
Medication Safety | 6.3 | Medication errors - adverse event requiring intervention | 0.00% ![]() | 0.00% |
Ophthalmology | 1.1 | Cataract surgery – unplanned readmissions within 28 days | 0.00% ![]() | 0.19% |
Oral Health | 1.1 | Restorative treatment - teeth retreated within 6 months | 1.15% ![]() | 2.52% |
Paediatrics | 1.1 | Registered nurses with paediatric basic life support qualifications | 100.00% ![]() | 100.00% |
Paediatrics | 2.1 | Medication errors | 0.00% ![]() | 0.00% |
Paediatrics | 2.3 | Adverse events in a paediatric ward/area | 0.00% ![]() | 0.00% |
Pathology | 1.1 | Serum / plasma potassium for emergency department – in lab to validated time <40 minutes | 97.67% ![]() | 44.21% |
Pathology | 1.3 | Serum / plasma troponin for emergency department – in lab to validated time <50 minutes | 100.00% ![]() | 80.91% |
Pathology | 2.1 | Haemoglobin for emergency department – in lab to validated time <35 minutes | 97.06% ![]() | 88.54% |
Pathology | 3.1 | Anatomic Pathology complexity level 4 Medicare Benefits Schedule item – received to validated time <4 working days | 97.75% ![]() | 74.71% |
Pathology | 3.2 | Anatomic Pathology complexity level 6 & 7 Medicare Benefits Schedule item – received to validated time <7 working days within a calendar month | 97.78% ![]() | 94.14% |
Pathology | 6.1 | Misidentified episodes | 0.00% ![]() | 0.30% |
Radiology | 1.1 | Number of Severity Assessment Code (SAC) 1 or Incident Severity Rating (ISR) 1 incidents - interventional radiology examinations | 0.00% ![]() | 0.00% |
Radiology | 1.5 | Contrast extravasation during an IV contrast enhanced CT procedure requiring specialist review | 0.00% ![]() | 0.07% |
Radiology | 1.6 | Contrast extravasation during an IV contrast enhanced CT procedure requiring medical review | 0.02% ![]() | 0.06% |