Table 4 The proposed 12 measures with the highest mean ratings per IHI framework category
IHI Category | Highest Mean Rated Variable | Mean Rating (95% CI) |
|---|---|---|
(A) Treatment Process Measures | Early detection and treatment of patients at risk of sepsis | 4.95 [4.82, 4.97] |
Early identification and treatment of life-threatening complications | 4.90 [4.82, 5.00] | |
Early detection and treatment of patients with chest pain at risk of myocardial infarction | 4.85 [4.74, 4.95] | |
(B) Implementation Process Measures | Number of patients who deteriorated as identified by ED-ACE | 4.63 [4.43, 4.77] |
Number of patients whose care was escalated as a result of using ED-ACE | 4.54 [4.20, 4.74] | |
Number of re-triages that took place as a result of using D-ACE | 4.31 [4.08, 4.49] | |
(C) Outcome Measures | Reduction in the number of serious incidents in the ED | 4.59 [4.33, 4.77] |
Reduction in the number of unexpected deaths in the ED | 4.41 [4.24. 4.62] | |
Prevalence of deterioration in ED patients | 4.38 [4.06, 4.68] | |
(D) Balancing Measures | Number of patients who are in the ED waiting for in-patient beds | 4.33 [3.98, 4.63] |
Service delivery measured through actual staffing levels against recommended staffing levels | 4.25 [3.97, 4.53] | |
Staff adherence to treatment guidelines (e.g. treatment guidelines for acute stroke and acute myocardial infarction) | 4.19 [3.88, 4.53] |