Table 5.
Vital signs in phase two of Safer Patients Initiative (SPI2). Figures are percentage compliance with standards with standard errors (SE) and odds ratios for changes over time and effect of SPI2
| Control hospitals | SPI2 hospitals | OR (99% CI)†, P value | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Epoch 1 (n=120) | Epoch 2 (n=123) | Epoch 3* (n=112) | Epoch 1 (n=116) | Epoch 2 (n=117) | Epoch 3* (n=114) | Changes in controls | Effect of SPI2 | |||
| On admission | ||||||||||
| Temperature | 97 (2) | 99 (1) | 99 (1) | 99 (1) | 99 (1) | 97 (2) | 0.7 (0.02 to 24.0), 0.823 | 0.1 (0.002 to 4.1), 0.108 | ||
| Respiratory rate | 96 (2) | 99 (1) | 100 | 97 (2) | 98 (1) | 100 | NA | NA | ||
| Cyanosis/oxygen saturation | 98 (1) | 98 (1) | 100 | 99 (1) | 99 (1) | 100 | NA | NA | ||
| Confusion/mental state | 53 (5) | 72 (4) | 74 (4.2) | 63 (5) | 57 (5) | 81 (4) | 1.8 (0.8 to 3.7), 0.045 | 1.7 (0.6 to 4.5), 0.187 | ||
| Pulse | 98 (1) | 99 (1) | 100 | 99 (1) | 99 (1) | 100 | NA | NA | ||
| Blood pressure | 98 (1) | 99 (1) | 100 | 99 (1) | 99 (1) | 100 | NA | NA | ||
| At 6 hours | ||||||||||
| Temperature | 62 (5) | 70 (4) | 70 (4) | 63 (5) | 78 (4) | 68 (4) | 1.4 (0.7 to 2.8), 0.239 | 0.8 (0.3 to 1.9), 0.457 | ||
| Respiratory rate | 41 (5) | 69 (4) | 72 (4) | 47 (5) | 76 (4) | 78 (4) | 2.1 (1.0 to 4.3), 0.010 | 1.0 (0.4 to 2.8), 0.907 | ||
| Pulses | 69 (4) | 73 (4) | 75 (4) | 65 (5) | 81 (4) | 80 (4) | 1.3 (0.6 to 2.8), 0.327 | 1.2 (0.4 to 3.3), 0.662 | ||
| Oxygen saturation | 62 (5) | 72 (4) | 74 (4) | 61 (5) | 79 (4) | 80 (4) | 1.4 (0.7 to 3.0), 0.223 | 1.2 (0.4 to 3.1), 0.703 | ||
| At 12 hours | ||||||||||
| Temperature | 58 (5) | 71 (4) | 69 (4) | 59 (5) | 70 (4) | 73 (4) | 1.2 (0.6 to 2.4), 0.583 | 1.2 (0.5 to 2.9), 0.685 | ||
| Respiratory rate | 35 (4) | 70 (4) | 73 (4) | 45 (5) | 68 (4) | 79 (4) | 2.4 (1.1 to 5.0), 0.002 | 1.2 (0.4 to 3.1), 0.713 | ||
| Pulse | 63 (4) | 76 (4) | 75 (4) | 60 (5) | 71 (4) | 80 (4) | 1.2 (0.6 to 2.5), 0.510 | 1.5 (0.6 to 4.1), 0.268 | ||
| Oxygen saturation | 54 (5) | 76 (4) | 74 (4) | 57 (5) | 71 (4) | 80 (4) | 1.4 (0.7 to 2.9), 0.231 | 1.4 (0.5 to 3.6), 0.430 | ||
| Routine investigations | ||||||||||
| Urea and electrolytes | 99 (1) | 98 (1) | 99 (1) | 100 | 99 (1) | 100 | 0.6 (0.01 to 27.7), 0.762 | NA | ||
| Chest x ray | 97 (2) | 98 (1) | 97 (2) | 97 (2) | 98 (1) | 100 | 0.7 (0.1 to 5.6), 0.641 | NA | ||
| Full blood count | 98 (1) | 98 (1) | 99 (1) | 99 (1) | 99 (1) | 100 | 1.7 (0.1 to 40.4), 0.663 | NA | ||
NA=not applicable because of 100% in cells.
*After intervention.
†OR >1 favours SPI2. No items showed significant variation between hospitals within arms.