Table 6.
Use of systemic steroids, CURB score, and other standards applicable to specific cases—compliance with standards in phase two of Safer Patients Initiative (SPI2). Figures are numbers (percentage, SE) and odds ratios (99% confidence interval) and P values for effect of SPI2
| Standard | Control hospitals | SPI2 hospitals | Effect of SPI2† | |||||
|---|---|---|---|---|---|---|---|---|
| Epoch 1 | Epoch 2 | Epoch 3* | Epoch 1 | Epoch 2 | Epoch 3* | |||
| Asthma or COPD: steroids given within 24 hours | 70 (84, 4) | 63 (92, 4) | 56 (93, 4) | 59 (92, 4) | 74 (93, 3) | 53 (94, 3) | 0.6 (0.05 to 6.8), 0.568 | |
| Asthma: peak flow recorded | 10 (80, 13) | 11 (64, 15) | 5 (40, 22) | 24 (79, 8) | 18 (94, 5) | 8 7 (5, 15) | 29.7 (0.1 to 16000), 0.165 | |
| Community acquired pneumonia: CURB score recorded | 52 (2, 2) | 67 (22, 5) | 56 (21, 6) | 50 (2, 2) | 44 (25, 6) | 60 (42, 6) | 2.1 (0.4 to 11.1), 0.236 | |
COPD=chronic obstructive pulmonary disease; CURB=confusion/urea/respiratory rate/blood pressure score.
*After intervention.
†OR >1 favours SPI2. No items showed significant variation between hospitals within arms.