Table 8.
Rates of compliance with perioperative care standards before (epoch 2) and after (epoch 3) phase two of Safer Patients Initiative (SPI2). Figures are percentages (standard error (SE)) and odds ratios and P values for effect of SPI2
| Control hospitals | SPI2 hospitals | OR (99% CI)*, P value | ||||
|---|---|---|---|---|---|---|
| Before intervention (n=51) | After intervention (n=43) | Before intervention (n=79) | After intervention (n=69) | |||
| “Advanced method” of pain relief† | 94 (4) | 95 (4) | 85 (4) | 83 (5) | 0.8 (0.03 to 18.4), 0.820 | |
| Perioperative antibiotic given | 94 (3) | 100 | 98 (2) | 97 (2) | NA | |
| Temperature monitored‡ | 16 (5) | 30 (7) | 29 (5) | 41 (6) | 0.9 (0.1 to 5.2), 0.854 | |
| Appropriate DVT prophylaxis§ | 100 | 100 | 99 (1) | 100 | NA | |
DVT=deep vein thrombosis; NA=not applicable because of 100% in cells.
*OR >1 favours SPI2.
†Hospital staff identified 15 cases with contraindications to this standard, all of which were corroborated by reviewers. Data relate to 227 patients who were eligible.
‡ Evidence of heterogeneity between hospitals at baseline.
§ Three patients had contraindications yielding denominator of 238. Withheld in only two patients with no contraindications but wrongly administered in two patients with contraindication.