Table 3.
Clinical indicators and composite measures selected for the DUQuE project
| Condition | Main clinical indicators used | Sourcea | Level of evidence |
|---|---|---|---|
| Acute myocardial infarction (AMI) | Fibrinolytic agent administered within 75 min of hospital arrival | AHRQ | A |
| Primary percutaneous coronary intervention within 90 min | AHRQ | A/B | |
| Thrombolytic therapy or primary percutaneous coronary intervention given | See 1a and 2a | See 1a and 2ª | |
| Therapy given on timeb | |||
| Anti-platelet drug prescribed at discharge (ASPRIN) | AHRQ | A | |
| Beta blocker prescribed at discharge | AHRQ | A | |
| Medication with statin prescribed at discharge | AHRQ | A | |
| ACE inhibitors prescribed at discharge | AHRQ | A | |
| Appropriate medications: all four of anti-platelet, beta blocker, statin, ACE inhibitor) prescribed at dischargeb | |||
| Deliveries | Epidural anaesthesia applied within 1 h after being ordered for vaginal births | The Danish Clinical Registries | D |
| Exclusive breastfeeding at discharge | WHO | D | |
| Blood transfusion during intended or realized vaginal birth | The Danish Clinical Registries | B | |
| Acute Caesarean section | |||
| Obstetric trauma (with instrumentation) | OECD | B | |
| Obstetric trauma (without instrumentation) | OECD | B | |
| Mother complication: unplanned C-section, blood transfusion, laceration and instrumentationb | The Danish Clinical Registries | B | |
| Adverse birth outcome (child)b | The Danish Clinical Registries | B | |
| Birth with complicationsb | The Danish Clinical Registries | B | |
| Hip fracture | Prophylactic antibiotic treatment given within 1 h prior to surgical incision | RAND | A |
| Prophylactic thromboembolic treatment received on the same day as admission (within 24 h or on same date when (one or more) times not provided) | RAND | A | |
| Early mobilization (within 24 h or before next day when (one or more) times not provided) | The Danish Clinical Registries | B | |
| In-hospital surgical waiting time <48 h [or 1 day when (one or more] times not provided) | OECD | C | |
| Percentage of recommended care per case: indicators prophylactic antibiotic treatment within 1 h, prophylactic thromboembolic treatment within 24 h, early mobilization within 24 h, in-hospital surgical waiting time <48 h = YES)b | |||
| Stroke | Admitted to a specialized stroke unit within 1 day after admission | The Danish Clinical Registries | A |
| Platelet inhibitor treatment within 2 days after admission | The Danish Clinical Registries | A | |
| Diagnostic examination within first 24 h/same day after admission using CT or MRI scan | The Danish Clinical Registries | D | |
| Mobilized within 48 h (or 2 days when times are missing) after admission? | The Danish Clinical Registries | C/D | |
| Appropriate stroke management. All three applied: Platelet inhibitor treatment within 2 days after admission, Diagnostic examination (CT or MRI) within first 24 h and Mobilized within 48 hb |
aAccording the Oxford Centre of Evidence-Based Medicine.
bComposite measures (aggregation of indicators).