Table 2.
Data collected by the Saskatchewan health quality council
| Saskatchewan health quality council—pre- and post-Lean data | |||||||||
|---|---|---|---|---|---|---|---|---|---|
| SHQC variables | Pre-Lean (December 2009–January 2012) |
Post-Lean (February 2012–March 2014) |
Total sample size (n) | Rate ratio | 95% CI | ||||
| Sample size (N) | % | LCL–UCL | Sample size (n) | % | LCL–UCL | ||||
| Reported health | |||||||||
| High self-reported health | 16 637 | 34.52 | 26.78–37.96 | 13 937 | 34.75 | 26.16–38.58 | 30 574 | 1.00 | 0.98–1.04 |
| Hospital experience | |||||||||
| Patient experience—quality of care transitions | 42 435 | 31.48 | 28.45–35.43 | 36 000 | 32.80 | 28.09–35.78 | 78 435 | 1.02 | 1.00–1.03 |
| Percentage of patients rating their hospital as 9 or 10/10 | 16 526 | 51.95 | 47.42–59.38 | 13 803 | 52.93 | 46.76–60.05 | 30 329 | 1.01 | 0.99–1.04 |
| Percentage of patients reporting they would definitely recommend the hospital to family and friends | 16 498 | 58.8 | 52.78–64.60 | 13 828 | 57.38 | 52.13–65.25 | 30 326 | 0.98 | 0.94–1.01 |
| Communication | |||||||||
| Patient experience—quality of communication with nurses | 50 162 | 68.30 | 64.26–70.71 | 41 965 | 69.31 | 63.91–71.07 | 92 127 | 1.01 | 1.00–1.02 |
| Patient experience—Quality of communication with doctors | 49 826 | 73.78 | 70.36–76.47 | 41 593 | 73.93 | 70.01–76.81 | 91 419 | 1.00 | 0.99–1.01 |
| Percentage of patients reporting they always received good communication about medicines | 18 852 | 50.19 | 43.55–54.78 | 16 504 | 49.94 | 43.08–55.26 | 35 356 | 0.99 | 0.97–1.02 |
| Percentage of patients responding nurses always listened to them carefully | 16 750 | 63.60 | 56.93–68.46 | 14 045 | 64.76 | 56.30–69.08 | 30 795 | 1.02 | 1.00–1.04 |
| Percentage of patients responding nurses always explained things clearly | 16 699 | 63.95 | 57.53–69.03 | 13 937 | 64.90 | 56.88–69.68 | 30 636 | 1.01 | 1.00–1.03 |
| Percentage of patients responding doctors always explained things clearly | 16 637 | 67.07 | 61.02–72.30 | 13 885 | 66.98 | 60.39–72.93 | 30 522 | 1.00 | 0.99–1.01 |
| Percentage of patients responding doctors always listened to them carefully | 16 562 | 70.92 | 65.07–75.99 | 13 830 | 71.52 | 64.46–76.61 | 30 392 | 1.00 | 0.99–1.02 |
| Treatment plan explained clearly | 15 753 | 77.79 | 73.25–83.37 | 13 201 | 78.58 | 72.69–83.93 | 28 954 | 1.01 | 1.00–1.01 |
| Family encouraged to participate in care plan | 13 955 | 80.60 | 75.47–85.78 | 11 809 | 81.31 | 74.92–86.33 | 25 764 | 1.00 | 0.99–1.02 |
| Percentage of patients reporting staff took their preferences into account discussing health needs | 12 886 | 24.88 | 19.16–30.93 | 10 980 | 26.28 | 18.56–31.52 | 23 866 | 1.05 | 1.00–1.10 |
| Percentage of patients reporting staff always told them what their new medicine was for | 9468 | 64.17 | 54.65–70.10 | 8292 | 63.29 | 54.00–70.67 | 17 760 | 0.99 | 0.97–1.01 |
| Percentage of patients reporting staff always talked to them about medication side effects | 9413 | 36.09 | 28.32–43.58 | 8245 | 36.54 | 27.67–44.22 | 17 658 | 1.01 | 0.97–1.05 |
| Respect | |||||||||
| Percentage of patients responding nurses always treated them with courtesy and respect | 16 800 | 77.28 | 71.41–81.50 | 14 056 | 78.26 | 70.85–81.87 | 30 856 | 1.00 | 0.99–1.01 |
| Percentage of patients responding doctor always treated them with courtesy and respect | 16 661 | 83.27 | 78.51–87.48 | 13 906 | 83.25 | 78.00–87.99 | 30 567 | 1.00 | 0.99–1.01 |
| Staff respect culture, beliefs, values | 15 753 | 92.23 | 89.18–95.68 | 13 221 | 92.43 | 88.83–96.03 | 28 974 | 1.00 | 0.99–1.01 |
| Doctors treated patients as a partner in care | 15 736 | 82.47 | 78.04–87.34 | 13 159 | 83.3 | 77.52–87.85 | 28 895 | 1.01 | 1.00–1.02 |
| Staff treated patients as a partner in care | 15 552 | 78.85 | 73.68–83.80 | 13 054 | 80.07 | 73.13–84.34 | 28 606 | 1.02 | 1.00–1.03 |
| Doctors respect culture, beliefs, values | 15 493 | 93.81 | 87.18–91.45 | 12 948 | 94.39 | 91.13–97.49 | 28 441 | 1.00 | 1.00–1.00 |
| Patient care management | |||||||||
| Percentage of patients responding their pain was always well managed | 22 183 | 63.90 | 57.35–67.38 | 19 174 | 61.55 | 56.90–67.82 | 41 357 | 0.96 | 0.95–0.98 |
| Percentage of patients reporting they always received help they needed when they wanted it | 17 599 | 60.50 | 53.98–65.39 | 15 737 | 59.12 | 53.57–65.60 | 33 336 | 0.98 | 0.96–1.01 |
| Unnecessarily long wait time for room | 16 607 | 79.45 | 74.62–84.29 | 13 889 | 79.18 | 74.08–84.83 | 30 496 | 1.00 | 0.99–1.02 |
| Staff washed or disinfected their hands | 16 529 | 43.49 | 36.41–48.27 | 13 839 | 46.71 | 35.76–48.91 | 30 368 | 1.07 | 1.05–1.10 |
| Discharge organization | 16 432 | 27.71 | 23.05–33.91 | 13 753 | 27.88 | 22.45–34.50 | 30 185 | 1.00 | 0.97–1.10 |
| Suffered medical error | 15 976 | 3.70 | 1.26–5.75 | 13 352 | 3.77 | 1.10–6.00 | 29 328 | 0.98 | 0.87–1.10 |
| Staff checked ID band before care | 14 085 | 60.52 | 50.31–63.18 | 12 224 | 65.42 | 49.73–63.76 | 26 309 | 1.08 | 1.06–1.10 |
| Given patient safety brochure | 10 854 | 30.64 | 18.58–41.42 | 8980 | 36.63 | 17.85–42.16 | 19 834 | 1.56 | 1.49–1.63 |
Pre- and post-Lean periods were identical (26 months each).