Table 1: Measurability of individual quality-of-care indicators12.
Quality-of-care indicator | No. (%) of emergency departments (n = 15) |
---|---|
Duration of stay | |
QCI 1 Mean duration of stay in the ED (patients on stretcher and ambulatory) (all categories combined) | 10 (67) |
QCI 2-1 Triage level P1 | 9 (60) |
QCI 2-2 Triage level P2 | 9 (60) |
QCI 2-3 Triage level P3 | 10 (67) |
QCI 2-4 Triage level P4 | 10 (67) |
QCI 2-5 Triage level P5 | 10 (67) |
Patient safety | |
QCI 3-1 Number of pediatric patients released from the ED who returned unexpectedly and were admitted within 48-72 h of initial release | 10 (67) |
QCI 3-2 Number of pediatric patients released from the ED who returned unexpectedly within 48-72 h of initial release | 9 (60) |
QCI 4-1 Number of adult patients released from the ED who returned unexpectedly and were admitted within 48-72 h of initial release | 8 (53) |
QCI 4-2 Number of adult patients released from the ED who returned unexpectedly within 48-72 h of initial release | 7 (47) |
QCI 5 Percentage of headache patients released from the ED and admitted to the hospital for subarachnoid hemorrhage in the subsequent 14 d | 11 (73) |
Pain management | |
QCI 6 Delay before receiving first dose of analgesic for all pain conditions requiring analgesic | 4 (27) |
Pediatrics | |
QCI 7 Percentage of pediatric patients (0-28 d) with fever who received a complete sepsis investigation | 6 (40) |
QCI 8 Percentage of pediatric patients (0-28 d) who received broad-spectrum antibiotics intravenously | 5 (33) |
QCI 9 Percentage of pediatric patients (3 mo to 3 yr) with croup who were treated with steroids | 5 (33) |
Cardiology | |
QCI 10 Percentage of eligible patients with acute myocardial infarction who received thrombolytic therapy or interventional angioplasty | 9 (60) |
Respiratory care | |
QCI 11-1 Number of patients with asthma (by age group) who received corticosteroids at the ED and at release (if released) | 0 (0) |
QCI 11-2 Number of patients with asthma (0-3 yr) who received corticosteroids at the ED and at release (if released) | 6 (40) |
QCI 11-3 Number of patients with asthma (4-10 yr) who received corticosteroids at the ED and at release (if released) | 6 (40) |
QCI 11-4 Number of patients with asthma (11-17 yr) who received corticosteroids at the ED and at release (if released) | 6 (40) |
QCI 11-5 Number of patients with asthma (18-39 yr) who received corticosteroids at the ED and at release (if released) | 6 (40) |
QCI 11-6 Number of patients with asthma (40-59 yr) who received corticosteroids at the ED and at release (if released) | 6 (40) |
QCI 11-7 Number of patients with asthma (60-79 yr) who received corticosteroids at the ED and at release (if released) | 6 (40) |
QCI 11-8 Number of patients with asthma (≥ 80 yr) who received corticosteroids at the ED and at release (if released) | 6 (40) |
Stroke | |
QCI 12 Percentage of eligible patients with acute stroke who received thrombolytic therapy | 6 (40) |
Sepsis/infection | |
QCI 13 Delay of antibiotic administration for patients with bacterial meningitis | 8 (53) |
QCI 14 Percentage of patients with severe sepsis or septic shock who received broad-spectrum antibiotics within 4 h of arrival at the ED | 7 (47) |
Note: ED = emergency department.