Table 4.

The proposed 12 measures with the highest mean ratings per IHI framework category

IHI Category	Highest Mean Rated Variable	Mean Rating (95% CI)
(A) Treatment Process Measures	Early detection and treatment of patients at risk of sepsis	4.95 [4.82, 4.97]
	Early identification and treatment of life-threatening complications	4.90 [4.82, 5.00]
	Early detection and treatment of patients with chest pain at risk of myocardial infarction	4.85 [4.74, 4.95]
(B) Implementation Process Measures	Number of patients who deteriorated as identified by ED-ACE	4.63 [4.43, 4.77]
	Number of patients whose care was escalated as a result of using ED-ACE	4.54 [4.20, 4.74]
	Number of re-triages that took place as a result of using D-ACE	4.31 [4.08, 4.49]
(C) Outcome Measures	Reduction in the number of serious incidents in the ED	4.59 [4.33, 4.77]
	Reduction in the number of unexpected deaths in the ED	4.41 [4.24. 4.62]
	Prevalence of deterioration in ED patients	4.38 [4.06, 4.68]
(D) Balancing Measures	Number of patients who are in the ED waiting for in-patient beds	4.33 [3.98, 4.63]
	Service delivery measured through actual staffing levels against recommended staffing levels	4.25 [3.97, 4.53]
	Staff adherence to treatment guidelines (e.g. treatment guidelines for acute stroke and acute myocardial infarction)	4.19 [3.88, 4.53]