Table 4.

Surgical care quality tool targets and results

		IOM measures
		Safe	Effective	Patient-centred	Timely	Efficient	Equitable
Donabedian framework	Structure	Morbidity and mortality conference 0 (minimum 9 per year)	Attending surgeon present 98% (100%)	–	Travel time to hospital 31% <2 hours (80% <2 hours)	–	Patient median income to catchment population 1.1 (≤1)
	Process	Safe surgery checklist use 0% (100%)	Procedure density 710/100 100 (5000/100 000)	Use of consent 74% (100%)	Time from ED arrival to non-elective abdominal surgery 7 hours (<24 hours)	Daily OR utilisation 45% (85%)	–
	Outcome	POMR 2.6% (1–2%)	Readmission rates within 30 days 3% (<10%)	Patient hospital satisfaction questionnaire 70% in 3/10 fields (70% across all fields)	Follow-up plan 47% (100%)	–	Catastrophic patient-reported expenditure 2.5% (0%)

Green highlights the indicators for which set targets were met. Red indicates the targets that were not met.

ED, Emergency Department; ED, emergency department; IOM, Institute of Medicine; OR, operating room; POMR, perioperative mortality rate.