Healthcare Admissions Trends Analysis
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Questions and Answers

Which procedure saw an increase in admissions by over 50% between the two periods shown?

  • Gastroenteritis Infections
  • Acute Bronchitis
  • Spinal Laminectomies
  • Acute Myocardial Infarctions (correct)

    • Which category showed the most significant decrease in the number of admissions between the two periods shown?

  • Hysterectomies
  • Strokes
  • Abortions/Miscarriages (correct)
  • Depression

    • Which procedure had the largest increase in volume over the 12-month rolling period?

  • Gastroscopies
  • Cholecystectomies
  • Cystoscopies (correct)
  • Colonoscopies

    • Which of the following procedures had the most significant decrease in volume over the 12-month rolling period?

    <p>Elective Hip Replacements (B)</p> Signup and view all the answers

    Which type of stroke had the largest decrease in volume over the 12-month rolling period?

    <p>Haemorrhagic (C)</p> Signup and view all the answers

    Which surgical procedure had the smallest volume over the 12-month rolling period?

    <p>Emergency Hip Replacements (C)</p> Signup and view all the answers

    Between the two periods shown, which procedure had the largest percentage increase?

    <p>Acute Myocardial Infarctions (C)</p> Signup and view all the answers

    Which medical admission category had the highest total volume over the 12-month rolling period?

    <p>Depression (B)</p> Signup and view all the answers

    In which area did the current year see a significant decline in the rate of infections per 1,000 days, compared to the previous year?

    <p>Catheter Associated Urinary Tract Infections (A)</p> Signup and view all the answers

    Which procedure experienced a decrease in volume between the two periods shown, despite an increase in volume over the 12-month rolling period?

    <p>Colonoscopies (B)</p> Signup and view all the answers

    Which infection type experienced a 100% decrease in occurrences from the previous year to the current year?

    <p>Central Line Associated Bloodstream Infections (D)</p> Signup and view all the answers

    Which surgical procedure saw a decrease in volume between the two periods shown and also a decrease in volume over the 12-month rolling period?

    <p>Hysterectomies (A)</p> Signup and view all the answers

    Which indicator experienced the greatest positive percentage change between the previous year and the current year in terms of total actions?

    <p>HAI Rate per 1,000 Patient Days (C)</p> Signup and view all the answers

    Which indicator experienced the most significant decrease in the number of days associated with it during the current year compared to the previous year?

    <p>Ventilator Days (C)</p> Signup and view all the answers

    Which procedure experienced a significant decrease in volume over the 12-month rolling period, but had a smaller decrease or even an increase in volume between the two periods shown?

    <p>Transurethral Resection of Prostate (TURP) (D)</p> Signup and view all the answers

    Which of these indicators saw a decrease in the number of cases recorded in the current year compared to the previous year?

    <p>Surgical Site Infections (B)</p> Signup and view all the answers

    Which medical admission category saw an increase in volume between the two periods shown, but a decrease in volume over the 12-month rolling period?

    <p>Strokes (A)</p> Signup and view all the answers

    Which procedure saw the largest percentage decrease in volume between the two periods shown?

    <p>Emergency Hip Replacements (A)</p> Signup and view all the answers

    What is the projected total percentage change for 'Total Actions' over the 24 month target period?

    <p>-16.42% (B)</p> Signup and view all the answers

    Which procedure had the highest total volume over the 12-month rolling period?

    <p>Caesarean Sections (C)</p> Signup and view all the answers

    What is the projected total percentage change for 'Total Opportunities' over the 24 month target period?

    <p>-12.55% (D)</p> Signup and view all the answers

    Which of the following indicators showed a significant decrease of more than 50% in the number of cases, comparing the previous year to the current year?

    <p>Ventilator Associated Pneumonia Infections (A), Catheter Associated Urinary Tract Infections (B)</p> Signup and view all the answers

    Which of the following indicates an increase in the rates associated with the corresponding days, despite a reduction in the number of actual occurrences?

    <p>Healthcare Associated Infections (B)</p> Signup and view all the answers

    Based on the 24 month target, which area has the highest projected total percentage change in the number of procedures or days?

    <p>Central Line Days (C)</p> Signup and view all the answers

    Which antimicrobial usage category experienced the largest percentage decrease in DDD's from the current year to the previous year?

    <p>Echinocandins (C)</p> Signup and view all the answers

    Which antimicrobial class had the highest rate per 100 Patient Days (PD's) in the current year?

    <p>Third Generation Cephalosporins (C)</p> Signup and view all the answers

    What was the approximate total antimicrobial usage (DDD's) in the current year?

    <p>40576 (A)</p> Signup and view all the answers

    In which antimicrobial category did the rate per 100 Patient Days (PD's) significantly increase from the previous year to the current year?

    <p>Third Generation Cephalosporins (C)</p> Signup and view all the answers

    Which chronic disease had the highest percentage increase in volume over the 24-month period?

    <p>Hypothyroidism (D)</p> Signup and view all the answers

    What is the percentage change in volume for Diabetes Mellitus - Type 1 over the previous year?

    <p>2.56% (B)</p> Signup and view all the answers

    Which antimicrobial category had the highest rate per 100 Patient Days (PD's) in the previous year?

    <p>Third Generation Cephalosporins (B)</p> Signup and view all the answers

    Which age group had the largest decrease in volume from October 2024 to November 2024?

    <p>Infants [29 days - 1 year] (A)</p> Signup and view all the answers

    Which antimicrobial category had the highest rate per 1,000 Exposures in the current year?

    <p>Third Generation Cephalosporins (A)</p> Signup and view all the answers

    What was the approximate total antimicrobial usage (DDD's) for the previous year?

    <p>40576 (D)</p> Signup and view all the answers

    Which BMI category showed the most significant negative change in volume from October 2024 to December 2024?

    <p>Overweight (25.0 &lt; BMI ≤ 30.0) (B)</p> Signup and view all the answers

    Which antimicrobial category experienced a percentage increase in DDD's from the previous year to the current year?

    <p>Third Generation Cephalosporins (C)</p> Signup and view all the answers

    Which disease had the highest percentage increase in volume from October 2024 to December 2024?

    <p>Epilepsy (A)</p> Signup and view all the answers

    Which age group showed a positive percentage change in volume for both the 24 month and 12 month rolling periods?

    <p>Geriatrics [&gt;65 years] (D)</p> Signup and view all the answers

    Which of the following diseases has a 12 month rolling change that is greater than 10% but less than 20%?

    <p>Hypothyroidism (C)</p> Signup and view all the answers

    Which BMI category experienced the lowest percentage decrease in volume from October 2024 to December 2024?

    <p>Normal Weight (18.5 &lt; BMI ≤ 25.0) (B)</p> Signup and view all the answers

    Based on the data provided, which disease is likely to present the greatest challenge in terms of resource allocation and healthcare planning?

    <p>Hypertension (B)</p> Signup and view all the answers

    Which of these factors can potentially contribute to the observed changes in the volume of patients for different chronic diseases?

    <p>All of the above (D)</p> Signup and view all the answers

    Which age group showed the greatest fluctuation in volume from October to December 2024?

    <p>Infants [29 days - 1 year] (D)</p> Signup and view all the answers

    Which BMI category had the largest percentage increase in volume for the 24-month period?

    <p>Unclassified (D)</p> Signup and view all the answers

    Which of the following diseases shows a consistent decreasing trend in volume over the 24-month period?

    <p>HIV (D)</p> Signup and view all the answers

    Which of the following can be a potential reason for the decrease in volume of patients with Coronary Artery Disease over the 24-month period?

    <p>All of the above (D)</p> Signup and view all the answers

    Based on the data, which of the following can be inferred?

    <p>The healthcare system is facing a challenge in managing the growing number of patients with chronic diseases. (C)</p> Signup and view all the answers

    What was the crude mortality rate for critical care in November 2024?

    <p>30.23% (B)</p> Signup and view all the answers

    How many total critical care mortalities were recorded for the current year compared to the previous year?

    <p>155 (D)</p> Signup and view all the answers

    What is the expected mortality rate for critical care in December 2024?

    <p>17.17% (A)</p> Signup and view all the answers

    What was the percentage change in the number of expected mortality cases from the previous month to November 2024?

    <p>-38.59% (C)</p> Signup and view all the answers

    What was the mortality index (SAPS3) for December 2024?

    <p>1.72 (B)</p> Signup and view all the answers

    What was the change in the number of cases captured on VON from the last reported year to the current year?

    <p>-63.25% decrease (A)</p> Signup and view all the answers

    Which month showed the lowest expected mortality percentage among the options listed?

    <p>November 2024 (A)</p> Signup and view all the answers

    Which of the following values represents the percentage decrease in the number of cases captured on SAPS3?

    <p>6.52% (A)</p> Signup and view all the answers

    What was the Mortality Rate percentage that showed the largest decrease?

    <p>4.65% (B)</p> Signup and view all the answers

    Which condition had a reported rate of 3.3%?

    <p>Pneumothorax (C)</p> Signup and view all the answers

    What percentage indicates the best improvement regarding Early Deaths?

    <p>-77.78% (B)</p> Signup and view all the answers

    Which condition did not have any reported cases?

    <p>Chronic Lung Disease (A)</p> Signup and view all the answers

    Which condition had a rate higher than 100% based on late infections?

    <p>Any Late Infections (C)</p> Signup and view all the answers

    What was the rate for Severe Retinopathy of Prematurity (ROP)?

    <p>5.2% (D)</p> Signup and view all the answers

    Which condition showed a rate of 1%?

    <p>Necrotizing Enterocolitis (A)</p> Signup and view all the answers

    What was the percentage of the Death or Morbidity Rate?

    <p>10.8% (C)</p> Signup and view all the answers

    How many cases of Severe Intraventricular Hemorrhage (IVH) were reported?

    <p>0 (C)</p> Signup and view all the answers

    What was the rate of the Retinal Examination for Very Low Birth Weight (VLBW)?

    <p>87% (C)</p> Signup and view all the answers

    Flashcards

    Acute Myocardial Infarctions

    A serious condition also known as a heart attack, where blood flow to the heart is blocked.

    Gastroenteritis Infections

    Inflammation of the stomach and intestines, causing symptoms like diarrhea and vomiting.

    Normal Deliveries

    The process of childbirth without complications, where a baby is born vaginally.

    Pneumonia

    An infection that inflames air sacs in one or both lungs, which may fill with fluid.

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    Depression

    A common mental disorder characterized by persistent sadness and loss of interest.

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    Septicaemia/Sepsis

    A life-threatening condition that arises when the body's response to infection causes injury to its tissues and organs.

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    Arthroscopy Knee

    A minimally invasive surgical procedure used to diagnose and treat problems in the knee joint.

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    Cataract Surgery

    A surgical procedure to remove the lens of your eye and, in most cases, replace it with an artificial lens.

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    Hysterectomies

    Surgical removal of the uterus, often performed to treat fibroids or endometriosis.

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    Transurethral Resection of Prostate (TURP)

    A surgical procedure used to treat urinary problems due to an enlarged prostate.

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    Caesarean Sections

    A surgical delivery of a baby through incisions in the mother's abdomen and uterus.

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    Knee Replacements

    Surgery to replace a damaged knee joint with an artificial joint.

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    Emergency Hip Replacements

    A surgical procedure to replace the hip joint unexpectedly due to severe damage or fracture.

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    Spinal Fusions

    A surgical procedure to join two or more vertebrae in the spine to reduce pain and improve mobility.

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    Elective Hip Replacements

    A planned surgical procedure to replace a hip joint usually due to arthritis or degeneration.

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    Antimicrobial Usage (DDD's)

    Total amount of antimicrobials used measured in defined daily doses (DDD's).

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    Rate per 100 Patient Days

    Measurement of antimicrobial usage relative to the number of patient days in a healthcare setting.

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    Polymyxin Usage Change

    Significant increase in Polymyxin usage observed over the reported period.

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    Carbapenems (DDD's)

    Category of antibiotics with decreasing defined daily doses (DDD's) over the reporting period.

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    Fluoroquinolone Usage Rate

    Measurement of fluoroquinolone usage per 100 patient days showing a decline.

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    Echinocandins Change

    Echinocandins usage recorded a decrease in DDD's compared to previous metrics.

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    Third Generation Cephalosporins Usage

    Increased defined daily doses (DDD's) indicating a positive trend in usage.

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    Overall Antimicrobial Usage Rate

    The comprehensive rate of antimicrobials used per 100 patient days indicating healthcare patterns.

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    Total Actions

    The total number of actions performed, which decreased by 16.42% to 784.

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    Total Opportunities

    Number of opportunities available, decreased by 12.55% to 941.

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    Hand Hygiene Compliance Rate

    Percentage of hand hygiene compliance, which fluctuated but ended at 83.31%.

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    Healthcare Associated Infections

    Infections occurring in healthcare settings; reduced from 8 to 5 shows a 40% decrease.

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    HAI Rate per 1,000 Patient Days

    The number of HAIs per 1,000 patient days, which increased to 1.84.

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    Ventilator Associated Pneumonia Infections

    Infections linked to ventilators, maintaining a count of 1 after prior 0.

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    Central Line Associated Bloodstream Infections (CLABSI)

    Infections related to central lines, which saw a 100% reduction to 0.

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    Catheter Associated Urinary Tract Infections (CAUTI)

    Infections from urinary catheters, decreased by 50% to a count of 2.

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    Surgical Site Infections (SSI)

    Infections that occur at the surgical site, now at 2 incidents.

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    SSI Rate per 1,000 Operative Cases

    The incidence of SSIs per 1,000 surgeries, which rose to 6.42.

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    SAPS3

    A scoring system used for assessing the severity of illness in critically ill patients.

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    Crude Mortality Rate - Critical Care

    The percentage of deaths in critical care out of the total number of cases.

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    Critical Care Mortalities

    The number of deaths occurring in the critical care setting.

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    Expected Mortality Rate

    The anticipated percentage of deaths based on statistical models in critical care.

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    Mortality Index (SAPS3)

    A calculated value indicating risk of mortality in critical care patients based on SAPS3 data.

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    Neonatal Critical Care Indicators

    Measurements that evaluate outcomes specifically in the neonatal critical care unit.

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    Number of Mortality Cases

    Total recorded deaths in a specific timeframe within the observed population.

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    Vermont Oxford Network

    A database used to measure outcomes in neonatal critical care units.

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    Mortality Rate

    The percentage of deaths in a specific population within a defined timeframe.

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    Death or Morbidity Rate

    The percentage of deaths or significant health problems in a population.

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    Late Infection Rate

    Percentage of patients who develop infections after a specific period.

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    Necrotizing Enterocolitis

    A severe intestinal disease mostly affecting premature infants.

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    Chronic Lung Disease

    Long-lasting respiratory problems often seen in preterm infants.

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    Pneumothorax

    Air leak in the chest cavity causing lung collapse.

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    Severe Intraventricular Hemorrhage (IVH)

    Bleeding in the brain's ventricular system, common in very low birth weight infants.

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    Cystic Periventricular Leukomalacia (PVL)

    A type of brain injury that affects white matter around the ventricles.

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    Severe Retinopathy of Prematurity (ROP)

    Serious eye disorder affecting premature infants.

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    Retinal Examination in VLBW

    Assessment of the retina in very low birth weight infants.

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    Hypertension Change %

    Change in hypertension cases over time: -8.45%.

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    Diabetes Type 1 Change %

    Diabetes Mellitus Type 1 saw a decrease of -37.50%.

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    Diabetes Type 2 Change %

    Diabetes Mellitus Type 2 change was -14.69%.

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    Hyperlipidaemia Change %

    Hyperlipidaemia had a change of -23.24%.

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    Asthma Change %

    Asthma cases changed by -16.13%.

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    Coronary Artery Disease Change %

    Coronary Artery Disease showed -29.55% change.

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    Cardiac Failure Change %

    Cardiac Failure changed -8.25%.

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    Tuberculosis Change %

    Tuberculosis cases increased by 25.00%.

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    HIV Change %

    HIV cases showed a decrease of -13.51%.

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    Obesity Change %

    Obesity (BMI 30-40) decreased by -28.29%.

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    Geriatrics Population Change %

    Geriatrics population saw a change of +5.49%.

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    Underweight Change %

    Underweight population increased by 85.71%.

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    BMI Normal Weight Change %

    Normal weight population decreased by -10.94%.

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    Adolescents Change %

    Adolescents' health showed a change of +12.90%.

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    BMI Unclassified Change %

    Unclassified BMI rose by 9.00%.

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    Study Notes

    Clinical Indicator Report - Mediclinic Newcastle

    • Period Ending: December 2024

    • Section A: Clinical Performance Indicators

      • Operational Overview
        • Data on daycases, hospital admissions, overnight cases, and medical/surgical splits provided, along with daily trends and 12/24 month rolling comparisons
        • Volumes for selected acute care surgical procedures (e.g., abortions, acute bronchitis, acute myocardial infarctions) detailed for specific months.
        • Numbers of procedures for various surgeries (e.g., arthroscopy knee, caesarean sections, cataract surgery, cholecystectomies, colonoscopies, etc.)
        • Volumes for specific chronic diseases (e.g., hypertension, diabetes mellitus, hyperlipidaemia, asthma, coronary artery disease, etc.) broken down by type and provided for comparison across different time periods.
        • Age Population Profile: Neonates, infants, children, adolescents, adults, and geriatricians categorized to demonstrate the distribution of patient demographics. BMI categories (underweight, normal, overweight, obese and morbidly obese)

    • Section B: Clinical Indicator Charts

      • Trend Analysis for Selected Indicators: Charts present the trends of fall rates, pressure ulcer rates, and HAI (Healthcare-Associated Infections) rates over various periods.
      • Specific Indicator Charts: Further charts illustrate trends for metrics like VAP (Ventilator-Associated Pneumonia) rates, CLABSI (Central Line-Associated Bloodstream Infections) rates, CAUTI (Catheter-Associated Urinary Tract Infections) rates, SSI (Surgical Site Infections) rates, and others like medication errors and antimicrobial usage.
      • Section B indicators include: -Patient Falls, Pressure Ulcers, HAI rates per 1000 patient days -VAP Rates, CLABSI Rates, CAUTI Rates, SSI Rates -Medication Errors, Total Antimicrobials Usage per 100 Patient Days -WAOS Rate, IV Line Harm Rates -Inappropriate Prophylaxis, Prolonged treatment rates, Adult Mortality Index, etc. -Additional charts displaying various infection prevention and control metrics (e.g., inappropriate prophylaxis, prolonged treatment)

    • Section B: Section Clinical Indicator Charts - Further analysis of individual indicators detailed in tables by the provided time periods

    • Infection Prevention & Control:

      • Overall metrics on hand hygiene compliance rates, healthcare-associated infections, device-associated infections (e.g., ventilator-associated pneumonia), and other factors.

    • Patient Safety Information:

      • Overall Patient Safety Indicators: Reporting of total patient days, serious reportable events, rate per 1000 patient days, various "never events" and medication errors.
      • Surgical Safety: Surgeries, handover, sign-in/sign-out, time-outs. percentages analyzed
      • Specific Safety Details: Figures for medication errors, falls, hospital-associated skin lesions and pressure injuries.

    • Clinical Effectiveness Indicators:

      • Overall Mortality: In-patient and surgical mortality rates.
      • Emergency Center: Mortalities, transfers, and mortality rates for transfer patients.
      • Maternal Mortality: Figures and trends related to maternal mortality
      • Adult Critical Care: Mortality indicators (SAPS3) for specific periods with detailed breakdown, including expected/observed mortality rates

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    Clinical Indicator Report Newcastle - December 2024 PDF

    Description

    This quiz examines trends in healthcare admissions, focusing on procedural changes and volume shifts over specified periods. Answer questions related to increases and decreases in various categories of medical admissions, assessing data from a 12-month rolling period. Test your knowledge of the trends impacting healthcare facilities.

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