Clinical Indicator Report Newcastle - December 2024 PDF

CLINICAL INDICATOR REPORT MEDICLINIC NEWCASTLE RESULTS FOR THE PERIOD ENDING: DECEMBER 2024 SECTION A: CLINICAL PERFORMANCE INDICATOR DETAIL OPERATIONAL OVERVIEW Month-on-Month Comparisons 12 Month Rol...

CLINICAL INDICATOR REPORT MEDICLINIC NEWCASTLE RESULTS FOR THE PERIOD ENDING: DECEMBER 2024 SECTION A: CLINICAL PERFORMANCE INDICATOR DETAIL OPERATIONAL OVERVIEW Month-on-Month Comparisons 12 Month Rolling Comparisons Curr. Yr. Previous Current 24 Month Indicator Target Change (%) Change (%) Oct '24 Nov '24 Dec '24 Total Total Trend Number of Hospital Admissions 1 030 1 062 940 -11,49% 12 015 12 486 3,92% Number of Daycases 103 105 80 -23,81% 1 164 1 172 0,69% Number of Inpatient (Overnight) Cases 927 957 860 -10,14% 10 851 11 314 4,27% Daycase/Inpatient Split (%) 10/90% 10/90% 9/91% 10/90% 9/91% Number of Medical Cases 594 591 542 -8,29% 6 858 6 963 1,53% Number of Surgical Cases 436 471 398 -15,50% 5 157 5 523 7,10% Medical/Surgical Split (%) 58/42% 56/44% 58/42% 57/43% 56/44% Number of Emergency Centre Cases 741 674 903 33,98% 10 251 9 478 -7,54% Number of Ambulatory/Outpatient Cases 11 5 8 60,00% 160 93 -41,88% Number of Vaccines Administered 0 0 0 0 0 Number of Outpatient Cases (Excl. Vaccinations) 11 5 8 60,00% 160 93 -41,88% Volumes for Selected Acute Care Procedures/Diagnosis (Hospital Admissions Only) Medical Admissions: Abortions/Miscarriages 18 16 10 -37,50% 110 129 17,27% Acute Bronchitis 6 8 8 0,00% 168 147 -12,50% Acute Myocardial Infarctions 8 4 13 >100.0% 125 97 -22,40% Depression 81 102 65 -36,27% 932 937 0,54% Gastroenteritis Infections 90 86 110 27,91% 953 974 2,20% Normal Deliveries 21 17 17 0,00% 201 218 8,46% Pneumonia 47 48 52 8,33% 928 929 0,11% Septicaemia/Sepsis 95 46 66 43,48% 926 913 -1,40% Strokes 7 10 9 -10,00% 190 156 -17,89% Haemorrhagic 4 0 0 29 21 -27,59% Ischaemic 1 8 5 -37,50% 88 73 -17,05% Not specified as haemorhage or infarction 0 0 1 23 19 -17,39% Transient ischaemic attacks 2 2 3 50,00% 48 43 -10,42% Occlusion of cerebral and precerebral arteries 0 0 0 2 0 -100,00% Surgical Admissions: Arthroscopy Knee 15 13 12 -7,69% 118 134 13,56% Arthroscopy Shoulder 0 2 1 -50,00% 19 23 21,05% Caesarean Sections 41 41 57 39,02% 695 623 -10,36% Cardiac Catheterization Procedures 0 0 0 0 0 Cardiac EPS and Ablation 0 0 0 0 0 Cataract Surgery 0 0 0 0 0 Cholecystectomies 15 11 11 0,00% 105 141 34,29% Circumcisions 2 3 1 -66,67% 23 22 -4,35% Colonoscopies 40 49 40 -18,37% 498 559 12,25% Coronary Artery Bypass Grafts 0 0 0 0 0 Cystoscopies 32 35 21 -40,00% 277 343 23,83% Gastroscopies 72 83 82 -1,20% 956 1 020 6,69% Elective Hip Replacements 2 5 3 -40,00% 47 38 -19,15% Emergency Hip Replacements 1 1 0 -100,00% 18 12 -33,33% Hysterectomies 8 18 10 -44,44% 173 194 12,14% Knee Replacements 4 2 2 0,00% 35 31 -11,43% Myringotomies 0 0 0 0 0 Radical Prostatectomy 0 0 0 0 1 Spinal Fusions 5 9 7 -22,22% 78 88 12,82% Spinal Laminectomies 4 7 8 14,29% 62 54 -12,90% Tonsil & Adenoid Surgery 0 0 0 4 4 0,00% Transurethral Resection of Prostate (TURP) 12 8 3 -62,50% 78 78 0,00% Valve Replacement (AVR) 0 0 0 0 0 Valve Implantation (TAVI) 0 0 0 0 0 INFORMATION AND DATA EMBODIED IN THIS DOCUMENT SHOULD BE TREATED AS CONFIDENTIAL ANALYTICS AND REPORTING DEPARTMENT - MEDICLINIC INTERNATIONAL MEDICLINIC NEWCASTLE Month-on-Month Comparisons 12 Month Rolling Comparisons Curr. Yr. Previous Current 24 Month Indicator Target Change (%) Change (%) Oct '24 Nov '24 Dec '24 Total Total Trend Volumes for Selected Chronic Diseases Hypertension 371 367 336 -8,45% 4 040 4 301 6,46% Diabetes Mellitus - Type 1 31 32 20 -37,50% 313 321 2,56% Diabetes Mellitus - Type 2 137 143 122 -14,69% 1 548 1 565 1,10% Hyperlipidaemia 139 142 109 -23,24% 1 597 1 598 0,06% Asthma 59 62 52 -16,13% 736 767 4,21% Coronary Artery Disease 40 44 31 -29,55% 524 531 1,34% Cardiac Failure 98 97 89 -8,25% 1 056 1 046 -0,95% Hypothyroidism 34 39 28 -28,21% 321 414 28,97% Epilepsy 72 52 59 13,46% 666 746 12,01% COPD 27 37 28 -24,32% 411 426 3,65% Rheumatoid Arthritis 19 17 12 -29,41% 159 177 11,32% Tuberculosis 19 8 10 25,00% 128 122 -4,69% HIV 109 37 32 -13,51% 877 716 -18,36% Malaria 0 0 0 2 1 -50,00% Hepatitis A,B,C,E 6 4 6 50,00% 102 47 -53,92% Pertussis 0 0 0 3 0 -100,00% Measles 0 0 0 1 1 0,00% Meningococcal Meningitis 0 0 0 0 1 Age Population Profile Neonates [0-28 days] 8 10 11 10,00% 142 133 -6,34% Infants [29 days - 1 year] 11 17 11 -35,29% 162 174 7,41% Children [>1 years - 12 years] 65 83 81 -2,41% 852 904 6,10% Adolescents [13 years - 18 years] 39 31 35 12,90% 487 477 -2,05% Adults [>18 years - 64 years] 723 757 629 -16,91% 8 289 8 654 4,40% Geriatrics [>65 years] 184 164 173 5,49% 2 083 2 144 2,93% Body Mass Index (BMI) Categories Underweight (BMI ≤ 18.5) 11 7 13 85,71% 158 172 8,86% Normal Weight (18.5 < BMI ≤ 25.0) 142 128 114 -10,94% 1 642 1 507 -8,22% Overweight (25.0 < BMI ≤ 30.0) 175 176 129 -26,70% 2 258 2 083 -7,75% Obese (30.0 < BMI ≤ 40.0) 253 258 185 -28,29% 2 950 2 956 0,20% Morbidly Obese (BMI > 40.0) 108 95 70 -26,32% 971 1 079 11,12% Unclassified 159 200 218 9,00% 1 572 2 210 40,59% INFORMATION AND DATA EMBODIED IN THIS DOCUMENT SHOULD BE TREATED AS CONFIDENTIAL ANALYTICS AND REPORTING DEPARTMENT - MEDICLINIC INTERNATIONAL PATIENT SAFETY INFORMATION Month-on-Month Comparisons 12 Month Rolling Comparisons Curr. Yr. Previous Current 24 Month Indicator Target Change (%) Change (%) Oct '24 Nov '24 Dec '24 Total Total Trend Overall Patient Safety Reporting Indicators Number of Patient Days * 4 452 4 456 3 804 -14,63% 54 232 54 632 0,74% Serious Reportable Events (SRE) 6 7 6 -14,29% 94 89 -5,32% Rate per 1,000 Patient Days 1,66 1,35 1,57 1,58 0,41% 1,73 1,63 -6,01% Harm Levels Near Misses per 1,000 PD 0,67 0,90 1,31 46,43% 1,44 1,21 -16,00% No Harm Events per 1,000 PD 11,01 9,43 12,09 28,30% 9,48 10,23 7,96% Low Harm Events per 1,000 PD 3,82 4,26 6,05 41,80% 5,24 4,12 -21,35% Moderate Harm Events per 1,000 PD 2,92 4,94 4,21 -14,81% 2,67 3,37 25,97% Severe Harm Events per 1,000 PD 0,00 0,00 0,79 0,17 0,13 -22,79% Events Resulting in Death per 1,000 PD 0,90 1,12 0,53 -53,14% 1,25 1,13 -9,49% Surgical Safety Ward based checks (%) 85% 85% 84% -1,12% 87% 84% -3,19% Handover from ward to theatre staff (%) 100% 97% 100% 3,45% 100% 100% -0,28% Sign in Step (%) 98% 98% 96% -2,27% 97% 96% -1,19% Time out Step (%) 95% 98% 98% 0,00% 97% 97% -0,48% Sign out Step (%) 92% 96% 92% -4,17% 95% 95% -0,70% Theatre based checks (%) 96% 97% 96% -0,74% 98% 97% -0,82% Never Events Reported Never Events Reported 0 0 0 1 0 -100,00% Rate per 1,000 Patient Days 0,00 0,00 0,00 0,00 0,02 0,00 -100,00% Foreign Object(s) Left Behind in Patient 0 0 0 0 0 Incorrect Patient (Correct Surgery) 0 0 0 0 0 Incorrect Surgery (Correct Patient) 0 0 0 0 0 Incorrect Prosthesis/Implant 0 0 0 0 0 Surgery On Wrong Side/Site Performed 0 0 0 1 0 -100,00% Never Events Other 0 0 0 0 0 Unrecognized Abdominopelvic Accidental Puncture/Lacerations 0 0 1 3 2 -33,33% Number of Abdominopelvic Surgery Cases 223 240 209 -12,92% 2 783 2 946 5,86% Rate per 1,000 Cases 1,06 0,00 0,00 4,78 1,08 0,68 -37,02% * Patient Days per month reported on Invoice Date Medication Errors Number of Medication Errors 0 3 6 100,00% 63 47 -25,40% Rate per 1,000 Patient Days 1,07 0,00 0,67 1,58 >100.0% 1,16 0,86 -25,94% Prescription Errors per 1,000 PD 0,00 0,00 0,00 0,06 0,05 -0,73% Dispensing Errors per 1,000 PD 0,00 0,22 0,26 17,14% 0,24 0,15 -38,91% Administration Errors per 1,000 PD 0,00 0,45 1,31 >100.0% 0,87 0,66 -23,97% Number of Falls (with/without injuries) 3 2 4 100,00% 80 62 -22,50% Falls Rate per 1,000 Patient Days 1,26 0,67 0,45 1,05 >100.0% 1,48 1,13 -23,07% Number of Falls (with injuries) 0 0 0 13 10 -23,08% Rate per 1,000 Patient Days 0,00 0,00 0,00 0,24 0,18 -23,64% Hospital Associated Skin Lesions 4 6 1 -83,33% 29 36 24,14% Rate per 1,000 Patient Days 0,90 1,35 0,26 -80,48% 0,53 0,66 23,23% Hospital Associated Pressure Injuries 1 4 5 25,00% 20 28 40,00% Pressure Injuries Rate per 1,000 Patient Days 0,34 0,22 0,90 1,31 46,43% 0,37 0,51 38,97% Pressure Injuries (Grade 1) 0 1 1 0,00% 4 4 0,0% Pressure Injuries (Grade 2) 1 0 4 15 15 0,0% Pressure Injuries (Grade 3) 0 1 0 -100,0% 0 1 Pressure Injuries (Grade 4) 0 0 0 0 0 Pressure Injuries (Unstageable / Unclassified) 0 0 0 0 0 Suspected Deep Tissue Injury 0 2 0 -100,0% 1 8 >100.0% Pressure Injuries (Grade 1) per 1,000 PD (n) 0 (0) 0,22 (1) 0,26 (1) 17,14% 0,07 0,07 -0,73% Pressure Injuries (Grade 2) per 1,000 PD (n) 0,22 (1) 0 (0) 1,05 (4) 0,28 0,27 -0,73% Pressure Injuries (Grade 3) per 1,000 PD (n) 0 (0) 0,22 (1) 0 (0) -100,00% 0,00 0,02 Pressure Injuries (Grade 4) per 1,000 PD (n) 0 (0) 0 (0) 0 (0) 0,00 0,00 Pressure Injuries (Unstageable / Unclassified) per 1,000 PD (n) 0 (0) 0 (0) 0 (0) 0,00 0,00 Suspected Deep Tissue Injury per 1,000 PD (n) 0 (0) 0,45 (2) 0 (0) -100,00% 0,02 0,15 >100.0% Number of IV Line Harm Cases 9 10 8 -20,00% 140 96 -31,43% Rate per 1,000 Patient Days 2,25 2,02 2,24 2,10 -6,29% 2,58 1,76 -31,93% INFORMATION AND DATA EMBODIED IN THIS DOCUMENT SHOULD BE TREATED AS CONFIDENTIAL ANALYTICS AND REPORTING DEPARTMENT - MEDICLINIC INTERNATIONAL INFECTION PREVENTION & CONTROL MEDICLINIC NEWCASTLE Month-on-Month Comparisons 12 Month Rolling Comparisons Curr. Yr. Previous Current 24 Month Indicator Target Change (%) Change (%) Oct '24 Nov '24 Dec '24 Total Total Trend Total Actions 210 938 784 -16,42% Total Opportunities 255 1 076 941 -12,55% Hand Hygiene Compliance Rate (%) 82,35% 88,49% 83,31% -5,86% Healthcare Associated Infections 8 5 7 40,00% 43 45 4,65% HAI Rate per 1,000 Patient Days 0,58 1,80 1,12 1,84 64,00% 0,79 0,82 3,88% Device Associated Infections (Overall Indicators) Ventilator Associated Pneumonia Infections 0 0 1 6 3 -50,00% Ventilator Days 87 0 64 1 598 975 -38,99% VAP Rate per 1,000 Ventilator Days 3,08 0,00 15,63 3,75 3,08 -18,05% Central Line Associated Bloodstream Infections 2 1 0 -100,00% 4 5 25,00% Central Line Days 501 313 479 53,04% 5 285 5 884 11,33% CLABSI Rate per 1,000 Central Line Days 0,45 3,99 3,19 0,00 -100,00% 0,76 0,85 12,27% Catheter Associated Urinary Tract Infections 1 1 0 -100,00% 4 2 -50,00% Catheter Days 750 351 627 78,63% 10 281 9 648 -6,16% CAUTI Rate per 1,000 Catheter Days 0,34 1,33 2,85 0,00 -100,00% 0,39 0,21 -46,72% Surgical Site Infections (Overall & Targeted Indicators) Surgical Site Infections 3 3 2 -33,33% 22 21 -4,55% Operative Procedures 462 467 400 -14,35% 5 277 5 649 7,05% SSI Rate per 1,000 Operative Cases 3,12 6,49 6,42 5,00 -22,17% 4,17 3,72 -10,83% Surgical Site Infections (Abdom. Hysterectomies) 0 1 0 -100,00% 4 2 -50,00% Rate per 1,000 Hysterectomies 0,00 55,56 0,00 -100,00% 23,12 10,31 -55,41% Surgical Site Infections (CABG) 0 0 0 0 0 Rate per 1,000 CABG Surgical Site Infections (Knee Replacements) 0 0 0 0 0 Rate per 1,000 Knee Replacements 0,00 0,00 0,00 0,00 0,00 Surgical Site Infections (Hip Replacements) 0 1 0 -100,00% 0 1 Rate per 1,000 Hip Replacements 0,00 200,00 0,00 -100,00% 0,00 26,32 Surgical Site Infections (Caesarean Sections) 0 0 0 3 0 -100,00% Rate per 1,000 Caesarean Sections 0,00 0,00 0,00 4,32 0,00 -100,00% Alert Organisms Methicillin Resistant Staph. Aureus (MRSA) MRSA (Healthcare Associated) 0 0 1 1 1 0,00% MRSA (Community & Healthcare Associated) 1 0 1 14 9 -35,71% Health. Ass. MRSA Rate per 100,000 PD's 0,00 0,00 26,29 1,84 1,83 -0,73% INFORMATION AND DATA EMBODIED IN THIS DOCUMENT SHOULD BE TREATED AS CONFIDENTIAL ANALYTICS AND REPORTING DEPARTMENT - MEDICLINIC INTERNATIONAL MEDICLINIC NEWCASTLE Month-on-Month Comparisons 12 Month Rolling Comparisons Curr. Yr. Previous Current 24 Month Indicator Target Change (%) Change (%) Oct '24 Nov '24 Dec '24 Total Total Trend Extended Spectrum Beta Lactamase (ESBL) ESBL (Healthcare Associated) 3 6 1 -83,33% 42 24 -42,86% ESBL (Community & Healthcare Associated) 28 35 19 -45,71% 389 346 -11,05% Health. Ass. ESBL Rate per 100,000 PD's 67,39 134,67 26,29 -80,48% 77,45 43,93 -43,28% Carbapenem Resist. Organisms (Comm. & Health.): Pseudomonas Aeruginosa 2 1 2 100,00% 19 22 15,79% Acinetobacter baumannii 0 4 5 25,00% 11 21 90,91% Enterobacteriaceae (CRE): NDM-1 3 6 3 -50,00% 39 53 35,90% OXA-48 11 11 4 -63,64% 69 99 43,48% VIM 0 0 0 2 1 -50,00% KPC 0 0 0 0 2 IMP 0 0 0 0 0 GES 0 0 0 0 0 Vancomycin Resistant Enterococci VRE (Healthcare Associated) 0 0 0 0 0 VRE (Community & Healthcare Associated) 0 0 1 2 1 -50,00% Health. Ass. VRE Rate per 100,000 PD's 0,00 0,00 0,00 0,00 0,00 Clostridium difficile (C. Diff) C. Diff. (Healthcare Associated) 1 2 0 -100,00% 3 14 >100.0% C. Diff. (Community & Healthcare Associated) 3 2 3 50,00% 19 27 42,11% Health. Ass. C. Diff. Rate per 100,000 PD's 0,22 0,45 0,00 -100,00% 0,06 0,26 >100.0% Antimicrobial Stewardship Inappropriate Prophylaxis Cases 1 2 4 100,00% 26 32 23,08% Theatre Cases with Prophylaxis 187 211 187 -11,37% 2 153 2 323 7,90% Inappropriate Prophylaxis Rate (%) 0,53% 0,95% 2,14% >100.0% 1,21% 1,38% 14,07% Prolonged/Extended Treatment Cases 5 4 2 -50,00% 43 41 -4,65% Exposures of Selected Antimicrobials 1 204 1 217 1 153 -5,26% 14 318 15 007 4,81% Prolonged Treatm. Rate per 1,000 Exposures 4,15 3,29 1,73 -47,22% 3,00 2,73 -9,03% Total Antimicrobial Usage (DDD's) 3 121 3 191 2 874 -9,91% 40 576 40 812 0,58% Total Antimicrobial Usage Rate per 100 PD's 73,73 70,10 71,61 75,57 5,53% 74,82 74,70 -0,15% Targeted Defined Daily Doses (DDD's) Utilisation: Polymyxin (Colistin and Polymyxin B) (DDD's) 8 4 29 >100.0% 219 192 -12,29% Rate per 100 Patient Days 0,18 0,09 0,76 >100.0% 0,40 0,35 -12,93% Carbapenems (DDD's) 304 318 223 -29,80% 3 861 3 975 2,94% Rate per 100 Patient Days 6,82 7,14 5,87 -17,76% 7,12 7,28 2,19% Third Generation Cephalosporins (DDD's) 376 395 445 12,67% 4 967 5 558 11,90% Rate per 100 Patient Days 8,43 8,85 11,69 31,99% 9,16 10,17 11,08% Fluoroquinolone (DDD's) 249 221 166 -25,00% 2 650 2 491 -6,00% Rate per 100 Patient Days 5,59 4,96 4,36 -12,14% 4,89 4,56 -6,69% Echinocandins (DDD's) 80 134 72 -46,12% 982 1 172 19,33% Rate per 100 Patient Days 1,79 3,01 1,90 -36,88% 1,81 2,14 18,45% INFORMATION AND DATA EMBODIED IN THIS DOCUMENT SHOULD BE TREATED AS CONFIDENTIAL ANALYTICS AND REPORTING DEPARTMENT - MEDICLINIC INTERNATIONAL CLINICAL EFFECTIVENESS INDICATORS Month-on-Month Comparisons 12 Month Rolling Comparisons Curr. Yr. Previous Current 24 Month Indicator Target Change (%) Change (%) Oct '24 Nov '24 Dec '24 Total Total Trend Overall Mortality Indicators Number of Inpatient Mortalities 21 18 15 -16,67% 206 230 11,65% Inpatient Mortality Rate (%) 2,27% 1,88% 1,74% -7,27% 1,90% 2,03% 7,08% Number of Inpatient Adult Mortalities 20 18 15 -16,67% 199 223 12,06% Inpatient Adult Mortality Rate (%) 2,44% 2,16% 2,02% -6,21% 2,12% 2,27% 7,19% Hospital Standardized Adult Mortality Index 1,00 0,72 0,91 0,62 -31,87% 0,74 0,85 15,77% Number of Surgical Mortalities (Inpatients) 8 5 2 -60,00% 72 72 0,00% Surgical Mortality Rate (%) 1,83% 1,06% 0,50% -52,66% 1,40% 1,30% -6,63% Number of Emergency Centre Mortalities 3 3 4 33,33% 18 22 22,22% Emergency Centre Mortality Rate (%) 0,40% 0,45% 0,44% -0,48% 0,18% 0,23% 32,19% Number of Patients Transferred In 4 3 1 -66,67% 31 46 48,39% Mortalities on Transferred In Patients 0 0 0 0 1 Mortality Rate on Transferred In Patients (%) 0,00% 0,00% 0,00% 0,00% 2,17% Number of Patients Admitted via EC 371 362 441 21,82% 4 347 4 487 3,22% Mortalities on Patients Admitted via EC 15 13 10 -23,08% 135 138 2,22% Mortality Rate on Patients via EC (%) 4,04% 3,59% 2,27% -36,86% 3,11% 3,08% -0,97% Maternal Mortality (WHO Definition) 0 0 0 0 1 1 0,00% Maternal Mortality Rate per 100,000 Live Births *126.83 0,00 0,00 0,00 119,62 124,38 3,98% *As Per WHO 2020 benchmark Adult Critical Care Mortality Indicators Currently the SAPS3 model is used to measure critical care outcomes. Number of Cases Captured on SAPS3 46 46 43 -6,52% 519 524 0,96% Number of Critical Care Mortalities 16 14 13 -7,14% 130 155 19,23% Crude Mortality Rate - Critical Care (%) 34,78% 30,43% 30,23% -0,66% 25,05% 29,58% 18,09% Number of Expected Mortality Cases 8 7 5 -38,59% 105 90 -14,06% Expected Mortality Rate - Critical Care (%) 16,91% 16,12% 10,59% -34,31% 20,17% 17,17% -14,88% Mortality Index (SAPS3) 1,00 2,06 1,89 2,85 51,21% 1,24 1,72 38,73% INFORMATION AND DATA EMBODIED IN THIS DOCUMENT SHOULD BE TREATED AS CONFIDENTIAL ANALYTICS AND REPORTING DEPARTMENT - MEDICLINIC INTERNATIONAL  Month-on-Month Comparisons 12 Monthly Comparisons Network Curr. Yr. Previous Current 24 Month Indicator Change (%) Change (%) 2022 Oct '24 Nov '24 Dec '24 Total Total Trend Neonatal Critical Care Indicators The Vermont Oxford Network database is currently used to measure outcomes in the Neonatal Critical Care Unit Please note that the figures are reported on date of birth and therefore will change retrospectively when cases are captured on VON after discharge. Expanded Birth Weight Indicators (All Eligible Cases) Number of Cases Captured on VON 0 0 0 117 43 -63,25% Number of Mortality Cases 0 0 0 10 2 -80,00% Number of Mortality Cases (Excl. Early Deaths) 0 0 0 9 2 -77,78% Mortality Rate (%) 2,9% 8,55% 4,65% -45,58% Death or Morbidity Cases 0 0 0 10 4 -60,00% Death or Morbidity Rate (%) 10,8% 8,55% 9,30% 8,84% Any Late Infections 0 0 0 1 1 0,00% Any Late Infection Rate (%) 2% 0,96% 2,56% >100.0% Necrotizing Enterocolitis 0 0 0 0 1 Necrotizing Enterocolitis (%) 1% 0,00% 2,33% Chronic Lung Disease (< 33 weeks gestation) 0 0 0 0 0 Chronic Lung Disease (%) 21,2% 0,00% 0,00% Pneumothorax Cases 0 0 0 0 0 Pneumothorax (%) 3,3% 0,00% 0,00% Severe Intraventricular Hemorrhage (IVH) 0 0 0 0 0 Severe IVH Rate (%) 4,2% 0,00% 0,00% Cystic Periventricular Leukomalacia (PVL) 0 0 0 0 0 Cystic PVL Rate (%) 1,2% 0,00% 0,00% Retinal Examination (VLBW) 0 0 0 0 0 Retinal Examination (VLBW) (%) 87% 0,00% 0,00% Severe Retinopathy of Prematurity (ROP) 0 0 0 0 0 Severe ROP Rate (%) 5,2% INFORMATION AND DATA EMBODIED IN THIS DOCUMENT SHOULD BE TREATED AS CONFIDENTIAL ANALYTICS AND REPORTING DEPARTMENT - MEDICLINIC INTERNATIONAL MEDICLINIC NEWCASTLE 12 Monthly Comparisons Curr. Yr. Previous Current 24 Month Indicator Weight Change (%) Change (%) Oct '24 Nov '24 Dec '24 Total Total Trend Obstetric Indicators Number of Deliveries 59 57 73 28,07% 855 811 -5,15% Number of Live Births 56 58 72 24,14% 836 804 -3,83% Caesarean Section (%) 66,1% 70,2% 76,7% 9,32% 76,6% 73,2% -4,39% Weighted Adverse Outcome Score (WAOS) 0,85 1,53 0,00 1,85 1,92 0,76 -60,59% Adverse Outcome Index (AOI) 3,4% 1,8% 4,1% >100.0% 3,5% 2,5% -29,72% Severity Index (SI) 45,0 0,0 45,0 54,8 30,8 -43,92% Number of Neonatal Mortalities 400 0 0 0 0 0 Neonatal Mortality Rate per 1,000 Live Births 0,00 0,00 0,00 0,00 0,00 Delivery Patient Mortalities 750 0 0 0 1 0 -100,00% Delivery Mortality Rate per 100,000 Live Births 0,00 0,00 0,00 119,62 0,00 -100,00% Uterine Ruptures 100 0 0 0 0 0 Uterine Ruptures (%) 0,00% 0,00% 0,00% 0,00% 0,00% Unplanned Maternal Admissions to ICU 65 0 0 1 4 3 -25,00% Unplanned Maternal Admission to ICU (%) 0,00% 0,00% 1,37% 0,47% 0,37% -20,93% Birth Trauma Cases (≥37wks, ≥2.5kg) 60 0 0 0 0 0 Birth Trauma (%) 0,00% 0,00% 0,00% 0,00% 0,00% Unanticipated Operative Procedures 40 0 0 0 0 0 Unanticipated Operative Procedure (%) 0,00% 0,00% 0,00% 0,00% 0,00% Neonatal Admissions to NICU (≥37wks, ≥2.5kg, ≥24h) 35 2 0 2 7 5 -28,57% Neonatal Admissions to NICU (%) 3,39% 0,00% 2,74% 0,82% 0,62% -24,70% APGAR score