Mediclinic Newcastle Clinical Indicator Report 2025 - PDF

Summary

The Mediclinic Newcastle Clinical Indicator Report provides a comprehensive analysis of clinical performance for January 2025. It covers various areas, including patient safety, infection control, and clinical effectiveness. The report analyzes key indicators, providing insights into the hospital's performance.

Full Transcript

CLINICAL INDICATOR REPORT MEDICLINIC NEWCASTLE RESULTS FOR THE PERIOD ENDING: JANUARY 2025 SECTION A: CLINICAL PERFORMANCE INDICATOR DETAIL OPERATIONAL OVERVIEW Month-on-Month Comparisons 12 Month Roll...

CLINICAL INDICATOR REPORT MEDICLINIC NEWCASTLE RESULTS FOR THE PERIOD ENDING: JANUARY 2025 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 (%) Nov '24 Dec '24 Jan '25 Total Total Trend Number of Hospital Admissions 1 062 941 1 080 14,77% 12 027 12 573 4,54% Number of Daycases 105 80 130 62,50% 1 202 1 168 -2,83% Number of Inpatient (Overnight) Cases 957 861 950 10,34% 10 825 11 405 5,36% Daycase/Inpatient Split (%) 10/90% 9/91% 12/88% 10/90% 9/91% Number of Medical Cases 591 543 574 5,71% 6 821 7 000 2,62% Number of Surgical Cases 471 398 506 27,14% 5 206 5 573 7,05% Medical/Surgical Split (%) 56/44% 58/42% 53/47% 57/43% 56/44% Number of Emergency Centre Cases 674 903 845 -6,42% 10 113 9 492 -6,14% Number of Ambulatory/Outpatient Cases 5 8 9 12,50% 134 90 -32,84% Number of Vaccines Administered 0 0 0 0 0 Number of Outpatient Cases (Excl. Vaccinations) 5 8 9 12,50% 134 90 -32,84% Volumes for Selected Acute Care Procedures/Diagnosis (Hospital Admissions Only) Medical Admissions: Abortions/Miscarriages 16 10 16 60,00% 106 137 29,25% Acute Bronchitis 8 8 8 0,00% 171 143 -16,37% Acute Myocardial Infarctions 4 13 9 -30,77% 124 96 -22,58% Depression 102 65 55 -15,38% 934 929 -0,54% Gastroenteritis Infections 86 110 78 -29,09% 955 958 0,31% Normal Deliveries 17 17 20 17,65% 196 226 15,31% Pneumonia 48 52 67 28,85% 922 943 2,28% Septicaemia/Sepsis 46 66 64 -3,03% 927 918 -0,97% Strokes 10 9 12 33,33% 179 160 -10,61% Haemorrhagic 0 0 0 27 20 -25,93% Ischaemic 8 5 6 20,00% 84 79 -5,95% Not specified as haemorhage or infarction 0 1 4 >100.0% 22 22 0,00% Transient ischaemic attacks 2 3 1 -66,67% 44 38 -13,64% Occlusion of cerebral and precerebral arteries 0 0 1 2 1 -50,00% Surgical Admissions: Arthroscopy Knee 13 12 12 0,00% 117 142 21,37% Arthroscopy Shoulder 2 1 4 >100.0% 19 27 42,11% Caesarean Sections 41 58 59 1,72% 678 636 -6,19% 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 11 11 13 18,18% 109 143 31,19% Circumcisions 3 1 2 100,00% 20 22 10,00% Colonoscopies 49 40 57 42,50% 512 577 12,70% Coronary Artery Bypass Grafts 0 0 0 0 0 Cystoscopies 35 21 33 57,14% 283 350 23,67% Gastroscopies 83 82 95 15,85% 960 1 035 7,81% Elective Hip Replacements 5 3 3 0,00% 44 41 -6,82% Emergency Hip Replacements 1 0 0 16 11 -31,25% Hysterectomies 18 10 18 80,00% 180 192 6,67% Knee Replacements 2 2 2 0,00% 35 32 -8,57% Myringotomies 0 0 0 0 0 Radical Prostatectomy 0 0 0 0 1 Spinal Fusions 9 7 4 -42,86% 80 87 8,75% Spinal Laminectomies 7 8 1 -87,50% 67 48 -28,36% Tonsil & Adenoid Surgery 0 0 0 4 3 -25,00% Transurethral Resection of Prostate (TURP) 8 3 12 >100.0% 80 83 3,75% 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 (%) Nov '24 Dec '24 Jan '25 Total Total Trend Volumes for Selected Chronic Diseases Hypertension 367 336 402 19,64% 4 027 4 374 8,62% Diabetes Mellitus - Type 1 32 20 34 70,00% 318 324 1,89% Diabetes Mellitus - Type 2 143 122 148 21,31% 1 489 1 607 7,92% Hyperlipidaemia 142 110 150 36,36% 1 633 1 614 -1,16% Asthma 62 52 50 -3,85% 745 764 2,55% Coronary Artery Disease 44 31 48 54,84% 530 534 0,75% Cardiac Failure 97 89 104 16,85% 1 037 1 073 3,47% Hypothyroidism 39 28 31 10,71% 325 412 26,77% Epilepsy 52 59 58 -1,69% 685 751 9,64% COPD 37 28 27 -3,57% 416 423 1,68% Rheumatoid Arthritis 17 12 8 -33,33% 158 174 10,13% Tuberculosis 8 10 7 -30,00% 130 119 -8,46% HIV 37 32 28 -12,50% 854 691 -19,09% Malaria 0 0 0 2 1 -50,00% Hepatitis A,B,C,E 4 6 3 -50,00% 98 46 -53,06% 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] 10 12 11 -8,33% 127 142 11,81% Infants [29 days - 1 year] 17 11 15 36,36% 171 171 0,00% Children [>1 years - 12 years] 83 81 85 4,94% 851 932 9,52% Adolescents [13 years - 18 years] 31 35 43 22,86% 490 477 -2,65% Adults [>18 years - 64 years] 757 629 711 13,04% 8 321 8 665 4,13% Geriatrics [>65 years] 164 173 215 24,28% 2 067 2 186 5,76% Body Mass Index (BMI) Categories Underweight (BMI ≤ 18.5) 7 13 8 -38,46% 160 166 3,75% Normal Weight (18.5 < BMI ≤ 25.0) 128 114 92 -19,30% 1 654 1 458 -11,85% Overweight (25.0 < BMI ≤ 30.0) 176 129 142 10,08% 2 245 2 063 -8,11% Obese (30.0 < BMI ≤ 40.0) 258 185 210 13,51% 2 936 2 936 0,00% Morbidly Obese (BMI > 40.0) 95 70 86 22,86% 975 1 076 10,36% Unclassified 200 218 317 45,41% 1 617 2 344 44,96% 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 (%) Nov '24 Dec '24 Jan '25 Total Total Trend Overall Patient Safety Reporting Indicators Number of Patient Days * 4 456 3 804 4 808 26,40% 53 838 55 095 2,33% Serious Reportable Events (SRE) 7 7 7 0,00% 91 93 2,20% Rate per 1,000 Patient Days 1,66 1,57 1,84 1,46 -20,88% 1,69 1,69 -0,13% Harm Levels Near Misses per 1,000 PD 0,90 1,31 1,46 10,76% 1,36 1,31 -3,62% No Harm Events per 1,000 PD 9,43 12,09 9,36 -22,60% 9,34 10,29 10,15% Low Harm Events per 1,000 PD 4,26 6,05 2,70 -55,28% 5,07 4,12 -18,75% Moderate Harm Events per 1,000 PD 4,94 4,21 3,33 -20,88% 2,69 3,41 26,70% Severe Harm Events per 1,000 PD 0,00 0,79 0,00 -100,00% 0,11 0,13 14,00% Events Resulting in Death per 1,000 PD 1,12 0,79 0,83 5,49% 1,26 1,14 -9,47% Surgical Safety Ward based checks (%) 85% 84% 87% 3,41% 87% 84% -2,92% Handover from ward to theatre staff (%) 97% 100% 100% 0,00% 100% 100% -0,28% Sign in Step (%) 98% 96% 100% 4,65% 97% 96% -1,00% Time out Step (%) 98% 98% 100% 2,56% 97% 97% -0,48% Sign out Step (%) 96% 92% 96% 4,35% 95% 95% -0,70% Theatre based checks (%) 97% 96% 99% 2,96% 98% 97% -0,64% 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 1 1 0,00% 2 3 50,00% Number of Abdominopelvic Surgery Cases 240 209 270 29,19% 2 824 2 938 4,04% Rate per 1,000 Cases 1,06 0,00 4,78 3,70 -22,59% 0,71 1,02 44,18% * Patient Days per month reported on Invoice Date Medication Errors Number of Medication Errors 3 6 3 -50,00% 61 45 -26,23% Rate per 1,000 Patient Days 1,07 0,67 1,58 0,62 -60,44% 1,13 0,82 -27,91% Prescription Errors per 1,000 PD 0,00 0,00 0,00 0,09 0,02 -80,46% Dispensing Errors per 1,000 PD 0,22 0,26 0,21 -20,88% 0,26 0,13 -51,14% Administration Errors per 1,000 PD 0,45 1,31 0,42 -68,35% 0,78 0,67 -13,91% Number of Falls (with/without injuries) 2 4 5 25,00% 73 63 -13,70% Falls Rate per 1,000 Patient Days 1,26 0,45 1,05 1,04 -1,11% 1,36 1,14 -15,67% Number of Falls (with injuries) 0 0 1 10 11 10,00% Rate per 1,000 Patient Days 0,00 0,00 0,21 0,19 0,20 7,49% Hospital Associated Skin Lesions 6 1 3 >100.0% 26 37 42,31% Rate per 1,000 Patient Days 1,35 0,26 0,62 >100.0% 0,48 0,67 39,06% Hospital Associated Pressure Injuries 4 5 0 -100,00% 20 26 30,00% Pressure Injuries Rate per 1,000 Patient Days 0,34 0,90 1,31 0,00 -100,00% 0,37 0,47 27,03% Pressure Injuries (Grade 1) 1 1 0 -100,00% 5 3 -40,0% Pressure Injuries (Grade 2) 0 4 0 -100,00% 13 15 15,4% Pressure Injuries (Grade 3) 1 0 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 2 0 0 2 7 >100.0% Pressure Injuries (Grade 1) per 1,000 PD (n) 0,22 (1) 0,26 (1) 0 (0) -100,00% 0,09 0,05 -41,37% Pressure Injuries (Grade 2) per 1,000 PD (n) 0 (0) 1,05 (4) 0 (0) -100,00% 0,24 0,27 12,75% Pressure Injuries (Grade 3) per 1,000 PD (n) 0,22 (1) 0 (0) 0 (0) 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) 0,45 (2) 0 (0) 0 (0) 0,04 0,13 >100.0% Number of IV Line Harm Cases 10 8 6 -25,00% 132 92 -30,30% Rate per INFORMATION 1,000 AND DATAPatient DaysIN THIS DOCUMENT SHOULD BE TREATED EMBODIED 2,25 AS CONFIDENTIAL 2,24 2,10 1,25 -40,66% 2,45 1,67 -31,89% 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 (%) Nov '24 Dec '24 Jan '25 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 5 7 3 -57,14% 34 47 38,24% HAI Rate per 1,000 Patient Days 0,58 1,12 1,84 0,62 -66,09% 0,63 0,85 35,08% Device Associated Infections (Overall Indicators) Ventilator Associated Pneumonia Infections 0 1 0 -100,00% 5 3 -40,00% Ventilator Days 0 67 73 8,96% 1 483 964 -35,00% VAP Rate per 1,000 Ventilator Days 3,08 14,93 0,00 -100,00% 3,37 3,11 -7,70% Central Line Associated Bloodstream Infections 1 0 0 3 5 66,67% Central Line Days 313 530 525 -0,94% 5 114 6 074 18,77% CLABSI Rate per 1,000 Central Line Days 0,45 3,19 0,00 0,00 0,59 0,82 40,32% Catheter Associated Urinary Tract Infections 1 0 0 3 2 -33,33% Catheter Days 351 706 924 30,88% 10 306 9 865 -4,28% CAUTI Rate per 1,000 Catheter Days 0,34 2,85 0,00 0,00 0,29 0,20 -30,35% Surgical Site Infections (Overall & Targeted Indicators) Surgical Site Infections 3 2 2 0,00% 19 22 15,79% Operative Procedures 467 400 537 34,25% 5 333 5 689 6,68% SSI Rate per 1,000 Operative Cases 3,12 6,42 5,00 3,72 -25,51% 3,56 3,87 8,54% Surgical Site Infections (Abdom. Hysterectomies) 1 0 0 3 2 -33,33% Rate per 1,000 Hysterectomies 55,56 0,00 0,00 16,67 10,42 -37,50% 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) 1 0 0 0 1 Rate per 1,000 Hip Replacements 200,00 0,00 0,00 0,00 24,39 Surgical Site Infections (Caesarean Sections) 0 0 1 3 1 -66,67% Rate per 1,000 Caesarean Sections 0,00 0,00 16,95 4,42 1,57 -64,47% Alert Organisms Methicillin Resistant Staph. Aureus (MRSA) MRSA (Healthcare Associated) 0 1 0 -100,00% 1 1 0,00% MRSA (Community & Healthcare Associated) 0 1 1 0,00% 15 9 -40,00% Health. Ass. MRSA Rate per 100,000 PD's 0,00 26,29 0,00 -100,00% 1,86 1,82 -2,28% 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 (%) Nov '24 Dec '24 Jan '25 Total Total Trend Extended Spectrum Beta Lactamase (ESBL) ESBL (Healthcare Associated) 6 1 2 100,00% 40 26 -35,00% ESBL (Community & Healthcare Associated) 35 19 39 >100.0% 395 358 -9,37% Health. Ass. ESBL Rate per 100,000 PD's 134,67 26,29 41,60 58,23% 74,30 47,19 -36,48% Carbapenem Resist. Organisms (Comm. & Health.): Pseudomonas Aeruginosa 1 2 1 -50,00% 18 23 27,78% Acinetobacter baumannii 4 5 1 -80,00% 11 22 100,00% Enterobacteriaceae (CRE): NDM-1 6 3 2 -33,33% 50 44 -12,00% OXA-48 11 4 5 25,00% 80 93 16,25% 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 1 0 -100,00% 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) 2 0 0 4 12 >100.0% C. Diff. (Community & Healthcare Associated) 2 3 0 -100,00% 23 22 -4,35% Health. Ass. C. Diff. Rate per 100,000 PD's 0,45 0,00 0,00 0,07 0,22 >100.0% Antimicrobial Stewardship Inappropriate Prophylaxis Cases 2 4 5 25,00% 26 35 34,62% Theatre Cases with Prophylaxis 211 187 228 21,93% 2 222 2 364 6,39% Inappropriate Prophylaxis Rate (%) 0,95% 2,14% 2,19% 2,52% 1,17% 1,48% 26,53% Prolonged/Extended Treatment Cases 4 2 2 0,00% 40 42 5,00% Exposures of Selected Antimicrobials 1 218 1 161 1 280 10,25% 14 373 15 232 5,98% Prolonged Treatm. Rate per 1,000 Exposures 3,28 1,72 1,56 -9,30% 2,78 2,76 -0,92% Total Antimicrobial Usage (DDD's) 3 191 2 835 3 649 28,71% 40 579 41 107 1,30% Total Antimicrobial Usage Rate per 100 PD's 73,73 71,61 74,53 75,90 1,83% 75,37 74,61 -1,01% Targeted Defined Daily Doses (DDD's) Utilisation: Polymyxin (Colistin and Polymyxin B) (DDD's) 4 28 9 -68,92% 198 200 0,79% Rate per 100 Patient Days 0,09 0,73 0,18 -75,41% 0,37 0,36 -1,51% Carbapenems (DDD's) 318 219 419 91,70% 3 846 4 079 6,06% Rate per 100 Patient Days 7,14 5,75 8,72 51,66% 7,14 7,40 3,64% Third Generation Cephalosporins (DDD's) 395 443 517 16,72% 5 025 5 631 12,06% Rate per 100 Patient Days 8,85 11,63 10,74 -7,65% 9,33 10,22 9,50% Fluoroquinolone (DDD's) 221 161 232 44,01% 2 573 2 518 -2,15% Rate per 100 Patient Days 4,96 4,23 4,82 13,94% 4,78 4,57 -4,38% Echinocandins (DDD's) 134 67 37 -44,94% 992 1 130 13,95% Rate per 100 Patient Days 3,01 1,77 0,77 -56,44% 1,84 2,05 11,35% 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 (%) Nov '24 Dec '24 Jan '25 Total Total Trend Overall Mortality Indicators Number of Inpatient Mortalities 18 15 28 86,67% 201 241 19,90% Inpatient Mortality Rate (%) 1,88% 1,74% 2,95% 69,18% 1,86% 2,11% 13,80% Number of Inpatient Adult Mortalities 18 15 27 80,00% 195 233 19,49% Inpatient Adult Mortality Rate (%) 2,16% 2,02% 3,29% 62,46% 2,08% 2,36% 13,34% Hospital Standardized Adult Mortality Index 1,00 0,91 0,62 0,92 48,41% 0,74 0,85 14,50% Number of Surgical Mortalities (Inpatients) 5 2 12 >100.0% 71 79 11,27% Surgical Mortality Rate (%) 1,06% 0,50% 2,37% >100.0% 1,36% 1,42% 3,94% Number of Emergency Centre Mortalities 3 4 0 -100,00% 18 21 16,67% Emergency Centre Mortality Rate (%) 0,45% 0,44% 0,00% -100,00% 0,18% 0,22% 24,30% Number of Patients Transferred In 3 1 1 0,00% 28 44 57,14% Mortalities on Transferred In Patients 0 0 0 1 0 -100,00% Mortality Rate on Transferred In Patients (%) 0,00% 0,00% 0,00% 3,57% 0,00% -100,00% Number of Patients Admitted via EC 362 441 444 0,68% 4 300 4 606 7,12% Mortalities on Patients Admitted via EC 13 10 21 >100.0% 128 153 19,53% Mortality Rate on Patients via EC (%) 3,59% 2,27% 4,73% >100.0% 2,98% 3,32% 11,59% 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 0,00 122,40 122,25 -0,12% *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 43 55 27,91% 519 533 2,70% Number of Critical Care Mortalities 14 13 21 61,54% 130 167 28,46% Crude Mortality Rate - Critical Care (%) 30,43% 30,23% 38,18% 26,29% 25,05% 31,33% 25,09% Number of Expected Mortality Cases 7 5 13 >100.0% 104 95 -8,16% Expected Mortality Rate - Critical Care (%) 16,12% 10,59% 23,93% >100.0% 19,97% 17,85% -10,58% Mortality Index (SAPS3) 1,00 1,89 2,85 1,60 -44,12% 1,25 1,75 39,88% 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 Nov '24 Dec '24 Jan '25 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 6 4 3 -25,00% 106 101 -4,72% Number of Mortality Cases 0 0 0 8 4 -50,00% Number of Mortality Cases (Excl. Early Deaths) 0 0 0 7 4 -42,86% Mortality Rate (%) 2,9% 0,00% 0,00% 0,00% 7,55% 3,96% -47,52% Death or Morbidity Cases 0 0 0 8 6 -25,00% Death or Morbidity Rate (%) 10,8% 0,00% 0,00% 0,00% 7,55% 6,00% -20,50% Any Late Infections 0 0 0 1 1 0,00% Any Late Infection Rate (%) 2% 0,00% 0,00% 0,00% 1,06% 1,10% 3,30% Necrotizing Enterocolitis 0 0 0 0 2 Necrotizing Enterocolitis (%) 1% 0,00% 0,00% 0,00% 0,00% 1,98% Chronic Lung Disease (< 33 weeks gestation) 0 0 0 0 0 Chronic Lung Disease (%) 21,2% 0,00% 0,00% 0,00% Pneumothorax Cases 0 0 0 0 0 Pneumothorax (%) 3,3% 0,00% 0,00% 0,00% 0,00% 0,00% Severe Intraventricular Hemorrhage (IVH) 0 0 0 0 0 Severe IVH Rate (%) 4,2% 0,00% 0,00% 0,00% Cystic Periventricular Leukomalacia (PVL) 0 0 0 0 0 Cystic PVL Rate (%) 1,2% 0,00% 0,00% 0,00% Retinal Examination (VLBW) 0 0 0 0 0 Retinal Examination (VLBW) (%) 87% 0,00% 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 (%) Nov '24 Dec '24 Jan '25 Total Total Trend Obstetric Indicators Number of Deliveries 57 73 74 1,37% 837 826 -1,31% Number of Live Births 58 72 73 1,39% 817 818 0,12% Caesarean Section (%) 70,2% 76,7% 73,0% -4,87% 76,6% 72,8% -4,99% Weighted Adverse Outcome Score (WAOS) 0,85 0,00 1,85 0,81 -56,16% 1,92 0,79 -58,65% Adverse Outcome Index (AOI) 1,8% 4,1% 4,1% -1,35% 3,3% 2,7% -20,38% Severity Index (SI) 0,0 45,0 20,0 -55,56% 57,3 29,8 -48,06% 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 0,00 122,40 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 1 0 -100,00% 4 3 -25,00% Unplanned Maternal Admission to ICU (%) 0,00% 1,37% 0,00% -100,00% 0,48% 0,36% -24,00% 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 0 2 0 -100,00% 7 5 -28,57% Neonatal Admissions to NICU (%) 0,00% 2,74% 0,00% -100,00% 0,84% 0,61% -27,62% APGAR score

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