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% PEWS Chart Compliance
The percentage of PEWS charts/parameters that are completed correctly. (Local definitions of 'correct' may apply). EXAMPLE: ROYAL FREE Definition of compliance= age appropriate chart, observations charted correctly, scored correctly, acted upon and review documented on reverse i.e all must be correct EXAMPLE: SHEFFIELD CHILDRENS Ten PEWS Charts assessed for completion against ten different parameters monthly, with percentage defined as percentage of individual parameters completed correctly. Measure category: Process Measure: Number of PEWS Charts Completed Correctly Total Number of PEWS Charts Completed
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% SBAR Use at Handover The percentage of patients handed over in an SBAR format at any handover.
Measure category: Process Measure: Number of Individual Patient Handovers Using SBAR Total Number of Individual Patient Handovers
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% UNSAFE PICU Transfers
The percentage of PICU Transfers that were UNSAFE in each month. UNSAFE transfers are defined as: - Required intubated and ventilated - Started on ionotropes - Needed a large amount of fluid resuscitation Within the first hour of transfer to PICU. Measure category: Outcome Measure: Number of UNSAFE PICU Transfers Total PICU Transfers
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Cardiac Arrests Any cardiac arrests occurring on ward defined as staff having to use chest compression or a defibrillator on a patient. Measure category: Outcome Measure: Number of cardiac arrests
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Length of Stay (aggregate)
Average overall length of stay for inpatient admissions. Measure category: Outcome Measure: Average length of stay
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Medication Prescribing Error
This is a measure of the number of percentage of charts that are error free Measure category: Process Measure: Prescribing incorrect Prescriptions
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Mortality Any deaths on the ward. Measure category: Outcome Measure: Number of deaths
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Respiratory Arrests Any respiratory arrests occurring on ward defined as staff having to use a positive pressure ventilator on a patient. Measure category: Outcome Measure: Number of respiratory arrests
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Unplanned transfers to a higher level of care
Any change in allocation (upwards)/escalation of care and includes: transfers to High Dependency Unit, any increase in level of observation and any increase in staffing ratios for that patient. Measure category: Outcome Measure: Number of unplanned transfers
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