NQMC Update Service: August 12, 2013 ► Australian Council on Healthcare Standards

NQMC Update Service: August 12, 2013

August 12, 2013

NQMC Update Service: August 12, 2013

Agency for Healthcare Research and Quality (AHRQ) sent this bulletin at 08/12/2013 12:00 PM EDT

August 12, 2013

New This Week

Measure Summaries

Australian Council on Healthcare Standards

• Cardiothoracic surgery: percentage of elective patients who die in the same admission as having CAGS, during the 6 month time period. This updates a previously published measure summary.

• Cardiothoracic surgery: percentage of patients aged 71 years or older who die in the same admission as having CAGS, during the 6 month time period. This updates a previously published measure summary.

• Cardiothoracic surgery: percentage of patients who die in the same admission as having CAGS, during the 6 month time period. This updates a previously published measure summary.

• General surgery: percentage of patients having a laparoscopic cholecystectomy with a bile duct injury requiring operative intervention, during the 6 month time period. This updates a previously published measure summary.

• Major critical incidents: percentage of inpatients assaulted by staff/visitors/other inpatients in an admission, during the 6 month time period.

• Major critical incidents: percentage of inpatients suffering significant other injuries in an admission, during the 6 month time period.

• Major critical incidents: percentage of inpatients who assault in an admission, during the 6 month time period.

• Major critical incidents: percentage of inpatients who assault twice or more in an admission, during the 6 month time period.

• Major critical incidents: percentage of inpatients who undertake significant self-mutilation in an admission, during the 6 month time period.

• Major critical incidents: percentage of inpatients with an attempted or actual suicide in an admission, during the 6 month time period.

• Mental health inpatient: percentage of acute inpatients undergoing non-maintenance ECT of more than 12 treatments, during the 6 month time period. This updates a previously published measure summary.

• Mental health inpatient: percentage of inpatient separations having physical restraint who experience major complications while under restraint, during the 6 month time period. This updates a previously published measure summary.

• Mental health inpatient: percentage of inpatient separations having seclusion who experience major complications while in seclusion, during the 6 month time period. This updates a previously published measure summary.

• Mental health inpatient: percentage of inpatient separations having seclusion who were not reviewed by sight by a medical practitioner or nurse on at least a half-hourly basis, during the 6 month time period. This updates a previously published measure summary.

• Mental health inpatient: percentage of inpatient separations who had seclusion for more than 4 hours in 1 episode, during the 6 month time period. This updates a previously published measure summary.

• Mental health inpatient: percentage of inpatient separations with a diagnosis on hospital discharge, which is recorded in the medical record, during the 6 month time period. This updates a previously published measure summary.

• Mental health inpatient: percentage of inpatient separations with an individual care plan, which is constructed and regularly reviewed with the consumer, during the 6 month time period. This updates a previously published measure summary.

• Mental health inpatient: percentage of inpatient separations with at least 1 episode of physical restraint, during the 6 month time period. This updates a previously published measure summary.

• Mental health inpatient: percentage of inpatient separations with at least 1 episode of seclusion during an admission, during the 6 month time period. This updates a previously published measure summary.

• Mental health inpatient: percentage of inpatient separations with at least 2 episodes of seclusion or in a 1 month period of an extended admission, during the 6 month time period. This updates a previously published measure summary.

• Mental health inpatient: percentage of inpatients allocated a diagnosis within 24 hours of admission, during the 6 month time period. This updates a previously published measure summary.

• Mental health inpatient: percentage of inpatients experiencing major medical complications while undergoing ECT, excluding maintenance ECT, during the 6 month time period. This updates a previously published measure summary.

• Mental health inpatient: percentage of inpatients in the acute unit with a length of stay greater than 30 days, during the 6 month time period. This updates a previously published measure summary.

• Mental health inpatient: percentage of inpatients on 3 or more psychotropic medications from 1 sub-group category at the time of discharge, during the 6 month time period. This updates a previously published measure summary.

• Mental health inpatient: percentage of inpatients who have a discharge summary or letter at the time of hospital discharge, during the 6 month time period. This updates a previously published measure summary.

• Mental health inpatient: percentage of inpatients who have a final discharge summary recorded in the medical record within 2 weeks of hospital discharge, during the 6 month time period. This updates a previously published measure summary.

• Mental health inpatient: percentage of inpatients who have a multidisciplinary review recorded every 3 months, during the 6 month time period. This updates a previously published measure summary.

• Mental health inpatient: percentage of inpatients with a complete documented physical examination within 48 hours of admission, during the 6 month time period. This updates a previously published measure summary.

• Mental health inpatient: percentage of voluntary inpatient admissions, during the 6 month time period. This updates a previously published measure summary.

• Mental health inpatient: the mean number of episodes of seclusion among inpatient separations having seclusion, during the 6 month time period. This updates a previously published measure summary.

• Mortality: percentage of inpatient deaths, during the 6 month time period.

• Neurosurgery: percentage of patients having a neurosurgical infection in hospital, excluding superficial wound infections, requiring nothing more than a single short course of antibiotics, during the 6 month time period. This updates a previously published measure summary.

• Neurosurgery: percentage of patients with a new neurological deficit following a neurosurgery procedure, during the 6 month time period. This updates a previously published measure summary.

• Orthopaedic surgery: percentage of patients undergoing primary total hip joint replacement (THJR) having a postoperative in hospital infection, during the 6 month time period. This updates a previously published measure summary.

• Otolaryngology: percentage of patients who have a significant reactionary haemorrhage following tonsillectomy, during the 6 month time period. This updates a previously published measure summary.

• Paediatric surgery: percentage of children with a pre-operative diagnosis of acute appendicitis who undergo appendicectomy with normal histology, but significant other intra-abdominal pathology, during the 6 month time period. This updates a previously published measure summary.

• Paediatric surgery: percentage of children with a pre-operative diagnosis of acute appendicitis who undergo appendicectomy with normal histology, during the 6 month time period. This updates a previously published measure summary.

• Paediatric surgery: percentage of patients having a pyloromyotomy in which mucosal perforation occurs and is detected at the time of the operation or later, during the 6 month time period. This updates a previously published measure summary.

• Plastic surgery: percentage of completely excised malignant skin tumours, during the 6 month time period. This updates a previously published measure summary.

• Readmissions to hospital: percentage of unplanned readmissions within 28 days of separation, during the 6 month time period.

• Urology: average number of patient days (from the first day after surgery) for all patients having a TUR for benign prostatomegaly (excluding patients having other procedures), during the 6 month time period. This updates a previously published measure summary.

• Urology: average operating time (minutes) for all patients undergoing a TUR for benign prostatomegaly, during the 6 month time period. This updates a previously published measure summary.

• Urology: average weight of tissue (grams) removed from all patients undergoing a TUR for benign prostatomegaly, during the 6 month time period.

• Urology: percentage of patients having a TUR for benign prostatomegaly who have a blood transfusion (intra-operatively or post-operatively) within the same admission, during the 6 month time period. This updates a previously published measure summary.

• Urology: percentage of patients having an unplanned readmission within 28 days of discharge following TUR for benign prostatomegaly, during the 6 month time period. This updates a previously published measure summary.

• Vascular surgery: percentage of patients having a carotid endarterectomy who have a stroke within the same admission, during the 6 month time period. This updates a previously published measure summary.

• Vascular surgery: percentage of patients having an elective abdominal aortic aneurysm (AAA) repair performed who die within the same admission, during the 6 month time period. This updates a previously published measure summary.