Institute Of Medicine measures | |||||||
Safe | Effective | Patient-centred | Timely | Efficient | Equitable | ||
Donabedian framework | Structure | Morbidity and mortality conference | Attending surgeon present (proxy for provider density) | – | Travel time to hospital | – | Patient median income to catchment population |
Process | Safe surgery checklist use | Procedure density | Use of consent | Time from ED arrival to non-elective abdominal surgery | Daily OR usage | – | |
Outcome | POMR | Readmission rates within 30 days (proxy for caesarean section rate) | Patient hospital satisfaction questionnaire | Follow-up plan | – | Catastrophic patient-reported expenditure |
ED, emergency department; IOM, Institute of Medicine; OR, operating room; POMR, perioperative mortality rate.