Surgical care quality tool targets and results
| IOM measures | |||||||
| Safe | Effective | Patient-centred | Timely | Efficient | Equitable | ||
| Donabedian framework | Structure | Morbidity and mortality conference 0 (minimum 9 per year) | Attending surgeon present 98% (100%) | – | Travel time to hospital 31% <2 hours (80% <2 hours) | – | Patient median income to catchment population 1.1 (≤1) |
| Process | Safe surgery checklist use 0% (100%) | Procedure density 710/100 100 (5000/100 000) | Use of consent 74% (100%) | Time from ED arrival to non-elective abdominal surgery 7 hours (<24 hours) | Daily OR utilisation 45% (85%) | – | |
| Outcome | POMR 2.6% (1–2%) | Readmission rates within 30 days 3% (<10%) | Patient hospital satisfaction questionnaire 70% in 3/10 fields (70% across all fields) | Follow-up plan 47% (100%) | – | Catastrophic patient-reported expenditure 2.5% (0%) | |
Green highlights the indicators for which set targets were met. Red indicates the targets that were not met.
ED, Emergency Department; ED, emergency department; IOM, Institute of Medicine; OR, operating room; POMR, perioperative mortality rate.