Table 4

Surgical care quality tool targets and results

IOM measures
SafeEffectivePatient-centredTimelyEfficientEquitable
Donabedian frameworkStructureMorbidity 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)
ProcessSafe 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%)
OutcomePOMR
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.