A: Performance domain | |||
Measure (definition) | Baseline data | Improvement Project | Aim statement |
Discharge timing
(percentage of discharges before 13:00) | 9% | Early discharges | Discharge 70% of patients before 13:00 by 30 June 2018 |
Skin injuries
(no of preventable injuries per week) | two per week | Skin injuries | Eliminate preventable skin injuries, including phlebitis, by 30 June 2018 |
Laboratory tests
(no of samples per patient per day) | 1.5 samples per patient per day | Laboratory tests | Reduce the no of laboratory tests by 20% by 30 June 2018 |
VTE risk assessment* (percentage of patients undergoing assessment on admission) | 5% | VTE risk assessment | Not taken for initial aim. Included later |
Blood sample rejection* (total no of samples rejected per week) | 2.4% | Blood samples rejection rate | Interventions included with laboratory tests project. Later incorporated separately on the box score |
Nursing satisfaction (Joy in Work)—a balancing measure
(percentage of nurses declaring ‘a good shift’) | 60% | Nursing Satisfaction (Joy in Work) | Balancing measure |
B: Capacity domain | |||
Measure (definition—percentage of total nursing hours) | Baseline data | Improvement Project | Aim statement |
Direct nursing hours
(hours spent in patient facing care) | 57% | Nursing care hours | Increase the percentage of time nurses spend in direct patient care by 30% by 30 June 2018 |
C: Cost domain | ||
Measure (definition—total spend per week) | Improvement project | Aim statement |
Consumables | Consumables cost | Reduce consumables cost by 20% by 30 June 2018 |
*Not all the initial measures triggered an improvement project at the beginning.
VTE, venous thromboembolism.