Table 1

Identified and analysed cases by month, as well as timing of PDSA cycles performed

Month	September 18	October 18	November 18	December 18	January 19	February 19	March 19	April 19	May 19	June 19	July 19	August 19	September 19	October 19	November 19	Total
Cases Identified (n)	10	11	9	5	12	3	10	11	2	6	6	8	4	14	2	113
Episode missing (n)	2	0	0	1	1	2	2	2	1	0	2	1	0	6	0	20
Meet exclusion criteria (n)	1	4	2	1	6	0	2	3	1	1	0	2	1	2	0	26
Final cases for analysis (n)	7	7	7	3	5	1	6	6	0	5	4	5	3	6	2	67
Checklist present (n)	0	0	1	0	1	0	0	1	0	4	4	3	0	4	1	19
Documented checklist use (n)	0	0	0	0	1	0	2	1	0	0	0	0	2	2	1	9
Checklist used (n)	0	0	1	0	2	0	2	2	0	4	4	3	2	6	2	28
Incidence of checklist use (%)	0	0	14.3	0	40	0	33.3	33.3	–	80	100	60	66.7	100	100	41.8
Month of PDSA cycles (cycle number)									1, 2	3