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Measure Archive

The Measure Archive is a complete list of summaries that have been withdrawn from the NQMC Web site. Information regarding a current NQMC summary, where available, is provided. The list is organized alphabetically by measure developer.
Measure Archive tabs, Withdrawn Withdrawn Updated

The list below identifies measures that have been updated.

NQMC currently contains 821 individual measure summaries that have been updated.

A   B   C   I   J   N   P   T   V   All
 
Accreditation Association for Ambulatory Health Care Institute for Quality Improvement, Performance Measurement Initiative, Colonoscopy Work Group (1)
1.  
Intra-procedure colonoscopy complication rate: percentage of patients who developed one or more intra-procedure complications. NQMC:000809
Source(s): AAAHC Institute for Quality Improvement. Procedure specific colonoscopy survey [Colonoscopy CPT-45378-45385]. Wilmette (IL): AAAHC Institute for Quality Improvement; 2003. 2 p.
Agency for Healthcare Research and Quality (106) (Web siteExternal Web Site Policy)
1.  
Abdominal aortic aneurysm (AAA) repair: mortality rate. NQMC:004072
Source(s): AHRQ quality indicators. Guide to inpatient quality indicators: quality of care in hospitals - volume, mortality, and utilization [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 91 p.
AHRQ quality indicators. Inpatient quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 37 p.
Current Measure Summary: Abdominal aortic aneurysm (AAA) repair: mortality rate. NQMC:005532
2.  
Abdominal aortic aneurysm (AAA) repair: volume. NQMC:004064
Source(s): AHRQ quality indicators. Guide to inpatient quality indicators: quality of care in hospitals - volume, mortality, and utilization [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 91 p.
AHRQ quality indicators. Inpatient quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 37 p.
Current Measure Summary: Abdominal aortic aneurysm (AAA) repair: volume. NQMC:005525
3.  
Accidental puncture or laceration (area-level): rate per 100,000 population. NQMC:004057
Source(s): AHRQ quality indicators. Guide to patient safety indicators [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 76 p. (AHRQ Pub; no. 03-R203). 
AHRQ quality indicators. Patient safety indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Mar 10. 107 p.
4.  
Accidental puncture or laceration (provider level): rate per 1,000 discharges. NQMC:004056
Source(s): AHRQ quality indicators. Guide to patient safety indicators [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 76 p. (AHRQ Pub; no. 03-R203). 
AHRQ quality indicators. Patient safety indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Mar 10. 107 p.
5.  
Accidental puncture or laceration: rate per 1,000 eligible discharges. NQMC:002327
Source(s): AHRQ quality indicators. Pediatric quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. various p.
McDonald K, Romano P, Davies S, Haberland C, Geppert J, Ku A, Choudhry K. Measures of pediatric health care quality based on hospital administrative data: the pediatric quality indicators. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2006 Sep. 130 p. [82 references]
6.  
Acute myocardial infarction (AMI): mortality rate, without transfer cases. NQMC:004077
Source(s): AHRQ quality indicators. Guide to inpatient quality indicators: quality of care in hospitals - volume, mortality, and utilization [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 91 p.
AHRQ quality indicators. Inpatient quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 37 p.
7.  
Acute myocardial infarction (AMI): mortality rate. NQMC:004076
Source(s): AHRQ quality indicators. Guide to inpatient quality indicators: quality of care in hospitals - volume, mortality, and utilization [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 91 p.
AHRQ quality indicators. Inpatient quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 37 p.
Current Measure Summary: Acute myocardial infarction (AMI): mortality rate. NQMC:005536
8.  
Acute stroke: mortality rate. NQMC:004079
Source(s): AHRQ quality indicators. Guide to inpatient quality indicators: quality of care in hospitals - volume, mortality, and utilization [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 91 p.
AHRQ quality indicators. Inpatient quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 37 p.
Current Measure Summary: Acute stroke: mortality rate. NQMC:005538
9.  
Adult asthma: hospital admission rate. NQMC:004106
Source(s): AHRQ quality indicators. Guide to prevention quality indicators: hospital admission for ambulatory care sensitive conditions [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 59 p. (AHRQ Pub; no. 02-R0203). 
AHRQ quality indicators. Prevention quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 22 p.
Current Measure Summary: Adult asthma: hospital admission rate. NQMC:005607
10.  
Asthma admission rate (area level): rate per 100,000 population. NQMC:002340
Source(s): AHRQ quality indicators. Pediatric quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. various p.
McDonald K, Romano P, Davies S, Haberland C, Geppert J, Ku A, Choudhry K. Measures of pediatric health care quality based on hospital administrative data: the pediatric quality indicators. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2006 Sep. 130 p. [82 references]
11.  
Bacterial pneumonia: hospital admission rate. NQMC:004102
Source(s): AHRQ quality indicators. Guide to prevention quality indicators: hospital admission for ambulatory care sensitive conditions [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 59 p. (AHRQ Pub; no. 02-R0203). 
AHRQ quality indicators. Prevention quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 22 p.
Current Measure Summary: Bacterial pneumonia: hospital admission rate. NQMC:005603
12.  
Birth trauma -- injury to neonate: rate per 1,000 liveborn births. NQMC:004058
Source(s): AHRQ quality indicators. Guide to patient safety indicators [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 76 p. (AHRQ Pub; no. 03-R203). 
AHRQ quality indicators. Patient safety indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Mar 10. 107 p.
13.  
Carotid endarterectomy (CEA): mortality rate. NQMC:004069
Source(s): AHRQ quality indicators. Guide to inpatient quality indicators: quality of care in hospitals - volume, mortality, and utilization [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 91 p.
AHRQ quality indicators. Inpatient quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 37 p.
Current Measure Summary: Carotid endarterectomy (CEA): mortality rate. NQMC:005529
14.  
Carotid endarterectomy (CEA): volume. NQMC:004068
Source(s): AHRQ quality indicators. Guide to inpatient quality indicators: quality of care in hospitals - volume, mortality, and utilization [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 91 p.
AHRQ quality indicators. Inpatient quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 37 p.
Current Measure Summary: Carotid endarterectomy (CEA): volume. NQMC:005528
15.  
Cholecystitis/cholelithiasis: laparoscopic cholecystectomy rate. NQMC:004087
Source(s): AHRQ quality indicators. Guide to inpatient quality indicators: quality of care in hospitals - volume, mortality, and utilization [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 91 p.
AHRQ quality indicators. Inpatient quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 37 p.
16.  
Chronic obstructive pulmonary disease (COPD): hospital admission rate. NQMC:004097
Source(s): AHRQ quality indicators. Guide to prevention quality indicators: hospital admission for ambulatory care sensitive conditions [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 59 p. (AHRQ Pub; no. 02-R0203). 
AHRQ quality indicators. Prevention quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 22 p.
17.  
Congestive heart failure (CHF): hospital admission rate. NQMC:004099
Source(s): AHRQ quality indicators. Guide to prevention quality indicators: hospital admission for ambulatory care sensitive conditions [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 59 p. (AHRQ Pub; no. 02-R0203). 
AHRQ quality indicators. Prevention quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 22 p.
18.  
Congestive heart failure (CHF): mortality rate. NQMC:004078
Source(s): AHRQ quality indicators. Guide to inpatient quality indicators: quality of care in hospitals - volume, mortality, and utilization [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 91 p.
AHRQ quality indicators. Inpatient quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 37 p.
Current Measure Summary: Congestive heart failure (CHF): mortality rate. NQMC:005537
19.  
Coronary artery bypass graft (CABG): volume. NQMC:004065
Source(s): AHRQ quality indicators. Guide to inpatient quality indicators: quality of care in hospitals - volume, mortality, and utilization [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 91 p.
AHRQ quality indicators. Inpatient quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 37 p.
Current Measure Summary: Coronary artery bypass graft (CABG): volume. NQMC:005526
20.  
Coronary artery disease: angina without procedure hospital admission rate. NQMC:004104
Source(s): AHRQ quality indicators. Guide to prevention quality indicators: hospital admission for ambulatory care sensitive conditions [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 59 p. (AHRQ Pub; no. 02-R0203). 
AHRQ quality indicators. Prevention quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 22 p.
21.  
Coronary artery disease: bilateral cardiac catheterization rate. NQMC:004089
Source(s): AHRQ quality indicators. Guide to inpatient quality indicators: quality of care in hospitals - volume, mortality, and utilization [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 91 p.
AHRQ quality indicators. Inpatient quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 37 p.
22.  
Coronary artery disease: coronary artery bypass graft (CABG) area rate. NQMC:004090
Source(s): AHRQ quality indicators. Guide to inpatient quality indicators: quality of care in hospitals - volume, mortality, and utilization [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 91 p.
AHRQ quality indicators. Inpatient quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 37 p.
23.  
Coronary artery disease: coronary artery bypass graft (CABG) mortality rate. NQMC:004073
Source(s): AHRQ quality indicators. Guide to inpatient quality indicators: quality of care in hospitals - volume, mortality, and utilization [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 91 p.
AHRQ quality indicators. Inpatient quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 37 p.
24.  
Coronary artery disease: percutaneous transluminal coronary angioplasty (PTCA) area rate. NQMC:004091
Source(s): AHRQ quality indicators. Guide to inpatient quality indicators: quality of care in hospitals - volume, mortality, and utilization [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 91 p.
AHRQ quality indicators. Inpatient quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 37 p.
25.  
Craniotomy: mortality rate. NQMC:004074
Source(s): AHRQ quality indicators. Guide to inpatient quality indicators: quality of care in hospitals - volume, mortality, and utilization [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 91 p.
AHRQ quality indicators. Inpatient quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 37 p.
Current Measure Summary: Craniotomy: mortality rate. NQMC:005534
26.  
Death among surgical inpatients with serious treatable complications: deaths per 1,000 discharges. NQMC:004042
Source(s): AHRQ quality indicators. Guide to patient safety indicators [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 76 p. (AHRQ Pub; no. 03-R203). 
AHRQ quality indicators. Patient safety indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Mar 10. 107 p.
27.  
Death in low-mortality DRGs: in-hospital deaths per 1,000 discharges. NQMC:004040
Source(s): AHRQ quality indicators. Guide to patient safety indicators [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 76 p. (AHRQ Pub; no. 03-R203). 
AHRQ quality indicators. Patient safety indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Mar 10. 107 p.
28.  
Decubitus ulcer: rate per 1,000 discharges. NQMC:004041
Source(s): AHRQ quality indicators. Guide to patient safety indicators [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 76 p. (AHRQ Pub; no. 03-R203). 
AHRQ quality indicators. Patient safety indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Mar 10. 107 p.
Current Measure Summary: Pressure ulcer: rate per 1,000 discharges. NQMC:005555
29.  
Decubitus ulcer: rate per 1,000 eligible admissions. NQMC:002328
Source(s): AHRQ quality indicators. Pediatric quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. various p.
McDonald K, Romano P, Davies S, Haberland C, Geppert J, Ku A, Choudhry K. Measures of pediatric health care quality based on hospital administrative data: the pediatric quality indicators. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2006 Sep. 130 p. [82 references]
Current Measure Summary: Pressure ulcer: rate per 1,000 eligible admissions. NQMC:005578
30.  
Dehydration: hospital admission rate. NQMC:004101
Source(s): AHRQ quality indicators. Guide to prevention quality indicators: hospital admission for ambulatory care sensitive conditions [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 59 p. (AHRQ Pub; no. 02-R0203). 
AHRQ quality indicators. Prevention quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 22 p.
Current Measure Summary: Dehydration: hospital admission rate. NQMC:005602
31.  
Diabetes mellitus: hospital admission rate for long-term complications. NQMC:004096
Source(s): AHRQ quality indicators. Guide to prevention quality indicators: hospital admission for ambulatory care sensitive conditions [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 59 p. (AHRQ Pub; no. 02-R0203). 
AHRQ quality indicators. Prevention quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 22 p.
32.  
Diabetes mellitus: hospital admission rate for short-term complications. NQMC:004094
Source(s): AHRQ quality indicators. Guide to prevention quality indicators: hospital admission for ambulatory care sensitive conditions [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 59 p. (AHRQ Pub; no. 02-R0203). 
AHRQ quality indicators. Prevention quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 22 p.
33.  
Diabetes mellitus: hospital admission rate for uncontrolled diabetes. NQMC:004105
Source(s): AHRQ quality indicators. Guide to prevention quality indicators: hospital admission for ambulatory care sensitive conditions [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 59 p. (AHRQ Pub; no. 02-R0203). 
AHRQ quality indicators. Prevention quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 22 p.
34.  
Diabetes mellitus: lower-extremity amputation rate. NQMC:004107
Source(s): AHRQ quality indicators. Guide to prevention quality indicators: hospital admission for ambulatory care sensitive conditions [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 59 p. (AHRQ Pub; no. 02-R0203). 
AHRQ quality indicators. Prevention quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 22 p.
Current Measure Summary: Diabetes mellitus: lower-extremity amputation rate. NQMC:005608
35.  
Diabetes short-term complications admission rate (area level): rate per 100,000 population. NQMC:002341
Source(s): AHRQ quality indicators. Pediatric quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. various p.
McDonald K, Romano P, Davies S, Haberland C, Geppert J, Ku A, Choudhry K. Measures of pediatric health care quality based on hospital administrative data: the pediatric quality indicators. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2006 Sep. 130 p. [82 references]
36.  
Esophageal cancer: esophageal resection mortality rate. NQMC:004070
Source(s): AHRQ quality indicators. Guide to inpatient quality indicators: quality of care in hospitals - volume, mortality, and utilization [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 91 p.
AHRQ quality indicators. Inpatient quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 37 p.
Current Measure Summary: Esophageal cancer: esophageal resection mortality rate. NQMC:005530
37.  
Esophageal resection: volume. NQMC:004062
Source(s): AHRQ quality indicators. Guide to inpatient quality indicators: quality of care in hospitals - volume, mortality, and utilization [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 91 p.
AHRQ quality indicators. Inpatient quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 37 p.
Current Measure Summary: Esophageal resection: volume. NQMC:005523
38.  
Foreign body left during procedure (area level): discharges per 100,000 population. NQMC:004434
Source(s): AHRQ quality indicators. Guide to patient safety indicators [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 76 p. (AHRQ Pub; no. 03-R203). 
AHRQ quality indicators. Patient safety indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Mar 10. 107 p.
39.  
Gastroenteritis admission rate (area level): rate per 100,000 population. NQMC:002342
Source(s): AHRQ quality indicators. Pediatric quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. various p.
McDonald K, Romano P, Davies S, Haberland C, Geppert J, Ku A, Choudhry K. Measures of pediatric health care quality based on hospital administrative data: the pediatric quality indicators. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2006 Sep. 130 p. [82 references]
40.  
Gastrointestinal (GI) hemorrhage: mortality rate. NQMC:004080
Source(s): AHRQ quality indicators. Guide to inpatient quality indicators: quality of care in hospitals - volume, mortality, and utilization [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 91 p.
AHRQ quality indicators. Inpatient quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 37 p.
Current Measure Summary: Gastrointestinal (GI) hemorrhage: mortality rate. NQMC:005539
41.  
Health plan members' experiences: percentage of adult health plan members who reported how often it was easy for them to get needed care. NQMC:003051
Source(s): CAHPS® health plan survey and reporting kit 2007. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2006 Nov 14. Various p.
CAHPS®: Surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2007 Sep 05]. [3 p].
42.  
Health plan members' experiences: percentage of adult health plan members who reported how often their personal doctor communicated well. NQMC:003053
Source(s): CAHPS® health plan survey and reporting kit 2007. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2006 Nov 14. Various p.
CAHPS®: Surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2007 Sep 05]. [3 p].
43.  
Health plan members' experiences: percentage of adult health plan members who reported how often they get care quickly. NQMC:003052
Source(s): CAHPS® health plan survey and reporting kit 2007. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2006 Nov 14. Various p.
CAHPS®: Surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2007 Sep 05]. [3 p].
44.  
Health plan members' experiences: percentage of adult health plan members who reported how often they were satisfied with their health plan information and customer service. NQMC:003054
Source(s): CAHPS® health plan survey and reporting kit 2007. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2006 Nov 14. Various p.
CAHPS®: Surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2007 Sep 05]. [3 p].
45.  
Health plan members' experiences: percentage of parents or guardians who reported how often it was easy for them to get needed care for their enrolled child. NQMC:003059
Source(s): CAHPS® health plan survey and reporting kit 2007. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2006 Nov 14. Various p.
CAHPS®: Surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2007 Sep 05]. [3 p].
46.  
Health plan members' experiences: percentage of parents or guardians who reported how often it was easy to get prescription medicines for their enrolled children with chronic conditions through their health plan. NQMC:003382
Source(s): CAHPS® health plan survey and reporting kit 2007. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2006 Nov 14. Various p.
CAHPS®: Surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2007 Sep 05]. [3 p].
47.  
Health plan members' experiences: percentage of parents or guardians who reported how often it was easy to get specialized services for their enrolled children with chronic conditions. NQMC:003383
Source(s): CAHPS® health plan survey and reporting kit 2007. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2006 Nov 14. Various p.
CAHPS®: Surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2007 Sep 05]. [3 p].
48.  
Health plan members' experiences: percentage of parents or guardians who reported how often their enrolled child got care quickly. NQMC:003060
Source(s): CAHPS® health plan survey and reporting kit 2007. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2006 Nov 14. Various p.
CAHPS®: Surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2007 Sep 05]. [3 p].
49.  
Health plan members' experiences: percentage of parents or guardians who reported how often their enrolled child's personal doctor communicated well. NQMC:003061
Source(s): CAHPS® health plan survey and reporting kit 2007. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2006 Nov 14. Various p.
CAHPS®: Surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2007 Sep 05]. [3 p].
50.  
Health plan members' experiences: percentage of parents or guardians who reported how often they were satisfied with their enrolled child's health plan information and customer service. NQMC:003062
Source(s): CAHPS® health plan survey and reporting kit 2007. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2006 Nov 14. Various p.
CAHPS®: Surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2007 Sep 05]. [3 p].
51.  
Health plan members' experiences: percentage of parents or guardians who reported their experiences with getting needed information about their children's care for their enrolled children with chronic conditions. NQMC:003386
Source(s): CAHPS® health plan survey and reporting kit 2007. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2006 Nov 14. Various p.
CAHPS®: Surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2007 Sep 05]. [3 p].
52.  
Health plan members' experiences: percentage of parents or guardians who reported their experiences with shared decision-making for their enrolled children with chronic conditions. NQMC:003385
Source(s): CAHPS® health plan survey and reporting kit 2007. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2006 Nov 14. Various p.
CAHPS®: Surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2007 Sep 05]. [3 p].
53.  
Health plan members' experiences: percentage of parents or guardians who reported their experiences with their children's personal doctor or nurse for their enrolled children with chronic conditions. NQMC:003384
Source(s): CAHPS® health plan survey and reporting kit 2007. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2006 Nov 14. Various p.
CAHPS®: Surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2007 Sep 05]. [3 p].
54.  
Health plan members' experiences: percentage of parents or guardians who reported they received assistance with coordination of care and services for their enrolled children with chronic conditions. NQMC:003387
Source(s): CAHPS® health plan survey and reporting kit 2007. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2006 Nov 14. Various p.
CAHPS®: Surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2007 Sep 05]. [3 p].
55.  
Health plan members' satisfaction with care: adult health plan members' overall ratings of their health care. NQMC:003055
Source(s): CAHPS® health plan survey and reporting kit 2007. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2006 Nov 14. Various p.
CAHPS®: Surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2007 Sep 05]. [3 p].
56.  
Health plan members' satisfaction with care: adult health plan members' overall ratings of their health plan. NQMC:003058
Source(s): CAHPS® health plan survey and reporting kit 2007. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2006 Nov 14. Various p.
CAHPS®: Surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2007 Sep 05]. [3 p].
57.  
Health plan members' satisfaction with care: adult health plan members' overall ratings of their personal doctor. NQMC:003056
Source(s): CAHPS® health plan survey and reporting kit 2007. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2006 Nov 14. Various p.
CAHPS®: Surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2007 Sep 05]. [3 p].
58.  
Health plan members' satisfaction with care: adult health plan members' overall ratings of their specialist. NQMC:003057
Source(s): CAHPS® health plan survey and reporting kit 2007. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2006 Nov 14. Various p.
CAHPS®: Surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2007 Sep 05]. [3 p].
59.  
Health plan members' satisfaction with care: parents' or guardians' overall ratings of their children's health care. NQMC:003063
Source(s): CAHPS® health plan survey and reporting kit 2007. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2006 Nov 14. Various p.
CAHPS®: Surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2007 Sep 05]. [3 p].
60.  
Health plan members' satisfaction with care: parents' or guardians' overall ratings of their children's health plan. NQMC:003066
Source(s): CAHPS® health plan survey and reporting kit 2007. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2006 Nov 14. Various p.
CAHPS®: Surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2007 Sep 05]. [3 p].
61.  
Health plan members' satisfaction with care: parents' or guardians' overall ratings of their children's personal doctor. NQMC:003064
Source(s): CAHPS® health plan survey and reporting kit 2007. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2006 Nov 14. Various p.
CAHPS®: Surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2007 Sep 05]. [3 p].
62.  
Health plan members' satisfaction with care: parents' or guardians' overall ratings of their children's specialist. NQMC:003065
Source(s): CAHPS® health plan survey and reporting kit 2007. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2006 Nov 14. Various p.
CAHPS®: Surveys and tools to advance patient-centered care [https://www.cahps.ahrq.gov/default.asp]. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [updated 2008 Feb 21]; [accessed 2007 Sep 05]. [3 p].
63.  
Hip fracture: mortality rate. NQMC:004081
Source(s): AHRQ quality indicators. Guide to inpatient quality indicators: quality of care in hospitals - volume, mortality, and utilization [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 91 p.
AHRQ quality indicators. Inpatient quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 37 p.
Current Measure Summary: Hip fracture: mortality rate. NQMC:005540
64.  
Hip osteoarthrosis: hip replacement mortality rate. NQMC:004075
Source(s): AHRQ quality indicators. Guide to inpatient quality indicators: quality of care in hospitals - volume, mortality, and utilization [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 91 p.
AHRQ quality indicators. Inpatient quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 37 p.
Current Measure Summary: Hip osteoarthrosis: hip replacement mortality rate. NQMC:005535
65.  
Hypertension: hospital admission rate. NQMC:004098
Source(s): AHRQ quality indicators. Guide to prevention quality indicators: hospital admission for ambulatory care sensitive conditions [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 59 p. (AHRQ Pub; no. 02-R0203). 
AHRQ quality indicators. Prevention quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 22 p.
Current Measure Summary: Hypertension: hospital admission rate. NQMC:005599
66.  
Hysterectomy: hysterectomy area rate. NQMC:004092
Source(s): AHRQ quality indicators. Guide to inpatient quality indicators: quality of care in hospitals - volume, mortality, and utilization [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 91 p.
AHRQ quality indicators. Inpatient quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 37 p.
Current Measure Summary: Hysterectomy: hysterectomy area rate. NQMC:005549
67.  
Iatrogenic pneumothorax (area-level): rate per 100,000 population. NQMC:004044
Source(s): AHRQ quality indicators. Guide to patient safety indicators [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 76 p. (AHRQ Pub; no. 03-R203). 
AHRQ quality indicators. Patient safety indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Mar 10. 107 p.
68.  
Iatrogenic pneumothorax (provider-level): rate per 1,000 discharges. NQMC:004043
Source(s): AHRQ quality indicators. Guide to patient safety indicators [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 76 p. (AHRQ Pub; no. 03-R203). 
AHRQ quality indicators. Patient safety indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Mar 10. 107 p.
69.  
Iatrogenic pneumothorax in non-neonates: rate per 1,000 eligible admissions. NQMC:002331
Source(s): AHRQ quality indicators. Pediatric quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. various p.
McDonald K, Romano P, Davies S, Haberland C, Geppert J, Ku A, Choudhry K. Measures of pediatric health care quality based on hospital administrative data: the pediatric quality indicators. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2006 Sep. 130 p. [82 references]
70.  
Incidental appendectomy: incidental appendectomy among the elderly rate. NQMC:004088
Source(s): AHRQ quality indicators. Guide to inpatient quality indicators: quality of care in hospitals - volume, mortality, and utilization [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 91 p.
AHRQ quality indicators. Inpatient quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 37 p.
71.  
Laminectomy or spinal fusion: laminectomy or spinal fusion area rate. NQMC:004093
Source(s): AHRQ quality indicators. Guide to inpatient quality indicators: quality of care in hospitals - volume, mortality, and utilization [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 91 p.
AHRQ quality indicators. Inpatient quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 37 p.
72.  
Low birth weight: rate of infants with low birth weight. NQMC:004100
Source(s): AHRQ quality indicators. Guide to prevention quality indicators: hospital admission for ambulatory care sensitive conditions [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 59 p. (AHRQ Pub; no. 02-R0203). 
AHRQ quality indicators. Prevention quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 22 p.
73.  
Maternity care: Cesarean delivery rate. NQMC:004083
Source(s): AHRQ quality indicators. Guide to inpatient quality indicators: quality of care in hospitals - volume, mortality, and utilization [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 91 p.
AHRQ quality indicators. Inpatient quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 37 p.
Current Measure Summary: Maternity care: Cesarean delivery rate. NQMC:005542
74.  
Maternity care: primary Cesarean delivery rate. NQMC:004084
Source(s): AHRQ quality indicators. Guide to inpatient quality indicators: quality of care in hospitals - volume, mortality, and utilization [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 91 p.
AHRQ quality indicators. Inpatient quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 37 p.
Current Measure Summary: Maternity care: primary Cesarean delivery rate. NQMC:005552
75.  
Maternity care: vaginal birth after Cesarean (VBAC) rate, all. NQMC:004086
Source(s): AHRQ quality indicators. Guide to inpatient quality indicators: quality of care in hospitals - volume, mortality, and utilization [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 91 p.
AHRQ quality indicators. Inpatient quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 37 p.
76.  
Maternity care: vaginal birth after Cesarean (VBAC) rate, uncomplicated. NQMC:004085
Source(s): AHRQ quality indicators. Guide to inpatient quality indicators: quality of care in hospitals - volume, mortality, and utilization [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 91 p.
AHRQ quality indicators. Inpatient quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 37 p.
77.  
Obstetric trauma (3rd or 4th degree lacerations): rate per 1,000 instrument-assisted vaginal deliveries. NQMC:004059
Source(s): AHRQ quality indicators. Guide to patient safety indicators [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 76 p. (AHRQ Pub; no. 03-R203). 
AHRQ quality indicators. Patient safety indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Mar 10. 107 p.
78.  
Obstetric trauma (3rd or 4th degree lacerations): rate per 1,000 vaginal deliveries without instrument assistance. NQMC:004060
Source(s): AHRQ quality indicators. Guide to patient safety indicators [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 76 p. (AHRQ Pub; no. 03-R203). 
AHRQ quality indicators. Patient safety indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Mar 10. 107 p.
79.  
Pancreatic cancer: pancreatic resection mortality rate. NQMC:004071
Source(s): AHRQ quality indicators. Guide to inpatient quality indicators: quality of care in hospitals - volume, mortality, and utilization [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 91 p.
AHRQ quality indicators. Inpatient quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 37 p.
Current Measure Summary: Pancreatic cancer: pancreatic resection mortality rate. NQMC:005531
80.  
Pancreatic resection: volume. NQMC:004063
Source(s): AHRQ quality indicators. Guide to inpatient quality indicators: quality of care in hospitals - volume, mortality, and utilization [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 91 p.
AHRQ quality indicators. Inpatient quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 37 p.
Current Measure Summary: Pancreatic resection: volume. NQMC:005524
81.  
Pediatric heart surgery mortality: number of in-hospital deaths in patients undergoing surgery for congenital heart disease per 1,000 patients. NQMC:002332
Source(s): AHRQ quality indicators. Pediatric quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. various p.
McDonald K, Romano P, Davies S, Haberland C, Geppert J, Ku A, Choudhry K. Measures of pediatric health care quality based on hospital administrative data: the pediatric quality indicators. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2006 Sep. 130 p. [82 references]
82.  
Pediatric heart surgery: volume. NQMC:002333
Source(s): AHRQ quality indicators. Pediatric quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. various p.
McDonald K, Romano P, Davies S, Haberland C, Geppert J, Ku A, Choudhry K. Measures of pediatric health care quality based on hospital administrative data: the pediatric quality indicators. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2006 Sep. 130 p. [82 references]
Current Measure Summary: Pediatric heart surgery: volume. NQMC:005581
83.  
Percutaneous transluminal coronary angioplasty (PTCA): mortality rate. NQMC:004067
Source(s): AHRQ quality indicators. Guide to inpatient quality indicators: quality of care in hospitals - volume, mortality, and utilization [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 91 p.
AHRQ quality indicators. Inpatient quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 37 p.
84.  
Percutaneous transluminal coronary angioplasty (PTCA): volume. NQMC:004066
Source(s): AHRQ quality indicators. Guide to inpatient quality indicators: quality of care in hospitals - volume, mortality, and utilization [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 91 p.
AHRQ quality indicators. Inpatient quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 37 p.
85.  
Perforated appendix admission rate (area level): number of patients admitted for perforated appendix per 100 admissions for appendicitis within an area. NQMC:002343
Source(s): AHRQ quality indicators. Pediatric quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. various p.
McDonald K, Romano P, Davies S, Haberland C, Geppert J, Ku A, Choudhry K. Measures of pediatric health care quality based on hospital administrative data: the pediatric quality indicators. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2006 Sep. 130 p. [82 references]
86.  
Perforated appendix: hospital admission rate. NQMC:004095
Source(s): AHRQ quality indicators. Guide to prevention quality indicators: hospital admission for ambulatory care sensitive conditions [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 59 p. (AHRQ Pub; no. 02-R0203). 
AHRQ quality indicators. Prevention quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 22 p.
Current Measure Summary: Perforated appendix: hospital admission rate. NQMC:005596
87.  
Pneumonia: mortality rate. NQMC:004082
Source(s): AHRQ quality indicators. Guide to inpatient quality indicators: quality of care in hospitals - volume, mortality, and utilization [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 91 p.
AHRQ quality indicators. Inpatient quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 37 p.
Current Measure Summary: Pneumonia: mortality rate. NQMC:005541
88.  
Postoperative hemorrhage and hematoma: rate per 1,000 eligible admissions. NQMC:002334
Source(s): AHRQ quality indicators. Pediatric quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. various p.
McDonald K, Romano P, Davies S, Haberland C, Geppert J, Ku A, Choudhry K. Measures of pediatric health care quality based on hospital administrative data: the pediatric quality indicators. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2006 Sep. 130 p. [82 references]
89.  
Postoperative hemorrhage or hematoma requiring a procedure (area-level): rate per 100,000 population. NQMC:004049
Source(s): AHRQ quality indicators. Guide to patient safety indicators [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 76 p. (AHRQ Pub; no. 03-R203). 
AHRQ quality indicators. Patient safety indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Mar 10. 107 p.
90.  
Postoperative hemorrhage or hematoma requiring a procedure (provider level): rate per 1,000 surgical discharges. NQMC:004048
Source(s): AHRQ quality indicators. Guide to patient safety indicators [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 76 p. (AHRQ Pub; no. 03-R203). 
AHRQ quality indicators. Patient safety indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Mar 10. 107 p.
91.  
Postoperative hip fracture: rate per 1,000 surgical discharges. NQMC:004047
Source(s): AHRQ quality indicators. Guide to patient safety indicators [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 76 p. (AHRQ Pub; no. 03-R203). 
AHRQ quality indicators. Patient safety indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Mar 10. 107 p.
92.  
Postoperative physiologic and metabolic derangement: rate per 1,000 elective surgical discharges with an operating room procedure. NQMC:004050
Source(s): AHRQ quality indicators. Guide to patient safety indicators [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 76 p. (AHRQ Pub; no. 03-R203). 
AHRQ quality indicators. Patient safety indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Mar 10. 107 p.
93.  
Postoperative pulmonary embolism or deep vein thrombosis: rate per 1,000 surgical discharges with an operating room procedure. NQMC:004052
Source(s): AHRQ quality indicators. Guide to patient safety indicators [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 76 p. (AHRQ Pub; no. 03-R203). 
AHRQ quality indicators. Patient safety indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Mar 10. 107 p.
94.  
Postoperative respiratory failure: rate per 1,000 elective surgical discharges with an operating room procedure. NQMC:004051
Source(s): AHRQ quality indicators. Guide to patient safety indicators [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 76 p. (AHRQ Pub; no. 03-R203). 
AHRQ quality indicators. Patient safety indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Mar 10. 107 p.
95.  
Postoperative respiratory failure: rate per 1,000 eligible admissions. NQMC:002335
Source(s): AHRQ quality indicators. Pediatric quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. various p.
McDonald K, Romano P, Davies S, Haberland C, Geppert J, Ku A, Choudhry K. Measures of pediatric health care quality based on hospital administrative data: the pediatric quality indicators. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2006 Sep. 130 p. [82 references]
96.  
Postoperative sepsis: rate per 1,000 elective surgery discharges with an operating room procedure and a length of stay of 4 days or more. NQMC:004053
Source(s): AHRQ quality indicators. Guide to patient safety indicators [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 76 p. (AHRQ Pub; no. 03-R203). 
AHRQ quality indicators. Patient safety indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Mar 10. 107 p.
97.  
Postoperative sepsis: rate per 1,000 eligible admissions. NQMC:002336
Source(s): AHRQ quality indicators. Pediatric quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. various p.
McDonald K, Romano P, Davies S, Haberland C, Geppert J, Ku A, Choudhry K. Measures of pediatric health care quality based on hospital administrative data: the pediatric quality indicators. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2006 Sep. 130 p. [82 references]
98.  
Postoperative wound dehiscence (area-level): rate of reclosure of post operative disruption of abdominal wall per 100,000 population. NQMC:004055
Source(s): AHRQ quality indicators. Guide to patient safety indicators [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 76 p. (AHRQ Pub; no. 03-R203). 
AHRQ quality indicators. Patient safety indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Mar 10. 107 p.
99.  
Postoperative wound dehiscence (provider-level): rate of reclosure of postoperative disruption of abdominal wall per 1,000 cases of abdominopelvic surgery. NQMC:004054
Source(s): AHRQ quality indicators. Guide to patient safety indicators [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 76 p. (AHRQ Pub; no. 03-R203). 
AHRQ quality indicators. Patient safety indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Mar 10. 107 p.
100.  
Postoperative wound dehiscence: number of abdominopelvic surgery patients with disruption of abdominal wall per 1,000 eligible admissions. NQMC:002337
Source(s): AHRQ quality indicators. Pediatric quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. various p.
McDonald K, Romano P, Davies S, Haberland C, Geppert J, Ku A, Choudhry K. Measures of pediatric health care quality based on hospital administrative data: the pediatric quality indicators. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2006 Sep. 130 p. [82 references]
101.  
Selected infection due to medical care: rate per 1,000 eligible admissions. NQMC:002338
Source(s): AHRQ quality indicators. Pediatric quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. various p.
McDonald K, Romano P, Davies S, Haberland C, Geppert J, Ku A, Choudhry K. Measures of pediatric health care quality based on hospital administrative data: the pediatric quality indicators. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2006 Sep. 130 p. [82 references]
102.  
Selected infections due to medical care (area-level): rate per 100,000 population. NQMC:004046
Source(s): AHRQ quality indicators. Guide to patient safety indicators [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 76 p. (AHRQ Pub; no. 03-R203). 
AHRQ quality indicators. Patient safety indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Mar 10. 107 p.
103.  
Selected infections due to medical care (provider level): rate per 1,000 discharges. NQMC:004045
Source(s): AHRQ quality indicators. Guide to patient safety indicators [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 76 p. (AHRQ Pub; no. 03-R203). 
AHRQ quality indicators. Patient safety indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Mar 10. 107 p.
104.  
Transfusion reaction (area-level): rate per 100,000 population. NQMC:004435
Source(s): AHRQ quality indicators. Guide to patient safety indicators [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 76 p. (AHRQ Pub; no. 03-R203). 
AHRQ quality indicators. Patient safety indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Mar 10. 107 p.
105.  
Urinary tract infection (UTI) admission rate (area level): rate per 100,000 population. NQMC:002344
Source(s): AHRQ quality indicators. Pediatric quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. various p.
McDonald K, Romano P, Davies S, Haberland C, Geppert J, Ku A, Choudhry K. Measures of pediatric health care quality based on hospital administrative data: the pediatric quality indicators. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2006 Sep. 130 p. [82 references]
106.  
Urinary tract infection: hospital admission rate. NQMC:004103
Source(s): AHRQ quality indicators. Guide to prevention quality indicators: hospital admission for ambulatory care sensitive conditions [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 59 p. (AHRQ Pub; no. 02-R0203). 
AHRQ quality indicators. Prevention quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. 22 p.
Current Measure Summary: Urinary tract infection: hospital admission rate. NQMC:005604
American Association of Cardiovascular and Pulmonary Rehabilitation/American College of Cardiology Foundation/American Heart Association (2)
1.  
Cardiac rehabilitation: percentage of eligible inpatients with a qualifying event/diagnosis who have been referred to an outpatient cardiac rehabilitation program prior to hospital discharge or have a documented medical or patient-centered reason why such a referral was not made. NQMC:003771
Source(s): Thomas RJ, King M, Lui K, Oldridge N, Pina IL, Spertus J, ACC/AHA Task Force Members. AACVPR/ACC/AHA 2007 performance measures on cardiac rehabilitation for referral to and delivery of cardiac rehabilitation/secondary prevention services. J Cardiopulm Rehabil Prev 2007 Sep-Oct;27(5):260-90. [74 references] PubMed External Web Site Policy
Thomas RJ, King M, Lui K, Oldridge N, Pina IL, Spertus J, American Association of Cardiovascular and Pulmonary Rehabilitation/American. AACVPR/ACC/AHA 2007 performance measures on cardiac rehabilitation for referral to and delivery of cardiac rehabilitation/secondary prevention services. Circulation 2007 Oct 2;116(14):1611-42. [74 references] PubMed External Web Site Policy
Thomas RJ, King M, Lui K, Oldridge N, Pina IL, Spertus J, Bonow RO, Estes NA 3rd, Goff DC, Grady KL, Hiniker AR, Masoudi FA, Radford MJ, Rumsfeld JS, Whitman GR, AACVPR, ACC, AHA, American College of Chest Physicians, American College of Sports Medicine, American Physical Therapy Association, Canadian Association of Cardiac Rehabilitation, European Association for Cardiovascular Prevention and Rehabilitation, Inter-American Heart Foundation, National Association of Clinical Nurse Specialists, Preventive Cardiovascular Nurses Association, Society of Thoracic Surgeons. AACVPR/ACC/AHA 2007 performance measures on cardiac rehabilitation for referral to and delivery of cardiac rehabilitation/secondary prevention services. J Am Coll Cardiol 2007 Oct 2;50(14):1400-33. [74 references] PubMed External Web Site Policy
2.  
Cardiac rehabilitation: percentage of patients in an outpatient clinical practice who have had a qualifying event/diagnosis during the previous 12 months, who have been referred to an outpatient cardiac rehabilitation program. NQMC:003772
Source(s): Thomas RJ, King M, Lui K, Oldridge N, Pina IL, Spertus J, ACC/AHA Task Force Members. AACVPR/ACC/AHA 2007 performance measures on cardiac rehabilitation for referral to and delivery of cardiac rehabilitation/secondary prevention services. J Cardiopulm Rehabil Prev 2007 Sep-Oct;27(5):260-90. [74 references] PubMed External Web Site Policy
Thomas RJ, King M, Lui K, Oldridge N, Pina IL, Spertus J, American Association of Cardiovascular and Pulmonary Rehabilitation/American. AACVPR/ACC/AHA 2007 performance measures on cardiac rehabilitation for referral to and delivery of cardiac rehabilitation/secondary prevention services. Circulation 2007 Oct 2;116(14):1611-42. [74 references] PubMed External Web Site Policy
Thomas RJ, King M, Lui K, Oldridge N, Pina IL, Spertus J, Bonow RO, Estes NA 3rd, Goff DC, Grady KL, Hiniker AR, Masoudi FA, Radford MJ, Rumsfeld JS, Whitman GR, AACVPR, ACC, AHA, American College of Chest Physicians, American College of Sports Medicine, American Physical Therapy Association, Canadian Association of Cardiac Rehabilitation, European Association for Cardiovascular Prevention and Rehabilitation, Inter-American Heart Foundation, National Association of Clinical Nurse Specialists, Preventive Cardiovascular Nurses Association, Society of Thoracic Surgeons. AACVPR/ACC/AHA 2007 performance measures on cardiac rehabilitation for referral to and delivery of cardiac rehabilitation/secondary prevention services. J Am Coll Cardiol 2007 Oct 2;50(14):1400-33. [74 references] PubMed External Web Site Policy
Australian Council on Healthcare Standards (279)
1.  
Access and exit block to the ICU: percentage of appropriate patients referred to an intensive care unit, who are not admitted to the unit because of inadequate resources, during the 6 month time period. NQMC:005813
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
2.  
Access and exit block to the ICU: percentage of elective surgical cases deferred or cancelled due to the lack of ICU/HDU bed, during the 6 month time period. NQMC:005814
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
3.  
Access and exit block to the ICU: percentage of patients discharged from the intensive care unit (ICU) between 6pm and 6am, during the 6 month time period. NQMC:005817
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
4.  
Access and exit block to the ICU: percentage of patients who were transferred to another facility/area/ICU due to unavailability of an ICU bed, during the 6 month time period. NQMC:005815
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
5.  
Access and exit block to the ICU: percentage of patients whose discharge from the intensive care unit (ICU) was delayed more than 12 hours, during the 6 month time period. NQMC:005816
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
6.  
Access block: percentage of mental health or critical care patients who waited greater than 4 hours in the emergency department (ED) after the time of decision to admit them, during the 6 month time period. NQMC:005715
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
7.  
Access block: percentage of patients who were admitted or planned for admission but discharged from the emergency department (ED) without reaching an inpatient bed, transferred to another hospital for admission, or died in the ED whose total ED time exceeded 8 hours, during the 6 month time period. NQMC:005714
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
8.  
Acute myocardial infarction (AMI): percentage of patients with an AMI requiring thrombolysis who receive thrombolytic therapy within 1 hour of presentation to the emergency department, as their primary treatment, during the 6 month time period. NQMC:005712
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
9.  
Acute myocardial infarction (AMI): percentage of patients with an AMI who receive PTCA as their primary treatment and have balloon inflation within 1 hour of presentation to the emergency department, during the 6 month time period. NQMC:005713
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
10.  
Aged care: percentage of general medical patients 65 years and over who have a documented vitamin D deficiency who are prescribed vitamin D, during the 6 month time period. NQMC:005833
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
11.  
Aged care: percentage of medical patients 65 years and older who have had their cognition assessed using a validated tool such as the Abbreviated Mental Test Score (AMTS) or Mini Mental State Examination (MMSE), during the 6 month time period. NQMC:005831
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
12.  
Aged care: percentage of patients admitted to geriatric medicine or geriatric rehabilitation unit for whom there is documented objective assessment of physical function on admission and at least once more during the inpatient stay, during the 6 month time period. NQMC:005832
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
13.  
Anatomical pathology: percentage of validated large biopsy results with a turnaround time (collected to validated time) less than 96 hours, during the 1 to 2 week time period. NQMC:005957
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
14.  
Anatomical pathology: percentage of validated large biopsy results with a turnaround time (received to validated time) less than 92 hours, during the 1 to 2 week time period. NQMC:005955
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
15.  
Anatomical pathology: percentage of validated small biopsy results with a turnaround time (collected to validated time) less than 48 hours, during the 1 to 2 week time period. NQMC:005956
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
16.  
Anatomical pathology: percentage of validated small biopsy results with a turnaround time (received to validated time) less than 44 hours, during the 1 to 2 week time period. NQMC:005954
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
17.  
Antibiotic prophylaxis: percentage of patients who undergo hysterectomy who receive antibiotic prophylaxis prior to surgery, during the 6 month time period. NQMC:005734
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
18.  
Asthma: the average length of stay for all episodes of children admitted with a primary diagnosis of asthma, during the 6 month time period, excluding same day admissions. NQMC:005940
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
19.  
Asthma: the average length of stay for all episodes of children admitted with a primary diagnosis of asthma, during the 6 month time period. NQMC:005939
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
20.  
Blood transfusion: percentage of red blood cell (RBC) transfusion episodes when the HB reading is 100g/L or more, during the 6 month time period. NQMC:005760
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
21.  
Blood transfusion: percentage of significant adverse transfusion events related to a blood transfusion episode, during the 6 month time period. NQMC:005758
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
22.  
Blood transfusion: percentage of transfusion episodes where informed patient consent was not documented, during the 6 month time period. NQMC:005759
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
23.  
Cancellation of booked procedures: percentage of patients booked into a day procedure facility who fail to arrive, during the 6 month time period. NQMC:005683
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
24.  
Cancellation of booked procedures: percentage of patients booked into a day procedure facility, whose procedure is cancelled after their arrival at the facility, due to a pre-existing medical condition, during the 6 month time period. NQMC:005684
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
25.  
Cancellation of booked procedures: percentage of patients booked into a day procedure facility, whose procedure is cancelled after their arrival at the facility, due to administrative/organisational reasons, during the 6 month time period. NQMC:005686
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
26.  
Cancellation of booked procedures: percentage of patients booked into a day procedure facility, whose procedure is cancelled after their arrival at the facility, due to an acute medical condition, during the 6 month time period. NQMC:005685
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
27.  
Cardiothoracic surgery: percentage of elective patients who die in the same admission as having coronary artery graft surgery (CAGS), during the 6 month time period. NQMC:005991
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
28.  
Cardiothoracic surgery: percentage of patients aged 71 years or greater who die in the same admission as having coronary artery graft surgery (CAGS), during the 6 month time period. NQMC:005992
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
29.  
Cardiothoracic surgery: percentage of patients who die in the same admission as having coronary artery graft surgery (CAGS), during the 6 month time period. NQMC:005990
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
30.  
Cardiovascular disease: percentage of inpatients undergoing coronary artery bypass grafts (CABGs) within 24 hours of percutaneous transluminal coronary angioplasty (PCTA) (with or without stenting) in the same admission, during the 6 month time period. NQMC:005826
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
31.  
Cardiovascular disease: percentage of patients discharged with a diagnosis of congestive heart failure and atrial fibrillation who have no contraindication to the use of warfarin, who are prescribed warfarin, during the 6 month time period. NQMC:005822
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
32.  
Cardiovascular disease: percentage of patients discharged with a diagnosis of congestive heart failure who have no contraindications to the use of an ACE Inhibitor (ACEI) or Angiotensin II Receptor Antagonist (A2RA) who are prescribed an ACEI or A2RA, during the 6 month time period. NQMC:005820
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
33.  
Cardiovascular disease: percentage of patients discharged with a diagnosis of congestive heart failure who have no contraindications to the use of beta blockers and who are prescribed beta blocker therapy, during the 6 month time period. NQMC:005821
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
34.  
Cardiovascular disease: percentage of patients discharged with any diagnosis of congestive heart failure who are referred for chronic disease management service that includes physical rehabilitation, during the 6 month time period. NQMC:005823
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
35.  
Cardiovascular disease: percentage of patients with acute myocardial infarction (AMI) requiring thrombolysis who receive thrombolytic therapy within 1 hour of presentation to the hospital, during the 6 month time period. NQMC:005824
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
36.  
Cardiovascular disease: percentage of vessels in which percutaneous transluminal coronary angioplasty (PTCA) (with or without stenting) is undertaken where primary success, as defined, is achieved, during the 6 month time period. NQMC:005825
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
37.  
Care planning: percentage of carers involved in developing care plans, during the 6 month time period. NQMC:005851
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
38.  
Care planning: percentage of consumers with current completed care plans (including consumer involvement and signature) in the file, during the 6 month time period. NQMC:005850
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
39.  
Cataract surgery: percentage of patients having a discharge intention of 1 day, who had an overnight admission following cataract surgery, during the 6 month time period. NQMC:005902
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
40.  
Cataract surgery: percentage of patients having a readmission within 28 days of discharge following cataract surgery, due to endophthalmitis in the operated eye, during the 6 month time period. NQMC:005901
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
41.  
Cataract surgery: percentage of patients having an anterior vitrectomy at the time of cataract surgery, during the 6 month time period. NQMC:005903
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
42.  
Cataract surgery: percentage of readmissions (related to the operated eye) within 28 days of discharge following cataract surgery, during the 6 month time period. NQMC:005900
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
43.  
Central line-associated blood stream infection (CLAB) rate: percentage of paediatric intensive care unit (ICU)-associated centrally-inserted central line-associated blood stream infection (CI-CLAB), during the 6 month time period. NQMC:004708
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2009. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2009 Jan. 853 p.
44.  
Central line-associated blood stream infection (CLAB): percentage of haematology unit-related centrally-inserted central line-associated blood stream infection (CI-CLAB), during the 6 month time period. NQMC:004712
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2009. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2009 Jan. 853 p.
45.  
Central line-associated blood stream infection (CLAB): percentage of haematology unit-related peripherally-inserted central line-associated blood stream infection (PI-CLAB), during the 6 month time period. NQMC:004713
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2009. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2009 Jan. 853 p.
46.  
Central line-associated blood stream infection (CLAB): percentage of oncology unit-related centrally-inserted central line-associated blood stream infection (CI-CLAB), during the 6 month time period. NQMC:004714
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2009. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2009 Jan. 853 p.
47.  
Central line-associated blood stream infection (CLAB): percentage of oncology unit-related peripherally-inserted central line-associated blood stream infection (PI-CLAB), during the 6 month time period. NQMC:004715
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2009. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2009 Jan. 853 p.
48.  
Central line-associated blood stream infection (CLAB): percentage of outpatient intravenous therapy (OPIV) unit-related centrally-inserted central line-associated blood stream infection (CI-CLAB), during the 6 month time period. NQMC:004716
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2009. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2009 Jan. 853 p.
49.  
Central line-associated blood stream infection (CLAB): percentage of outpatient intravenous therapy (OPIV) unit-related peripherally-inserted central line-associated blood stream infection (PI-CLAB), during the 6 month time period. NQMC:004717
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2009. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2009 Jan. 853 p.
50.  
Central line-associated blood stream infection (CLAB): percentage of paediatric intensive care unit (ICU)-associated peripherally-inserted central line-associated blood stream infection (PI-CLAB), during the 6 month time period. NQMC:004710
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2009. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2009 Jan. 853 p.
51.  
Central line-utilisation ratio (CLUR): number of centrally-inserted (CI) central line-days per patient-days in adult intensive care unit (ICU), during the 6 month time period. NQMC:004705
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2009. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2009 Jan. 853 p.
52.  
Central line-utilisation ratio (CLUR): number of centrally-inserted (CI) central line-days per patient-days in paediatric intensive care unit (ICU), during the 6 month time period. NQMC:004709
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2009. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2009 Jan. 853 p.
53.  
Central line-utilisation ratio (CLUR): number of peripherally-inserted (PI) central line-days per patient-days in adult intensive care unit (ICU), during the 6 month time period. NQMC:004707
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2009. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2009 Jan. 853 p.
54.  
Central line-utilisation ratio (CLUR): number of peripherally-inserted (PI) central line-days per patient-days in paediatric intensive care unit (ICU), during the 6 month time period. NQMC:004711
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2009. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2009 Jan. 853 p.
55.  
Chemical pathology: percentage of serum/plasma potassium validated report results for ED (or requests specified as urgent) with a turnaround time (received to validated time) less than 60 minutes, during the 2 to 4 week time period. NQMC:005949
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
56.  
Colonoscopy: percentage of incomplete colonoscopies performed, during the 6 month time period. NQMC:005716
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
57.  
Colonoscopy: percentage of patients treated for possible perforation who have had a polypectomy performed, during the 6 month time period. NQMC:005717
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
58.  
Colonoscopy: percentage of patients who have bleeding, during the 6 month time period. NQMC:005719
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
59.  
Complications of sedation: percentage of patients who have an endoscopy procedure involving sedation who are transferred or admitted for an overnight stay as a result of aspiration, during the 6 month time period. NQMC:005723
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
60.  
Day of surgery admissions: percentage of elective surgery patients admitted to the organisation on the day of surgery, during the 6 month time period. NQMC:005761
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
61.  
Endocrine disease: percentage of insulin treated diabetic inpatients having an elective operation, and a length of stay greater than or equal to 48 hours, whose medical record shows at least 4 blood glucose measurements on the first post-operative day, during the 6 month time period. NQMC:005828
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
62.  
Endocrine disease: percentage of insulin treated diabetic inpatients having an elective operation, and a length of stay greater than or equal to 48 hours, with a recorded blood glucose level less than 4 mmol/L in the post-operative period, during the 6 month time period. NQMC:005829
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
63.  
Endocrine disease: percentage of patients admitted with diabetes having assessment of lower limbs according to guidelines, during the 6 month time period. NQMC:005827
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
64.  
Gastrointestinal disease: percentage of patients admitted to hospital with haematemesis and/or melaena, who receive a blood transfusion and endoscopic therapy, who subsequently have an operation, during the 6 month time period. NQMC:005842
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
65.  
Gastrointestinal disease: percentage of patients admitted to hospital with haematemesis and/or melaena, who receive a blood transfusion and have a gastroscopy within 24 hours of admission, during the 6 month time period. NQMC:005838
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
66.  
Gastrointestinal disease: percentage of patients admitted to hospital with haematemesis and/or melaena, who receive a blood transfusion and subsequently die, during the 6 month time period. NQMC:005843
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
67.  
Gastrointestinal disease: percentage of patients admitted to hospital with haematemesis and/or melaena, who receive a blood transfusion, and have an operation, during the same admission, during the 6 month time period. NQMC:005841
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
68.  
Gastrointestinal disease: percentage of patients admitted to hospital with haematemesis and/or melaena, who receive a blood transfusion, for which there is documented evidence that a member of the surgical staff has been notified of their condition, during the 6 month time period. NQMC:005840
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
69.  
Gastrointestinal disease: percentage of patients admitted to hospital with haematemesis and/or melaena, who receive a blood transfusion, who are discharged with a specific diagnosis that explains the cause of bleeding, during the 6 month time period. NQMC:005839
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
70.  
Gastroscopy: percentage of patients treated for possible perforation related to oesophageal dilatation, during the 6 month time period. NQMC:005720
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
71.  
Gastroscopy: percentage of patients undergoing gastroscopies (without dilations or polypectomies) who were treated for possible perforation secondary to instrument related causes, during the 6 month time period. NQMC:005721
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
72.  
Gastroscopy: percentage of patients undergoing upper gastrointestinal tract polypectomies treated for possible perforation related to polypectomy, during the 6 month time period. NQMC:005722
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
73.  
General surgery: percentage of patients having a laparoscopic cholecystectomy with a bile duct injury requiring operative intervention, during the 6 month time period. NQMC:005995
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
74.  
Glaucoma surgery: percentage of patients having a readmission within 28 days of discharge following glaucoma surgery, due to endophthalmitis in the operated eye, during the 6 month time period. NQMC:005905
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
75.  
Glaucoma surgery: percentage of patients with a total length of stay (LOS) greater than 3 days following glaucoma surgery, during the 6 month time period. NQMC:005906
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
76.  
Glaucoma surgery: percentage of readmissions (related to the operated eye) within 28 days of discharge following glaucoma surgery, during the 6 month time period. NQMC:005904
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
77.  
Haematology: percentage of Coag validated report results from ED with a turnaround time (collected to validated time) less than 60 minutes, during the 2 to 4 week time period. NQMC:005953
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
78.  
Haematology: percentage of Coag validated report results from ED with a turnaround time (received to validated time) less than 40 minutes, during the 2 to 4 week time period. NQMC:005952
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
79.  
Haematology: percentage of haemoglobin validated report results from ED with a turnaround time (collected to validated time) less than 60 minutes, during the 2 to 4 week time period. NQMC:005951
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
80.  
Haematology: percentage of haemoglobin validated report results from ED with a turnaround time (received to validated time) less than 40 minutes, during the 2 to 4 week time period. NQMC:005950
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
81.  
Haemodialysis-associated blood stream infection: percentage of AV-fistula access-associated blood stream infections, during the 6 month time period. NQMC:004718
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2009. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2009 Jan. 853 p.
82.  
Haemodialysis-associated blood stream infection: percentage of centrally inserted cuffed line access-associated blood stream infections, during the 6 month time period. NQMC:004722
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2009. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2009 Jan. 853 p.
83.  
Haemodialysis-associated blood stream infection: percentage of centrally inserted non-cuffed line access-associated blood stream infections, during the 6 month time period. NQMC:004721
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2009. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2009 Jan. 853 p.
84.  
Haemodialysis-associated blood stream infection: percentage of native vessel graft access-associated blood stream infections, during the 6 month time period. NQMC:004720
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2009. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2009 Jan. 853 p.
85.  
Haemodialysis-associated blood stream infection: percentage of synthetic graft access-associated blood stream infections, during the 6 month time period. NQMC:004719
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2009. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2009 Jan. 853 p.
86.  
Healthcare-associated MRSA: percentage of intensive care unit (ICU)-associated new methicillin-resistant Staphylococcus aureus (MRSA) healthcare-associated infections in a non-sterile site, during the 6 month time period. NQMC:004730
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2009. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2009 Jan. 853 p.
87.  
Healthcare-associated MRSA: percentage of intensive care unit (ICU)-associated new methicillin-resistant Staphylococcus aureus (MRSA) healthcare-associated infections in a sterile site, during the 6 month time period. NQMC:004729
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2009. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2009 Jan. 853 p.
88.  
Healthcare-associated MRSA: percentage of non-intensive care unit (ICU)-associated new methicillin-resistant Staphylococcus aureus (MRSA) healthcare-associated infections in a non-sterile site, during the 6 month time period. NQMC:004732
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2009. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2009 Jan. 853 p.
89.  
Healthcare-associated MRSA: percentage of non-intensive care unit (ICU)-associated new methicillin-resistant Staphylococcus aureus (MRSA) inpatient healthcare-associated infections in a sterile site, during the 6 month time period. NQMC:004731
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2009. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2009 Jan. 853 p.
90.  
Hospital in the home: percentage of patients having 1 unscheduled staff callout during their Hospital in the Home admission, during the 6 month time period. NQMC:005739
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
91.  
Hospital in the home: percentage of patients having more than 1 unscheduled staff callout during their Hospital in the Home admission, during the 6 month time period. NQMC:005740
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
92.  
Injury to a major viscus: percentage of patients suffering injury to a major viscus with repair, during a gynaecological operative procedure or subsequently up to 2 weeks post-operatively, during the 6 month time period. NQMC:005726
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
93.  
Intensive care patient treatment: percentage of patients receiving thromboembolism prophylaxis treatment within 24 hours of admission to the intensive care unit (ICU), during the 6 month time period. NQMC:005819
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
94.  
Intra-operative period: percentage of patients who undergo a procedure with an anaesthetist in attendance, where the anaesthesia records substantially complies with the Australian and New Zealand College of Anaesthetists (ANZCA) requirements for the anaesthetic record, during the time period under study. NQMC:005670
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
95.  
Intra-operative period: percentage of patients who undergo a procedure with an anaesthetist in attendance, where there is a trained assistant to the anaesthetist, during the time period under study. NQMC:005669
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
96.  
Laparoscopic management of an ectopic pregnancy: percentage of patients having laparoscopic management following an ectopic pregnancy, during the 6 month time period. NQMC:005730
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
97.  
Laparoscopic surgery: percentage of patients receiving a bladder injury at the time of a laparoscopic hysterectomy with repair during the procedure or subsequently up to 2 weeks post-operatively, during the 6 month time period. NQMC:005729
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
98.  
Laparoscopic surgery: percentage of patients receiving a ureter injury at the time of a laparoscopic hysterectomy with repair during the procedure or subsequently up to 2 weeks post-operatively, during the 6 month time period. NQMC:005728
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
99.  
Laparoscopic surgery: percentage of patients receiving an injury to a major viscus with repair, during a laparoscopic gynaecological operative procedure or subsequently up to 2 weeks post-operatively, during the 6 month time period. NQMC:005727
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
100.  
Management of acute pain: percentage of patients receiving post-operative epidural analgesia who are reviewed at least daily by an anaesthetist until removal of catheter, during the time period under study. NQMC:005679
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
101.  
Management of acute pain: percentage of surgical patients staying at least one night, with pain intensity scores regularly recorded by nursing staff, during the time period under study. NQMC:005678
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
102.  
Medication safety: percentage of medication orders that include error-prone abbreviations. NQMC:005747
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
103.  
Medication safety: percentage of patients whose known adverse drug reactions (ADRs) are documented on the current medication chart. NQMC:005746
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
104.  
Mental health community: percentage of consumers or nominated carers with 3 or more face-to-face contacts within a 7 day period. NQMC:005848
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
105.  
Mental health community: percentage of consumers or nominated carers with greater than 24 treatment days over a three month period. NQMC:005847
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
106.  
Mental health community: percentage of consumers who were admitted to the hospital for psychiatric reasons (by that service) once or more in the first year of treatment. NQMC:005849
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
107.  
Mental health community: percentage of registered consumers seen face-to-face by the community service, during the 6 month time period. NQMC:005846
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
108.  
Mental health inpatient: percentage of acute inpatients undergoing non-maintenance electroconvulsive therapy (ECT) of more than 12 treatments, during the 6 month time period. NQMC:005857
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
109.  
Mental health inpatient: percentage of episodes of seclusion among inpatient separations having seclusion, during the 6 month time period. NQMC:005864
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
110.  
Mental health inpatient: percentage of inpatient separations having physical restraint who experience major complications while under restraint, during the 6 month time period. NQMC:005866
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
111.  
Mental health inpatient: percentage of inpatient separations having seclusion who experience major complications while in seclusion, during the 6 month time period. NQMC:005863
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
112.  
Mental health inpatient: percentage of inpatient separations having seclusion who were not reviewed by sight, by a medical practitioner or nurse on at least a half-hourly basis, during the 6 month time period. NQMC:005862
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
113.  
Mental health inpatient: percentage of inpatient separations who had seclusion for more than 4 hours in 1 episode, during the 6 month time period. NQMC:005861
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
114.  
Mental health inpatient: percentage of inpatient separations with a diagnosis on hospital discharge, which is recorded in the medical record, during the 6 month time period. NQMC:005853
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
115.  
Mental health inpatient: percentage of inpatient separations with an individual care plan, which is constructed and regularly reviewed with the consumer, during the 6 month time period. NQMC:005854
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
116.  
Mental health inpatient: percentage of inpatient separations with at least 1 episode of seclusion, during an admission, during the 6 month time period. NQMC:005859
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
117.  
Mental health inpatient: percentage of inpatient separations with at least 2 episodes of seclusion, in an admission or in a 1 month period of an extended admission, during the 6 month time period. NQMC:005860
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
118.  
Mental health inpatient: percentage of inpatient separations with at least one episode of physical restraint, during the 6 month time period. NQMC:005865
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
119.  
Mental health inpatient: percentage of inpatients allocated a diagnosis within 24 hours of admission, during the 6 month time period. NQMC:005852
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
120.  
Mental health inpatient: percentage of inpatients experiencing major medical complications while undergoing electroconvulsive therapy (ECT), excluding maintenance ECT, during the 6 month time period. NQMC:005858
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
121.  
Mental health inpatient: percentage of inpatients in the acute unit with a length of stay greater than 30 days, during the 6 month time period. NQMC:005878
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
122.  
Mental health inpatient: percentage of inpatients on 3 or more psychotropic medications from 1 sub-group category specified, at the time of discharge, during the 6 month time period. NQMC:005856
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
123.  
Mental health inpatient: percentage of inpatients who have a discharge summary or letter, at the time of hospital discharge, during the 6 month time period. NQMC:005875
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
124.  
Mental health inpatient: percentage of inpatients who have a final discharge summary recorded in the medical record within 2 weeks of hospital discharge, during the 6 month time period. NQMC:005876
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
125.  
Mental health inpatient: percentage of inpatients who have a multidisciplinary review recorded every 3 months, during the 6 month time period. NQMC:005877
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
126.  
Mental health inpatient: percentage of inpatients with a complete documented physical examination within 48 hours of admission, during the 6 month time period. NQMC:005855
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
127.  
Mental health inpatient: percentage of voluntary inpatient admissions, during the 6 month time period. NQMC:005879
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
128.  
Microbiology: percentage of validated CSF results from ED for microscopy (+/- gram stain) with a turnaround time (collected to validated time) less than 60 minutes, during the 1 to 2 month time period. NQMC:005959
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
129.  
Microbiology: percentage of validated CSF results from ED with a microscopy (+/- gram stain) with a turnaround time (received to validated time) less than 40 minutes, during the 1 to 2 month time period. NQMC:005958
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
130.  
Monitoring of warfarin: percentage of non same-day separations receiving warfarin as an inpatient who experience abnormal bleeding, during the 6 month time period. NQMC:005660
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
131.  
Monitoring of warfarin: percentage of non same-day separations receiving warfarin as an inpatient with an international normalized ratio (INR)/prothrombin reading greater than 5, during the 6 month time period. NQMC:005662
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
132.  
Morbidity of radiological procedures: percentage of patients experiencing iodinated contrast extravasation requiring medical review during an IV contrast enhanced CT procedure, during the 6 month period. NQMC:005973
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
133.  
Morbidity of radiological procedures: percentage of patients undergoing percutaneous transpleural biopsy of the lung or mediastinum, for whom there is documented evidence of pneumothorax and/or haemothorax requiring intervention following the procedure, during the 6 month period. NQMC:005971
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
134.  
Morbidity of radiological procedures: percentage of peripheral embolic complications during angioplasty of the arteries in upper or lower limbs, during the 6 month period. NQMC:005972
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
135.  
Morbidity of radiological procedures: percentage of puncture site complications during or following angiography, during the 6 month period. NQMC:005974
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
136.  
Neonatal infections: percentage of babies of birth weight less than 1000 grams admitted to the neonatal intensive care unit (NICU) during the time period under study who have a significant blood infection occurring more than 48 hours after birth at any time during their whole admission. NQMC:004725
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2009. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2009 Jan. 853 p.
137.  
Neonatal infections: percentage of babies of greater than or equal to 1000 grams birth weight, admitted to the neonatal intensive care unit (NICU) during the time period under study who have a significant blood infection occurring more than 48 hours after birth at any time during their whole admission. NQMC:004726
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2009. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2009 Jan. 853 p.
138.  
Neonatal infections: percentage of live babies born at the reporting hospital who develop blood stream and/or cerebrospinal fluid (CSF) infection within 48 hours of birth and who were born in the 6 month time period. NQMC:004723
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2009. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2009 Jan. 853 p.
139.  
Neonatal infections: percentage of live babies of greater than or equal to 37 weeks estimated gestational age at birth (GA) born at the reporting hospital who develop a blood and/or cerebrospinal fluid (CSF) infection within 48 hours of birth and who were born in the 6 month time period. NQMC:004724
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2009. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2009 Jan. 853 p.
140.  
Neonatal infections: percentage of significant blood infections in neonatal intensive care unit (NICU) admitted babies of greater than or equal to 1000 grams birth weight, occurring more than 48 hours of birth, during the 6 month time period. NQMC:004728
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2009. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2009 Jan. 853 p.
141.  
Neonatal infections: percentage of significant blood infections in neonatal intensive care unit (NICU) admitted babies of less than 1000 grams birth weight, occurring more than 48 hours of birth, during the 6 month time period. NQMC:004727
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2009. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2009 Jan. 853 p.
142.  
Neurosurgery: percentage of patients having a neurosurgical infection in hospital, excluding superficial wound infections, requiring nothing more than a single short course of antibiotics, during the 6 month time period. NQMC:005993
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
143.  
Neurosurgery: percentage of patients with a new neurological deficit following a neurosurgery procedure, during the 6 month time period. NQMC:005994
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
144.  
Obstetric anaesthesia care: percentage of obstetric patients who experience a post-dural puncture headache, during the time period under study. NQMC:005680
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
145.  
Obstetric anaesthesia care: percentage of obstetric patients who have documentation of risks and benefits of spinal analgesia/epidural, during the time period under study. NQMC:005682
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
146.  
Obstetric anaesthesia care: percentage of patients who commence surgery within 30 minutes of request for immediate lower segment Caesarean section (LSCS), during the time period under study. NQMC:005681
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
147.  
Obstetrics: percentage of deliveries with birth weight less than 2750g at 40 weeks gestation or beyond. NQMC:005896
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
148.  
Obstetrics: percentage of high risk women undergoing caesarean section who receive appropriate pharmacological thromboprophylaxis. NQMC:005893
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
149.  
Obstetrics: percentage of inborn term babies transferred/admitted to a neonatal intensive care nursery or special care nursery for reasons other than congenital abnormality. NQMC:005898
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
150.  
Obstetrics: percentage of selected primipara sustaining a perineal tear and NO episiotomy. NQMC:005887
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
151.  
Obstetrics: percentage of selected primipara undergoing caesarean section. NQMC:005883
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
152.  
Obstetrics: percentage of selected primipara undergoing episiotomy and NO perineal tear while giving birth vaginally. NQMC:005886
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
153.  
Obstetrics: percentage of selected primipara undergoing episiotomy AND sustaining a perineal tear while giving birth vaginally. NQMC:005888
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
154.  
Obstetrics: percentage of selected primipara undergoing surgical repair of the perineum for fourth degree tear. NQMC:005890
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
155.  
Obstetrics: percentage of selected primipara undergoing surgical repair of the perineum for third degree tear. NQMC:005889
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
156.  
Obstetrics: percentage of selected primipara who have a spontaneous vaginal birth. NQMC:005880
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
157.  
Obstetrics: percentage of selected primipara who undergo an instrumental vaginal birth. NQMC:005882
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
158.  
Obstetrics: percentage of selected primipara who undergo induction of labour. NQMC:005881
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
159.  
Obstetrics: percentage of selected primipara with an intact perineum. NQMC:005885
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
160.  
Obstetrics: percentage of serious adverse events that are addressed within a peer review process. NQMC:005899
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
161.  
Obstetrics: percentage of term babies born with an Apgar score of less than 7 at five minutes post delivery. NQMC:005897
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
162.  
Obstetrics: percentage of women delivering vaginally following a previous primary caesarean section. NQMC:005884
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
163.  
Obstetrics: percentage of women having a general anaesthetic for caesarean section. NQMC:005891
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
164.  
Obstetrics: percentage of women who give birth vaginally who receive a blood transfusion during the same admission. NQMC:005894
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
165.  
Obstetrics: percentage of women who receive an appropriate prophylactic antibiotic at the time of caesarean section. NQMC:005892
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
166.  
Obstetrics: percentage of women who undergo a caesarean section who receive a blood transfusion during the same admission. NQMC:005895
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
167.  
Occupational exposure: percentage of reported non-parenteral exposures sustained by staff, during the 6 month time period. NQMC:004734
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2009. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2009 Jan. 853 p.
168.  
Occupational exposure: percentage of reported parenteral exposures sustained by staff, during the 6 month time period. NQMC:004733
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2009. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2009 Jan. 853 p.
169.  
Oncology: percentage of pre-menopausal patients with stage II carcinoma of the breast for whom there is documented evidence of treatment, or intention to treat, with polychemotherapy, during the 6 month time period. NQMC:005845
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
170.  
Oral health - children: percentage of deciduous teeth extracted (for pathological reasons) within 6 months following pulpotomy treatment, during the time period under study. NQMC:005925
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
171.  
Oral health - children: percentage of teeth requiring repeat fissure sealant treatment within 24 months of the initial fissure sealant treatment. NQMC:005926
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
172.  
Oral health - children: percentage of teeth requiring re-treatment (restoration, endodontic or extraction, but not including Pit & Fissure Sealants) within 24 months of the initial fissure sealant treatment. NQMC:005927
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
173.  
Oral health: percentage of attendances for complications within 7 days of routine extraction, during the time period under study. NQMC:005917
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
174.  
Oral health: percentage of attendances for complications within 7 days of surgical extraction, during the time period under study. NQMC:005918
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
175.  
Oral health: percentage of completed courses of endodontic treatment on the same tooth within 6 months of initial treatment, during the time period under study. NQMC:005920
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
176.  
Oral health: percentage of new patients aged 65 years and over who had an orthopantomogram (OPG) film taken or ordered as part of the first general course of care, during the time period under study. NQMC:005931
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
177.  
Oral health: percentage of new patients aged 65 years and over who had intraoral films taken as part of the first general course of care, during the time period under study. NQMC:005935
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
178.  
Oral health: percentage of new patients aged under 18 years who had an orthopantomogram (OPG) film taken or ordered as part of the first general course of care, during the time period under study. NQMC:005928
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
179.  
Oral health: percentage of new patients aged under 18 years who had intraoral films taken as part of the first general course of care, during the time period under study. NQMC:005932
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
180.  
Oral health: percentage of new patients in the age bracket 18 to 24 years who had an orthopantomogram (OPG) film taken or ordered as part of the first general course of care, during the time period under study. NQMC:005929
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
181.  
Oral health: percentage of new patients in the age bracket 18 to 24 years who had intraoral films taken as part of the first general course of care, during the time period under study. NQMC:005933
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
182.  
Oral health: percentage of new patients in the age bracket 25 to 64 years who had an orthopantomogram (OPG) film taken or ordered as part of the first general course of care, during the time period under study. NQMC:005930
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
183.  
Oral health: percentage of new patients in the age bracket 25 to 64 years who had intraoral films taken as part of the first general course of care, during the time period under study. NQMC:005934
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
184.  
Oral health: percentage of patients with completed and updated medical history, during the time period under study. NQMC:005923
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
185.  
Oral health: percentage of patients with completed charting at initial assessment for general course of care, during the time period under study. NQMC:005924
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
186.  
Oral health: percentage of radiographs (bite-wing) that meet all of the 6 criteria (as outlined), during the time period under study. NQMC:005936
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
187.  
Oral health: percentage of same denture type (full or partial) and same arch remade within 12 months, during the time period under study. NQMC:005919
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
188.  
Oral health: percentage of teeth extracted within 12 months of completing a course of endodontic treatment, during the time period under study. NQMC:005922
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
189.  
Oral health: percentage of teeth retreated between 1 and 6 months of completing a course of endodontic treatment, during the time period under study. NQMC:005921
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
190.  
Oral health: percentage of teeth retreated within 6 months of an episode of restorative treatment, during the time period under study. NQMC:005916
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
191.  
Orthopaedic surgery: percentage of patients undergoing primary total hip joint replacement (THJR) having a postoperative in hospital infection, during the 6 month time period. NQMC:005988
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
192.  
Otolaryngology: percentage of patients who have a significant reactionary haemorrhage following tonsillectomy, during the 6 month time period. NQMC:005998
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
193.  
Paediatric immunisation: percentage of infants admitted as inpatients for whom there is documented current immunisation status, during the 6 month time period. NQMC:005937
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
194.  
Paediatric immunisation: percentage of infants admitted as inpatients with not up to date immunisation status for whom there is documented evidence that they were either given catch up immunisations; or that such immunisation was planned, during the 6 month time period. NQMC:005938
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
195.  
Paediatric intensive care unit (ICU) access: percentage of appropriate patients referred to an ICU, who are not admitted to the unit because of inadequate resources, during the 6 month time period. NQMC:005943
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
196.  
Paediatric intensive care unit (ICU) access: percentage of elective surgical cases deferred or cancelled due to lack of ICU/HDU bed, during the 6 month time period. NQMC:005944
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
197.  
Paediatric intensive care unit (ICU) access: percentage of patients discharged from the ICU between 6PM and 6AM, during the 6 month time period. NQMC:005947
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
198.  
Paediatric intensive care unit (ICU) access: percentage of patients who were transferred to another facility/area/ICU due to unavailability of an ICU bed, during the 6 month time period. NQMC:005945
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
199.  
Paediatric intensive care unit (ICU) access: percentage of patients whose discharge from the ICU was delayed more than 12 hours, during the 6 month time period. NQMC:005946
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
200.  
Paediatric surgery: percentage of children with a pre-operative diagnosis of acute appendicitis, who undergo appendicectomy with normal histology, but significant other intra-abdominal pathology, during the 6 month time period. NQMC:005983
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
201.  
Paediatric surgery: percentage of children with a pre-operative diagnosis of acute appendicitis, who undergo appendicectomy with normal histology, during the 6 month time period. NQMC:005982
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
202.  
Paediatric surgery: percentage of patients having a pyloromyotomy in which mucosal perforation occurs and is detected at the time of the operation or later, during the 6 month time period. NQMC:005981
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
203.  
Patient deaths: percentage of patient deaths addressed within a clinical audit process, during the 6 month time period. NQMC:005757
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
204.  
Patient recovery period: percentage of patients admitted to the post-anaesthesia recovery room with a temperature recorded in the recovery period of less than 35 degrees Celsius, during the time period under study. NQMC:005673
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
205.  
Patient recovery period: percentage of patients undergoing a procedure who are reviewed by an anaesthetist to manage severe pain, not responding to post-anaesthesia recovery room pain protocol, in the recovery period, during the time period under study. NQMC:005674
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
206.  
Patient recovery period: percentage of patients undergoing a procedure who require tracheal intubation or insertion of a laryngeal mask (or equivalent) to relieve respiratory distress, in the recovery period, during the time period under study. NQMC:005671
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
207.  
Patient recovery period: percentage of patients undergoing a procedure with anaesthetist in attendance who have an unplanned stay in the post-anaesthesia recovery room for longer than 2 hours for medical reasons, during the time period under study. NQMC:005675
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
208.  
Patient recovery period: percentage of patients undergoing treatment for post-operative nausea and vomiting in the post-anaesthesia recovery room according to a hospital-approved protocol, during the time period under study. NQMC:005672
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
209.  
Patient recovery period: percentage of patients undergoing treatment for severe pain in the PACU according to a hospital-approved protocol, during the time period under study. NQMC:005676
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
210.  
Plastic surgery: percentage of completely excised malignant skin tumors, during the 6 month time period. NQMC:005989
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
211.  
Post-operative period: percentage of patients having an unplanned admission to an intensive care unit within 24 hours of a procedure with an anaesthetist in attendance, during the time period under study. NQMC:005677
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
212.  
Pre-anaesthesia period: percentage of patients receiving anaesthesia care who have documentation of risks and benefits of the anaesthetic procedure(s), during the time period under study. NQMC:005667
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
213.  
Pre-anaesthesia period: percentage of patients receiving anaesthesia care with a history of post-operative nausea and vomiting (PONV) to whom a prophylactic anti-emetic has been administered, during the time period under study. NQMC:005668
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
214.  
Pre-anaesthesia period: percentage of patients with a documented pre-anaesthesia consultation completed by an anaesthetist prior to transfer to the operating theatre or procedure room, during the time period under study. NQMC:005666
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
215.  
Radiation oncology: percentage of curative megavoltage radiotherapy courses provided, where CT planning was utilised, during the 6 month time period. NQMC:005966
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
216.  
Radiation oncology: percentage of patients receiving megavoltage radiotherapy using multi-leaf collimators (MLCs), during the 6 month time period. NQMC:005965
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
217.  
Radiation oncology: percentage of patients receiving radiotherapy, who have a letter on file to the referring doctor and general practitioner, regarding the current radiotherapy course, during 1 week in May or November. NQMC:005967
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
218.  
Radiation oncology: percentage of patients waiting more than 14 days from the date 'ready for care', to the date of commencing radiotherapy, during 1 week in May or November. NQMC:005960
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
219.  
Radiation oncology: percentage of patients who had radiotherapy for breast conservation (pT1-3, any nodal staging, M0), during the 6 month time period, who had complete follow-up. NQMC:005969
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
220.  
Radiation oncology: percentage of patients who had radiotherapy for glottic cancer (T1-2 N0 M0), during the 6 month time period, who had complete follow-up. NQMC:005968
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
221.  
Radiation oncology: percentage of patients who have informed consent recorded in the medical record before receiving radiotherapy, during 1 week in May or November. NQMC:005961
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
222.  
Radiation oncology: percentage of patients who receive curative chemoradiotherapy for squamous cell carcinoma (SCC) of the cervix in the definitive or the post-operative setting, during the 6 month time period. NQMC:005964
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
223.  
Radiation oncology: percentage of patients with squamous cell carcinoma (SCC) of the oral cavity, oropharynx, hypopharynx and larynx who wait longer than 6 weeks from their definitive surgery to commencing their radiotherapy, during the 6 month time period. NQMC:005963
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
224.  
Refractive surgery: percentage of patients having a complication (medical or surgical) within 28 days following excimer laser surgery, during the 6 month time period. NQMC:005915
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
225.  
Refractive surgery: percentage of patients having a discharge intention of 1 day, who had an overnight admission following refractive surgery, during the 6 month time period. NQMC:005913
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
226.  
Refractive surgery: percentage of patients having a readmission within 28 days of discharge, following refractive surgery, due to endophthalmitis in the operated eye, during the 6 month time period. NQMC:005912
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
227.  
Refractive surgery: percentage of patients having an anterior vitrectomy at the time of refractive surgery, during the 6 month time period. NQMC:005914
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
228.  
Refractive surgery: percentage of readmissions (related to the operated eye) within 28 days of discharge following refractive surgery, during the 6 month time period. NQMC:005911
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
229.  
Rehabilitation medicine: percentage of inpatients for whom there is documented evidence of a functional assessment within 72 hours prior to cessation of an inpatient rehabilitation program, during the 6 month time period. NQMC:005976
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
230.  
Rehabilitation medicine: percentage of patients admitted to a rehabilitation unit/facility for whom there is a documented established multidisciplinary rehabilitation plan within 7 days of patient admission, during the 6 month time period. NQMC:005977
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
231.  
Rehabilitation medicine: percentage of patients admitted to a rehabilitation unit/facility for whom there is documented evidence of a functional assessment within 72 hours of patient admission, during the 6 month time period. NQMC:005975
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
232.  
Rehabilitation medicine: percentage of patients who have completed a rehabilitation program and been discharged to their pre-episode form of accommodation, or a form of accommodation that allows greater independence, during the 6 month time period. NQMC:005980
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
233.  
Rehabilitation medicine: percentage of patients who have completed a rehabilitation program and for whom there is documented evidence of functional gain, during the 6 month time period. NQMC:005979
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
234.  
Rehabilitation medicine: percentage of separations for which there is an appropriate discharge plan for a patient, during the 6 month time period. NQMC:005978
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
235.  
Renal disease: percentage of inpatients having a renal biopsy who subsequently develop macroscopic haematuria in any of their voided urine specimens with 24 hours of the procedure, during the 6 month time period. NQMC:005844
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
236.  
Report availability: percentage of reports on radiographic examinations not available to the referring doctor within 24 hours of completion, during the 7 day time period. NQMC:005970
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
237.  
Respiratory disease: percentage of patients admitted to hospital with a diagnosis of acute asthma for whom there is documented evidence of an appropriate discharge plan, during the 6 month time period. NQMC:005837
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
238.  
Respiratory disease: percentage of patients admitted to hospital with a diagnosis of acute asthma for whom there is documented objective assessment of severity in addition to the initial assessment, which facilitates ongoing inpatient management, during the 6 month time period. NQMC:005836
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
239.  
Respiratory disease: percentage of patients admitted to hospital with a diagnosis of acute asthma for whom there is documented objective assessment of severity on initial presentation, during the 6 month time period. NQMC:005835
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
240.  
Respiratory disease: percentage of patients discharged from a general medical unit with any diagnosis of COPD who are referred for a chronic disease management service that includes physical rehabilitation, during the 6 month time period. NQMC:005834
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
241.  
Retinal detachment surgery: percentage of patients having an unplanned readmission within 28 days of discharge, following retinal detachment surgery, due to endophthalmitis in the operated eye, during the 6 month time period. NQMC:005908
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
242.  
Retinal detachment surgery: percentage of patients having an unplanned reoperation on the same eye within 28 days, following retinal detachment surgery, during the 6 month time period. NQMC:005910
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
243.  
Retinal detachment surgery: percentage of patients with a total length of stay (LOS) greater than 4 days, following retinal detachment surgery, during the 6 month time period. NQMC:005909
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
244.  
Retinal detachment surgery: percentage of unplanned readmissions within 28 days of discharge, following retinal detachment surgery, during the 6 month time period. NQMC:005907
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
245.  
Surgical site infection: percentage of deep incisional surgical site infections (SSIs) in femoro-popliteal bypass procedures performed, during the 6 month time period. NQMC:005774
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
246.  
Surgical site infection: percentage of deep incisional surgical site infections (SSIs) in hip prosthesis procedures performed, during the 6 month time period. NQMC:005764
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
247.  
Surgical site infection: percentage of deep incisional surgical site infections (SSIs) in knee prosthesis procedures performed, during the 6 month time period. NQMC:005766
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
248.  
Surgical site infection: percentage of deep incisional/organ space surgical site infections (SSIs) (in the chest incision site) in coronary artery bypass graft (CABG) procedures performed, during the 6 month time period. NQMC:005768
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
249.  
Surgical site infection: percentage of deep incisional/organ space surgical site infections (SSIs) (in the donor incision site) in coronary artery bypass graft (CABG) (involving chest and donor incisions) procedures performed, during the 6 month time period. NQMC:005770
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
250.  
Surgical site infection: percentage of deep incisional/organ space surgical site infections (SSIs) in abdominal hysterectomy procedures performed, during the 6 month time period. NQMC:005780
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
251.  
Surgical site infection: percentage of deep incisional/organ space surgical site infections (SSIs) in elective partial or total colectomy procedures (where there is an anastomosis but no stoma formed) performed, during the 6 month time period. NQMC:005772
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
252.  
Surgical site infection: percentage of deep incisional/organ space surgical site infections (SSIs) in lower segment caesarean section procedures performed, during the 6 month time period. NQMC:005778
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
253.  
Surgical site infection: percentage of deep incisional/organ space surgical site infections (SSIs) in open abdominal aortic aneurysm (AAA) procedures performed, during the 6 month time period. NQMC:005776
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
254.  
Surgical site infection: percentage of superficial incisional surgical site infections (SSIs) (in the chest incision site) in coronary artery bypass graft (CABG) procedures performed, during the 6 month time period. NQMC:005767
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
255.  
Surgical site infection: percentage of superficial incisional surgical site infections (SSIs) (in the donor incision site) in coronary artery bypass graft (CABG) (involving chest and donor incisions) procedures performed, during the 6 month time period. NQMC:005769
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
256.  
Surgical site infection: percentage of superficial incisional surgical site infections (SSIs) in abdominal hysterectomy procedures performed, during the 6 month time period. NQMC:005779
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
257.  
Surgical site infection: percentage of superficial incisional surgical site infections (SSIs) in elective partial or total colectomy procedures (where there is an anastomosis but no stoma formed) performed, during the 6 month time period. NQMC:005771
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
258.  
Surgical site infection: percentage of superficial incisional surgical site infections (SSIs) in femoro-popliteal bypass procedures performed, during the 6 month time period. NQMC:005773
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
259.  
Surgical site infection: percentage of superficial incisional surgical site infections (SSIs) in hip prosthesis procedures performed, during the 6 month time period. NQMC:005763
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
260.  
Surgical site infection: percentage of superficial incisional surgical site infections (SSIs) in knee prosthesis procedures performed, during the 6 month time period. NQMC:005765
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
261.  
Surgical site infection: percentage of superficial incisional surgical site infections (SSIs) in lower segment caesarean section procedures performed, during the 6 month time period. NQMC:005777
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
262.  
Surgical site infection: percentage of superficial incisional surgical site infections (SSIs) in open abdominal aortic aneurysm (AAA) procedures performed, during the 6 month time period. NQMC:005775
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
263.  
Thromboprophylaxis: percentage of high-risk medical patients admitted who receive venous thromboembolism (VTE) prophylaxis, during the 6 month time period. NQMC:005762
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
264.  
Thromboprophylaxis: percentage of moderate to high-risk patients (as per guidelines) over 40 years who undergo hysterectomy who receive thromboprophylaxis, during the 6 month time period. NQMC:005735
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
265.  
Thromboprophylaxis: percentage of moderate to high-risk patients (as per guidelines) over 40 years who undergo pelvic floor surgery who receive thromboprophylaxis, during the 6 month time period. NQMC:005736
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
266.  
Urogynaecology: percentage of patients receiving a bladder injury at the time of a pelvic floor repair procedure with repair during the procedure or subsequently up to 2 weeks post-operatively, during the 6 month time period. NQMC:005733
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
267.  
Urogynaecology: percentage of patients receiving a ureter injury at the time of a pelvic floor repair procedure with repair during the procedure or subsequently up to 2 weeks post-operatively, during the 6 month time period. NQMC:005732
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
268.  
Urogynaecology: percentage of patients receiving injury to a major viscus with repair, during a pelvic floor repair procedure subsequently up to 2 weeks post-operatively, during the 6 month time period. NQMC:005731
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
269.  
Urology: average number of patient days (from the first day after surgery) for all patients having a transurethral resection (TUR) for benign prostatomegaly (excluding patients having other procedures), during the 6 month time period. NQMC:005985
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
270.  
Urology: average operating time (minutes) for all patients undergoing a transurethral resection (TUR) for benign prostatomegaly, during the 6 month time period. NQMC:005984
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
271.  
Urology: percentage of patients having a transurethral resection (TUR) for benign prostatomegaly, who have a blood transfusion (intra-operatively or post-operatively) within the same admission, during the 6 month time period. NQMC:005986
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
272.  
Urology: percentage of patients having an unplanned readmission within 28 days of discharge following transurethral resection (TUR) for benign prostatomegaly, during the 6 month time period. NQMC:005987
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
273.  
Vascular surgery: percentage of patients having a carotid endarterectomy who have a stroke within the same admission, during the 6 month time period. NQMC:005997
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
274.  
Vascular surgery: percentage of patients having an elective abdominal aortic aneurysm (AAA) repair, who die within the same admission, during the 6 month time period. NQMC:005996
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
275.  
Waiting time: percentage of patients attending the emergency department allocated Australasian Triage Scale (ATS) Category 1 who are attended to immediately, during the 6 month time period. NQMC:005707
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
276.  
Waiting time: percentage of patients attending the emergency department allocated Australasian Triage Scale (ATS) Category 2 who are attended to within 10 minutes, during the 6 month time period. NQMC:005708
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
277.  
Waiting time: percentage of patients attending the emergency department allocated Australasian Triage Scale (ATS) Category 3 who are attended to within 30 minutes, during the 6 month time period. NQMC:005709
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
278.  
Waiting time: percentage of patients attending the emergency department allocated Australasian Triage Scale (ATS) Category 4 who are attended to within 60 minutes, during the 6 month time period. NQMC:005710
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.
279.  
Waiting time: percentage of patients attending the emergency department allocated Australasian Triage Scale (ATS) Category 5 who are attended to within 120 minutes, during the 6 month time period. NQMC:005711
Source(s): Australian Council on Healthcare Standards (ACHS). ACHS clinical indicator users' manual 2010. ULTIMO NSW: Australian Council on Healthcare Standards (ACHS); 2010 Jan. 810 p.