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CBAHI Indicators

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Structure indicators Name

Availability of essential supplies and equipment.


Availability of medical records.
Availability of blood and blood products.

Availability of emergency medications.


Vacancy rates in all departments.
# Clinical Research

Process indicators Name


The timing and use of antibiotics prior to surgery.
Blood and blood products administration.
Documentation in the medical record.
Delays of physician answering nurses phone calls/beeps, and/or pages.

—Modified Early Warning Scoring Activation Resulting in ICU Transfer-(MEWS).

Pediatric Early Warning Scoring Activation Resulting in PICU Transfers


—% of intubation in the recovery room(Main & WSH OR).
—Medical Imaging STAT Report TAT(CT & US)-since the procedure has done up
to result report in the system.
—Average Appt. Waiting time for inpatients undergoing MRI under General
Anesthesia.
—Internal Turnaround Time for Chemistry Test.
—Short Turnaround Time (STAT) Hematology .
—A single frozen section Short Turnaround Time (STAT)
Outcome indicators Name
Mortality rates.
Nosocomial Infection rates.-VAP
Nosocomial Infection rates.-CLABSI
Nosocomial Infection rates.
Nosocomial Infection rates.
Staff satisfaction
Patient satisfaction.

Unplanned transfer to critical care area.


Resuscitation of patients (Cardiac/respiratory arrest).
Readmission to the hospital within 3 days of discharge.

Adverse events (falls, injuries, pressure ulcers).


Sentinel events.
Patient complaints.
Medication errors.
Conscious sedation.
All invasive and high-risk procedures.
Increased length of stay

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