Background
Methods
Setting
Process of RRS implementation
Design
Data collection
Inclusion and exclusion criteria
The mortality review process
Definition of omission events and unexpected death
Administrative data collection
Statistical analysis
P1 | P2 | P3 | p-value | |
---|---|---|---|---|
N
| 76 | 56 | 54 | |
Age Median, (Q1, Q3) | 77 (64, 87) | 78 (72, 83) | 77 (70, 84) | 0.90 |
Gender, male N (%) | 39 (51) | 30 (54) | 30 (56) | 0.89 |
u-CCI Median, (Q1, Q3) | 2 (0, 6) | 2 (0, 4) | 2 (1, 4) | 0.55 |
Admitted from N (%) | ||||
Home without care | 43 (57) | 32 (58) | 30 (58) | 0.39* |
Home with care | 25 (33) | 11 (20) | 12 (23) | |
nursing home-short time | 4 (5) | 6 (11) | 4 (8) | |
Nursing home-permanent Other institution | 2 (3) 1 (1) | 5 (9) 1 (2) | 3 (6) 3 (6) | |
Type of admittance N (%) | ||||
Unplanned | 69 (91) | 55 (98) | 52 (96) | 0.16* |
Planned | 7 (9) | 1 (2) | 2 (4) | |
LOS days hospital Median (Q1, Q3) | 13 (6, 22) | 14 (6, 24) | 11 (6, 19) | 0.76 |
LOS days study wards Median, (Q1, Q3) | 12 (6, 21) | 13 (6, 22) | 11 (6, 19) | 0.81 |
Number of Hospital admittances last 12 months Median, (Q1, Q3) | 1 (0, 3) | 1 (0, 3) | 1 (0, 2) | 0.48 |
Surgery performed N (%) | 31 (41) | 23 (41) | 18 (33) | 0.93 |
Reoperated one or more times N (%)
| 9 (29) | 4 (17) | 6 (33) | 0.50* |
P1 | P2 | P3 | Comparison between all periods, p-value | P1 vs. P2, p-value | P1 vs. P3, p-value | P2 vs. P3, p-value | |
---|---|---|---|---|---|---|---|
Number of patients |
76
|
56
|
54
| ||||
*Number of complete vital sign sets/24 h/patient. Median (Q1, Q3) | 0 (0, 0) | 2 (1, 2) | 4 (3, 5) |
< 0.001
|
< 0.001
|
< 0.001
|
< 0.001
|
*Number of simple vital signs sets/24 h/patient Median (Q1, Q3) | 2 (1, 2) | 2 (1, 2) | 4 (3, 5) |
< 0.001
|
0.012
|
< 0.001
|
< 0.001
|
LOMT documented N (%) | 58 (76) | 42 (76) | 48 (89) | 0.15 | |||
**Days from admission to LOMT Median (Q1, Q3) | 8 (4, 16) | 8 (1,16) | 3 (1, 10) |
0.011
| 0.25 |
0.003
| 0.09 |
Cardiac arrest alarms N (%) | 14 (18) | 11 (20) | 3 (6) | 0.07 | |||
ICU-consult in the wards (MET in period 2, 3) N (%) | 9 (12) | 17 (30) | 18 (33) |
0.007
|
0.008
|
0.003
| 0.738 |
ICU transfer N (%) | 14 (18) | 16 (29) | 18 (33) | 0.14 | |||
Cases with one or more events of omission N (%) | 30 (40) | 11 (20) | 6 (11) |
0.01
|
0.015
|
< 0.001
| 0.216 |
Types of omissions
| |||||||
Failure to monitor N (%) | 20 (26) | 5 (9) | 1 (2) |
< 0.001
|
0.012
|
< 0.001
| 0.102 |
Failure to escalate N (%) | 14 (18) | 7 (13) | 2 (4) |
0.043
| 0.358 |
0.012
| 0.092 |
Delayed surgery N (%) | 2 (3) | 2 (4) | 3 (6) | 0.800¤ | |||
Unexpected deaths N | 2 (3) | 2(4) | 0 (0) | 0.455¤ |