Australasian Clinical Indicator Report 2003 – 2010 Obstetrics ...

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Outliers Obstetrics, v6 In 2010 there were 27 outlier submissions from 20 HCOs whose combined excess was 480 more general anaesthesias. The outlier HCO rate was 12.6 per 100 caesareans. Australasian Clinical Indicator Report 2003-2010 Page 28 © ACHS. This work is copyright. Requests and inquiries concerning reproduction and rights should be addressed to pos@achs.org.au
Antibiotic prophylaxis Obstetrics, v6 5.1 Appropriate prophylactic antibiotic at time of caesarean section (H) Rationale An appropriate prophylactic antibiotic at the time of caesarean section, both elective and emergency, significantly reduces maternal post-operative infectious morbidity. Numerator Total number of women who receive an appropriate prophylactic antibiotic at the time of caesarean section. Denominator Total number of women undergoing caesarean section. Dimensions of care: Accessibility Appropriateness Continuity Effectiveness Efficiency Quality Improvement and Risk Safety Desirable level: Low High Not specified Type of Indicator: Process Outcome Structure No. Total Total Year HCOs numerator denominator Rate # Centile Stratum Outlier (20) (80) gains gains gains 2008 68 11,796 18,443 64.0 36.1 96.0 5,901 4,399 2,718 2009 88 25,032 31,507 79.4 57.7 98.2 5,897 2,485 2010 84 29,864 35,010 85.3 75.6 97.8 4,360 1,875 #per 100 caesareans Rate # Rate # In 2010 there were 152 data submissions from 84 HCOs. The annual rate was 85.3 per 100 caesareans. Variation between strata There were no significant stratum differences in 2009 and 2010. Variation between HCOs In 2010 the potential gains totalled 4,360 more mothers receiving appropriate antibiotic prophylaxis. Outliers In 2010 there were 29 outlier submissions from 21 HCOs whose combined excess was 1,875 fewer mothers receiving appropriate antibiotic prophylaxis. The outlier HCO rate was 62.2 per 100 caesareans. Australasian Clinical Indicator Report 2003-2010 Page 29 © ACHS. This work is copyright. Requests and inquiries concerning reproduction and rights should be addressed to pos@achs.org.au
Page 1 and 2: The Australian Council on Healthcar
Page 3 and 4: Obstetrics, version 6 Selected prim
Page 5 and 6: 1.2 Selected primipara - induction
Page 7 and 8: Obstetrics, v6 Australasian Clinica
Page 9 and 10: Variation between strata Rates by P
Page 11 and 12: 1.4 Selected primipara - caesarean
Page 13 and 14: Vaginal birth after caesarean secti
Page 15 and 16: Selected primipara - perineal injur
Page 19 and 20: Rates by State Obstetrics, v6 No. T
Page 21 and 22: Variation between strata Rates by P
Page 23 and 24: 3.4 Selected primipara - episiotomy
Page 27: Caesarean section - General anaesth
Page 35 and 36: 7.2 Caesarean section - blood trans
Page 39 and 40: APGAR scores 9.1 Term babies - Apga
Page 41 and 42: Transfer to NICU / special care Obs
Page 43 and 44: Variation between strata Rates by M
Page 45 and 46: Clinical Significance of these resu
Page 47 and 48: CI 3.3: Selected primipara - perine
Page 49 and 50: Expert commentary Obstetrics, v6 Ro
Page 51 and 52: Thromboprophylaxis Obstetrics, v6 T
Page 53 and 54: Australian College of Midwives (ACM

Australasian Clinical Indicator Report 2003 – 2010 Obstetrics ...

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