Download (1.19 MB) - Australian Council on Healthcare Standards
Download (1.19 MB) - Australian Council on Healthcare Standards
Download (1.19 MB) - Australian Council on Healthcare Standards
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
Medicati<strong>on</strong> Safety, v3<br />
Warfarin management<br />
CI 5.1: Warfarin – abnormal bleeding (L)<br />
Rati<strong>on</strong>ale<br />
Warfarin is a widely used drug with a narrow therapeutic index and with potentially serious<br />
adverse reacti<strong>on</strong>s such as sp<strong>on</strong>taneous bleeding.<br />
Numerator<br />
Denominator<br />
Total number of n<strong>on</strong> same-day separati<strong>on</strong>s receiving warfarin as an inpatient who<br />
experience abnormal bleeding<br />
Total number of n<strong>on</strong> same-day separati<strong>on</strong>s receiving warfarin as an inpatient<br />
Year<br />
Dimensi<strong>on</strong>s of care: Accessibility Appropriateness C<strong>on</strong>tinuity<br />
Effectiveness Quality Improvement and Risk Safety<br />
Desirable level: Low High Not specified<br />
Type of Indicator: Process Outcome Structure<br />
No.<br />
HCOs<br />
Total<br />
numerator<br />
Total<br />
denominator<br />
Rate #<br />
Rate#<br />
(20)<br />
Rate #<br />
(80)<br />
Centile<br />
Gains<br />
Stratum<br />
Gains<br />
Outlier<br />
Gains<br />
2004 28 13 2,313 0.56 0.47 0.99 2 3<br />
2005 36 28 2,686 1.04 0.58 1.38 12 5<br />
2006 31 16 2,530 0.63 0.33 0.63 8 3<br />
2007 39 17 6,297 0.27 0.16 0.28 7 5 2<br />
2008 31 12 4,790 0.25 0.23 0.31 1<br />
2009 26 16 2,865 0.56 0.30 0.41 7 7<br />
2010 22 27 2,856 0.95 0.39 0.62 16 15<br />
2011 24 23 1,637 1.41 0.43 1.22 16 16 9<br />
#per 100 separati<strong>on</strong>s<br />
In 2011 there were 35 records from 24 HCOs. The annual rate was 1.4 per 100 separati<strong>on</strong>s.<br />
Trends<br />
The fitted rate deteriorated from 0.45 to 0.77, a change of 0.32 per 100 separati<strong>on</strong>s.<br />
Rates and centiles by year<br />
A Low rate is desirable<br />
80 th centile rate<br />
x<br />
Aggregate rate<br />
Period average rate<br />
Fitted rate<br />
20 th centile rate<br />
Australasian Clinical Indicator Report 2004–2011 Page 9<br />
© ACHS. This work is copyright. Requests and inquiries c<strong>on</strong>cerning reproducti<strong>on</strong> and rights should<br />
be addressed to pos@achs.org.au
Change language