Table 3

Contributing processes as determined by peer review committee (mean, median and IQRs are calculated per facility)

MeanMedianIQR
Timing of treatment initiation and appropriateness of treatment
 Percentage of committee reviews23.4%16.2%8.7%–31.6%
 Per 10 000 admissions77.935.816.2–84.34
Other relevant aspects of care
 Percentage of committee reviews20.5%10.3%3.9%–25.0%
 Per 10 000 admissions67.221.58.2–59.1
Performance of a procedure or treatment
 Percentage of committee reviews15.8%7.7%3.0%–19.5%
 Per 10 000 admissions44.817.16.3–46.8
Medical record documentation
 Percentage of committee reviews16.3%12.4%7.0%–22.2%
 Per 10 000 admissions69.128.112.1–54.6
Timeliness and appropriateness of diagnosis*
 Percentage of committee reviews13.7%9.9%4.2%–17.7%
 Per 10 000 admissions40.120.010.3–45.1
Timely initiation of appropriate actions during periods of clinical deterioration
 Percentage of committee reviews10.6%6.9%3.3%–12.3%
 Per 10 000 admissions33.514.96.3–31.1
Addressing abnormal results of diagnostic tests*
 Percentage of committee reviews9.3%6.3%3.5%–11.3%
 Per 10 000 admissions33.014.77.2–30.5
Recognition and communication of critical clues during the period of clinical deterioration
 Percentage of committee reviews9.6%6.6%2.2%–12.8%
 Per 10 000 admissions29.815.84.6–32.4
Choice and timely ordering of diagnostic tests*
 Percentage of committee reviews7.8%4.0%1.9%–9.1%
 Per 10 000 admissions30.08.73.4–22.7
Adequacy of technique during procedures
 Percentage of committee reviews6.4%2.4%0.0%–6.2%
 Per 10 000 admissions17.64.90.0–14.8
Supervision of health profession trainees
 Percentage of committee reviews2.6%0.8%0.0%–2.6%
 Per 10 000 admissions6.71.20.0–5.0
  • *Processes involving diagnosis-related performance.