Table 5 Performance of quality of care indicators by weekend/weekday and intervention period
Dehydration | Weekday | Weekend | Difference (95% CI) |
|---|---|---|---|
Adequate assessment* | |||
Pre-intervention; mean (sd) | 1.3 (1.3) | 1.5 (1.2) | +0.2 (-0.07 – 0.4) |
Implementation; mean (sd) | 3.1 (1.3) | 2.9 (1.4) | -0.2 (- 0.5 – 0.01) |
Post-intervention; mean (sd) | 3.5 (1.3) | 3.4 (1.2) | -0.1 (-0.4 – 0.1) |
Choice of fluid consistent with guidelines | |||
Pre-intervention; % (n) | 81 (281) | 86 (163) | +5 (2 – 11) |
Implementation; % (n) | 79 (244) | 88 (238) | +9 (4 – 16) |
Post-intervention; % (n) | 90 (233) | 92 (132) | +2 (0.1 – 7) |
Fluid volume consistent with guidelines | |||
Pre-intervention; % (n) | 64 (225) | 71 (135) | +7 (3 – 14) |
Implementation; % (n) | 79 (246) | 75 (118) | -4 (-10 - 1) |
Post-intervention; % (n) | 66 (173) | 77 (111) | +11 (6 – 19) |
Fluid therapy consistent with guidelines | |||
Pre-intervention; % (n) | 39 (137) | 45 (85) | +6 (2 – 13) |
Implementation; % (n) | 52 (158) | 57 (87) | +3 (0.1 -8) |
Post-intervention; % (n) | 61 (159) | 66 (95) | +5 (2 – 11) |
Pneumonia | |||
Adequate assessment* | |||
Pre-intervention; mean (sd) | 3.9 (1.1) | 4.1 (1.1) | +0.2 (0.02 – 0.4) |
Implementation; mean (sd) | 5.0 (1.3) | 5.3 (1.1) | +0.3 (0.05 – 0.5) |
Post-intervention; mean (sd) | 5.5 (1.2) | 5.5 (1.1) | 0.003 (-0.2 – 0.2) |
Antibiotic choice consistent with guidelines | |||
Pre-intervention; % (n) | 14 (51) | 11 (21) | -3 (-8 – 0.1) |
Implementation; % (n) | 35 (96) | 30 (40) | -5 (-11 - 2) |
Post-intervention; % (n) | 46 (139) | 48 (76) | +2 (0.1 – 7) |
Dosage consistent with guidelines | |||
Pre-intervention; % (n) | 60 (220) | 64 (119) | +4 (1–10) |
Implementation; % (n) | 92 (230) | 93 (107) | +1 (0 – 5) |
Post-intervention; % (n) | 95 (267) | 91 (138) | -4 (-10 - 1) |