A hospital evaluates a new deterioration-response program. C… | MyMerci
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Performance Improvement

A hospital evaluates a new deterioration-response program. Classify each operationally defined measure by what it directly measures: available care capability (Structure), delivered clinical action (Process), or a patient health endpoint (Outcome). Classify the measure itself, not the improvement it is hoped to cause. Each measure is used once; category totals are not supplied.

Matrix Multiple Choice

Choose your responses, then check the answer.

1. Proportion of overnight shifts for which a credentialed rapid-response nurse was rostered and available, whether or not any call occurred.
2. Proportion of qualifying alerts followed by a documented bedside reassessment within the locally specified interval.
3. Risk-adjusted rate of new cardiac arrests among eligible ward admissions during the evaluation period.
4. Proportion of ward beds connected to the functioning alert system, regardless of whether an alert was generated or acted on.
5. Median elapsed time from a qualifying alert to the team's first bedside evaluation, calculated only for alerts requiring attendance.
6. Proportion of enrolled patients who develop a new pressure injury before discharge despite the prevention program.
7. Among transfers requiring reconciliation, proportion with a completed medication review before the first scheduled post-transfer dose.
Explanation
Structure: staffing availability and functioning system coverage. Process: timely reassessment, time to bedside evaluation, and medication-review completion. Outcome: cardiac arrest and new pressure injury. The direct object of measurement determines the category. A percentage can describe capability, delivered action or patient harm. A time interval can measure a care process when its endpoint is staff performance rather than patient recovery.
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