Table 4

Summary table of clinical conditions and associated indicator list

ConditionOutcome categoryIndicator
Trauma
Includes: Falls, road injury, violence, all penetrating and blunt trauma		Mortality

  • % of patients with trauma-related chief complaint who die within 24 hours of emergency unit (EU) presentation

Morbidity

  • % of patients meeting local transfusion criteria who receive blood transfusion

  • % of patients with active external bleeding who have action taken to control haemorrhage

  • % of patients with extremity fracture who are splinted

  • % of patients with documentation of pain who receive pain medications

Assessment

  • % of patients with chief complaint of trauma with documented primary survey

  • % of patients with highest triage priority who have VS recorded every 15 min in the first hour of presentation

Diagnostics

  • % of patients with chief complaint of blunt abdominal trauma who have documented finding of FAST exam

Structure

  • % of EUs with trauma protocol

Sepsis
Communicable disease
Includes:
Malaria, PNA, neonatal sepsis, measles, HIV, diarrhoeal disease		Morbidity

  • % of patients with diagnosis of sepsis given antibiotics during EU length of stay

  • Mean amount of IVF given per adult patient with dx of sepsis

  • % of adult patients with SBP <90 mm Hg given IVF

Assessment

  • % of patients with highest triage priority who have VS recorded every 15 min in the first hour of presentation

Structure

  • % of EUs with sepsis protocol

Lower respiratory tract infection (LRTI)
Communicable disease
Includes:
Adult PNA
Paediatric PNA		Mortality

  • % of adult patients with dx of LRTI who die within 24 hours of EU presentation

  • % of patients <5 years with diagnosis of LRTI who die within 24 hours of EU presentation

Morbidity

  • % of adult patients with pneumonia given antibiotics during EU length of stay

  • % of patients <5 years with pneumonia given antibiotics during EU length of stay

  • % of patients with SaO2 <92% who had supplemental oxygen given

Assessment

  • % of patients with highest triage priority who have VS recorded every 15 min in the first hour of presentation

Asthma
Non-communicable disease 		Mortality

  • % of patients with diagnosis of asthma disease who die within 24 hours of EU presentation

Morbidity

  • % of patients with SaO2 <92% who had supplemental oxygen given

  • % of patients with documentation of wheezing who receive bronchodilator treatment

  • % of patients with documentation of wheezing who receive corticosteroid treatment

Assessment

  • % of patients with highest triage priority who have VS recorded every 15 min in the first hour of presentation

Structure

  • % of EUs with asthma protocol

Obstetric emergencies
Maternal health
Includes:
PPH
Eclampsia/pre-eclampsia
Ectopic pregnancy 		Morbidity

  • % of patients with diagnosis of eclampsia or pre-eclampsia receiving magnesium

  • % of adult patients with SBP <90 mm Hg given IVF

  • % of patients with active bleeding who have physical manoeuvres applied to control haemorrhage

  • % of patients with postpartum haemorrhage who receive pharmacological manoeuvres to control bleeding

  • % of patients with diagnosis of sepsis given antibiotics during EU length of stay

  • Mean amount of IVF given per adult patient with dx of septic shock

Assessment

  • % of patients with highest triage priority who have VS recorded every 15 min in the first hour of presentation

Diagnostics

  • % of female patients age 15–49 years with pregnancy test checked

  • FAST, Focused Assessment with Sonography in Trauma; IVF, intravenous fluid; PPH, post partum haemorrhage; PNA, pneumonia;  SaO2, oxygen saturation; SBP, systolic blood pressure; VS, vital signs.