QPS Clinical/Managerial Measures Tool

What (measure category—for example, Who (owner—staff name/title): When (completion date):
strategic priority improvement or
individual department/service): Alaa Nashat / ICU- HN 31/12/2015
RRT service

Performance measure name:
% Ratio of CPR (post RRT) to Total RRT call
Numerator:
Number of Code blue announcement
Rationale for measure selection: Type of measure (indicator; check one):
❒Structure
Measure effectiveness of RRT service on
reduction of CPR in Inpatient ❒Process
❒Outcome
❒Process and outcome

Denominator:

Total number of RRT calls

Original source of measure:

Copy of RRT forms folder in ICU

Anticipated reporting time period: Frequency of assessment of data: (check one)

At the end of each month ❒Daily ❒Weekly ❒Monthly ❒Other

Data collection methodology: Target sample and sample size (n):

Check one: ❒Retrospective ❒Concurrent Areas of monitoring:
All RRT patients
Measure target and/or threshold:
Zero

Please explain the data aggregation and analysis plan:

The RRT nurse will send copy from RRT form to RRT folder in ICU then at the end of each moth the Head nurse will review the form and get
the data the will be send to QMD
Please indicate how the data results will be disseminated to staff:
Quality dash board
Audit tool name or file name (attach the audit form tool):
RRT forms