Vital signs and routine investigations before (epoch 1) and after (epoch 2) phase one of Safer Patients Initiative (SPI1). Figures are percentage compliance (binomial standard error (SE)) and odds ratios
| Control hospitals | SPI1 hospitals | OR (99% CI), P value | ||||||
|---|---|---|---|---|---|---|---|---|
| Epoch 1 (n=236) | Epoch 2* (n=240) | Epoch 1 (n=381) | Epoch 2* (n=380) | Changes in controls | Effect of SPI1† | |||
| On admission | ||||||||
| Temperature | 98 (1) | 99 (1) | 99 (1) | 99 (1) | 5.1 (0.3 to 89.5), 0.144 | 0.2 (0.01 to 8.5), 0.289 | ||
| Respiratory rate | 96 (1) | 99 (1) | 91 (2) | 98 (1) | 4.7 (0.6 to 36.5), 0.052 | 1.5 (0.2 to 16.0), 0.677 | ||
| Cyanosis/oxygen saturation | 99 (1) | 99 (1) | 98 (1) | 99 (1) | 1.7 (0.2 to 18.2), 0.578 | 2.7 (0.1 to 55.2), 0.385 | ||
| Confusion/mental state | 58 (3) | 65 (3) | 67 (2) | 69 (2) | 1.2 (0.7 to 2.1), 0.307 | 1.2 (0.6 to 2.6), 0.437 | ||
| Pulse | 99 (1) | 99 (1) | 99 (1) | >99 (<1) | 3.3 (0.2 to 68.7), 0.306 | 0.5 (0.01 to 23.7), 0.614 | ||
| Blood pressure | 99 (1) | 99 (1) | 99 (1) | >99 (<1) | 3.3 (0.2 to 68.7), 0.306 | 0.5 (0.01 to 23.7), 0.614 | ||
| At 6 hours | ||||||||
| Temperature | 62 (3) | 74 (3) | 76 (2) | 86 (2) | 1.7 (1.0 to 2.9), 0.008 | 1.0 (0.5 to 2.2), 0.976 | ||
| Respiratory rate | 44 (3) | 73 (3) | 43 (3) | 82 (2) | 3.6 (2.1 to 6.2), <0.001 | 2.0 (1.0 to 4.2), 0.015 | ||
| Pulse | 67 (3) | 77 (3) | 83 (2) | 88 (2) | 1.7 (1.0 to 3.0), 0.012 | 1.0 (0.4 to 2.3), 0.973 | ||
| Oxygen saturation | 61 (3) | 75 (3) | 77 (2) | 88 (2) | 1.9 (1.1 to 3.3), 0.002 | 1.3 (0.6 to 2.8), 0.425 | ||
| At 12 hours | ||||||||
| Temperature | 59 (3) | 70 (3) | 71 (2) | 82 (2) | 1.8 (1.0 to 3.0), 0.005 | 1.3 (0.6 to 2.8), 0.314 | ||
| Respiratory rate | 40 (3) | 69 (3) | 37 (3) | 78 (2) | 3.7 (2.2 to 6.2), <0.001 | 2.1 (1.0 to 4.3), 0.008 | ||
| Pulse | 62 (3) | 74 (3) | 75 (2) | 83 (2) | 1.9 (1.1 to 3.2), 0.002 | 1.2 (0.5 to 2.5), 0.618 | ||
| Oxygen saturation | 56 (3) | 73 (3) | 64 (3) | 82 (2) | 2.3 (1.4 to 3.9), <0.001 | 1.4 (0.7 to 2.9), 0.234 | ||
| Routine investigations | ||||||||
| Urea and electrolytes | >99 (<1) | 99 (1) | 99 (1) | 99 (1) | 0.6 (0.02 to 14.1), 0.665 | 0.8 (0.02 to 39.5), 0.865 | ||
| Chest x ray | 97 (1) | 98 (1) | 95 (1) | 94 (1) | 2.4 (0.5 to 11.8), 0.164 | 0.5 (0.1 to 3.0), 0.291 | ||
| Full blood count | 99 (1) | 98 (1) | 99 (1) | 98 (1) | 1.2 (0.1 to 10.5), 0.789 | 0.2 (0.01 to 5.4), 0.223 | ||
*After intervention.
†OR >1 favours SPI1.