Patient Safety indicators
DOH KPI title
QI005
Rate of Perioperative Pulmonary Embolism (PE) or Deep Vein Thrombosis (DVT)
KPI meaning
Tracking Risk of Blood Clots After Surgery
What it means
This tracks how often patients develop dangerous blood clots after surgery.
Current Performance
99.89% of surgical patients stayed free of blood clots after their operation, showing our continued commitment to safe surgical care
DOH KPI title
QI029
30 day all cause unplanned readmission rate
KPI meaning
Unplanned Return to Hospital Within 30 Days of discharge
What it means
Shows how many patients return to the hospital for same or different complaints within 30 days of discharge
Current Performance
96.1% of patients did not need to return to the hospital within 30 days of discharge. A strong indicator of continued appropriate care
Hospital acquired infections
DOH KPI title
QI006
Rate of Healthcare-Associated Multidrug-Resistant Organism (MDRO) Bloodstream Infection
KPI meaning
Monitoring Drug-Resistant Blood Infections
What it means
Measures serious hospital infections caused by germs in blood that don't respond to common antibiotics
Current Performance
Our strong hygiene and infection prevention practices are protecting patients from acquiring drug-resistant infections during their hospital stay. No Cases were reported for whole year 2025
DOH KPI title
QI031
Rate of healthcare associated infection (HAI) Clostridium Difficile Infection (CDI) in all adult inpatients
KPI meaning
Tracking Gut Infections caused by antibiotic overuse in Hospital
What it means
Tracks gut infections usually caused by antibiotics, which can be serious
Current Performance
Our careful antibiotic use and hygiene measures are top notched. CDI cases are virtually eliminated. Zero cases reported over the last 2 years
Access & Timeliness of Care KPIs
DOH KPI title
WT004
Consultant or Specialist Hospital Appointment (Excluding Cancer)
KPI meaning
Time taken to get a Specialist Appointment
What it means
How many people get timely specialist appointments
Current Performance
90.1% of patients got appointments with a specialist/consultant at a time that suited them, within the approved timeline
DOH KPI title
WT003
Hospital Wait at Point of Arrival
KPI meaning
Time taken to Start Care After Arrival at clinic
What it means
Measures how quickly patients are attended to after arrival.
Current Performance
94.2% of patients visiting the Outpatient Department were seen by a doctor promptly, within regulatory approved waiting times.
DOH KPI title
WT008
Door to Doctor in ER/ UC
KPI meaning
Time taken to See a Doctor in Emergency/Urgent Care
What it means
Shows how fast a doctor sees you after you arrive at the Emergency Room.
Current Performance
89.1% of patients visiting the Emergency Department were seen by a doctor promptly, within approved waiting times
DOH KPI title
WT010
24hrs - Re attendance Rate to Emergency Department
KPI meaning
Return Visits to ER Within 24 Hours
What it means
Tracks how many patients return to the ER within a day, which can indicate unresolved issues.
Current Performance
96.2% of patients treated in our Emergency Department did not need to come back for the same problem within 72 hours
DOH KPI title
WT011
Left without being seen (LWBS) by an Emergency departments doctor
KPI meaning
Patients Leaving ER Before Being Seen
What it means
How many patients left the ER without being treated by a doctor.
Current Performance
99.98% of patients visiting our Emergency Department were seen by a doctor. Very few ever leave without care
disclaimers
(a)- All annual performance data is verified by the Department of Health.
(b)- Some data points have been standardized to ensure consistency and facilitate clear interpretation