At Phoenix Hospital, patient safety is always our top priority.
As part of our commitment to transparency and continuous improvement, we share selected Key Performance Indicators (KPIs) with the public.
These indicators reflect our performance in key areas such as:
- Infection prevention
- Timely delivery of care
- Patient outcomes and recovery
By sharing this data openly, we aim to:
- Build trust with our patients and community
- Stay accountable to the highest standards of care
- Demonstrate our commitment to safe, high-quality healthcare—every single day
When patients are well-informed, they can make confident choices—and transparency helps us keep improving
Indicator Performance
0 %
Benchmark
0.2 %
Infection
Multiple Drug Resistance Blood Stream Infection
MDRO
Preventing the Spread of Resistance: Strengthening Our Infection Control Culture
With an overall rate of 0 per 1,000 inpatient days, we continue to surpass the CDC benchmark of 0.2, reflecting the effectiveness of our robust infection prevention measures and our unwavering commitment to controlling antimicrobial resistance.
Indicator Performance
0 %
Benchmark
0.5 %
Infection
Healthcare associated infection (HAI) Clostridium Difficile Infection (CDI)
HAI-CDI
Zero Infection Rates: Sustaining Excellence in CDI Prevention
With a Clostridium difficile infection (CDI) rate of 0 per 1,000 inpatient days, we continue to surpass the CDC benchmark of 0.5 — underscoring our unwavering commitment to infection prevention, antimicrobial stewardship, and patient safety.
Indicator Performance
0 %
Benchmark
3.1 %
Embolism
Perioperative Pulmonary Embolism (PE)or Deep Vein Thrombosis (DVT)
DVT
Exceeding National Standards: Ensuring Safer Surgical Outcomes
With a PE/DVT rate of 0 per 1,000 surgical discharges, we continue to significantly outperform the AHRQ benchmark of 3.1 — reflecting our strong adherence to surgical safety standards, effective thromboprophylaxis measures, and excellence in postoperative care.
Indicator Performance
0.79 %
Benchmark
10-15%
Readmission
30-day unplanned hospital readmission rate for medical and surgical patients
Readmission
Supporting Recovery Beyond Discharge
With an overall readmission rate of just 0.79% per 100 adult discharges, we remain well within our internal goal of maintaining readmissions below the 10% threshold — demonstrating our strong commitment to safe care transitions, effective discharge planning, and sustained patient recovery.
Indicator Performance
85.31 %
Benchmark
90%
Access To Care
Hospital Wait at Point of Arrival (Minutes)
Waiting Time
Improving Access: Our Ongoing Commitment to Timely Care
In 2024, 85.31% of patients were seen within 60 minutes, reflecting steady progress toward the Department of Health (DoH) benchmark of 90%. This demonstrates our ongoing commitment to improving patient flow and ensuring timely access to quality care.
Indicator Performance
99.99 %
Benchmark
90%
Specialist Access
Consultant or specialist Hospital Appointment (excluding cancer) (Days)
Appointment
Timely Specialist Access: A System-Wide Success
In 2024, 99.99% of patients across the system were seen within 14 working days, significantly surpassing the Department of Health (DoH) benchmark of 90%. This exceptional achievement highlights our strong focus on timely access, scheduling efficiency, and patient-centered service delivery.
Indicator Performance
100 %
Benchmark
90%
Emergency Waiting Time
Seeing a doctor in Accident and Emergency (Minutes)
Emergency Time
Delivering Timely Emergency Care When It Matters Most
In 2024, 100% of patients were seen by a doctor within 60 minutes, exceeding the Department of Health’s benchmark of 90%. This reflects significant progress achieved through focused improvements in patient flow, triage efficiency, and overall service delivery.
Indicator Performance
0.42 %
Benchmark
3%
Re-Attendance
24 hours – Re attendance rate to Accident and Emergency Department
Emergency
Right Care the First Time: Reducing Unplanned Returns
With a re-attendance rate of just 0.42%, we remain well within our internal target of keeping unplanned returns below 3%, underscoring our continued commitment to providing effective, timely, and high-quality emergency care.
Indicator Performance
0 %
Benchmark
3%
Incomplete Visit
Left Without Being Seen (LWBS) by an Emergency Department Doctor
LWBS
Keeping Patients Engaged in Their Emergency Care Journey
In 2024, 0% of patients left before being assessed — well below the Department of Health (DoH) benchmark of 3%. This outstanding result reflects our strong commitment to timely emergency care and continuous enhancement of the patient experience.