Quality outcomes

Patients Satisfaction

• Patients satisfaction (Peer value: 8.32): 8.55
  _{^{Data 2023 (Peer data: 2022). Source: Health Quality and Assessment Agency of Catalonia (AQuAS)}}
• Net Promoter Score (NPS), overall: 72.15
  _{^{Data: 2023. Source: Own system}}
• Net Promoter Score (NPS), inpatients: 81.89
  _{^{Data: 2023. Source: Own system}}

Hospital Outcomes and Quality Metrics

Global Indicators

^{(Source: IAmetrics®, IQVIA, data: 2025)}

• Case-mix complexity (Relative Weight AP-DRG): 1.204
  _{^{Meaning: Case-mix more complex than peer1 (12%)}}
• Risk-adjusted Mortality Index: 0.3461
  _{^{Meaning: Less mortality than expected2 (65% less)}}
• Risk-adjusted Readmissions Index at 30 days: 0.8760
  _{^{Meaning: Less readmissions than expected2 (22% less)}}
• Risk-adjusted complication rate: 0.8093
  _{^{Meaning: Better than reference value2 (19% less)}}

^{1 Peer: Data base of pediatric inpatient admissions (0-18 years) from university hospitals in Spain.
2 Risk-adjusted index: Based on models adjusted by age, sex, diagnostics, procedures and other variables, developed by IQVIA with data from Spanish hospitals.}

Patient Safety Indicators

^{(Source: Own data 2025)}

• Falls in hospitalised patients by length of stay [Reference value: <2 %]: 0.07 %
• Wrong-blood transfusion due to incorrect patient identification [Reference value: ≤0,1 %]: 0
• Level of patient identification coverage [Reference value: >95 % %]: 86.8 %
• Ventilator-associated pneumonia in ICUs: 0.53 %

Hospital Efficiency

^{(Source: IAmetrics®, IQVIA, data: 2025)}

• DRG-adjusted Length of Stay Index: 0.9796
  _{^{Meaning: Better than peer1 (2%)}}
• DRG-adjusted Preoperatory Stay: 0.7525
  _{^{Meaning: Better than peer11 (25%)}}
• DRG-adjusted Ambulatory Index: 0.8806
  _{^{Meaning: Better than peer1 (12%)}}

^{1 Peer: Data base of pediatric inpatient admissions (0-18 years) from university hospitals in Spain, Iametrics®, IQVIA}

Accreditations

SJD Barcelona Children's Hospital have the following categories of accreditations:

Overall hospital accreditation

Acute Hospital Care Centers, Department of Health Government of Catalonia, 97% achievement of standards.

Clinical accreditations

1. European Reference Networks (ERN) accreditations: The hospital is accredited in 21 of 24 ERN.
2. CSUR (Center, department or units of reference): Accreditation by the Ministry of Health, Spain, as a reference hospital, clinical department or clinical unit for the country and all its regions. The Hospital is accredited in 36 CSUR.
3. JACIE: Accreditation of the Bone Marrow Transplant Unit and CAR-T Cell Therapy Unit.
4. XUEC: Networks of specialised clinical services with a high level of diagnostic and therapeutic expertise in the management of specific groups of diseases. The Hospital has 11 XUEC of this accreditation from the Department of Health of the Government of Catalonia.

Patient Experience

We work using a process and methodological approach that melds lean management and design thinking by facilitating the interaction between patients and other stakeholders in the design of processes and the patient experience. The lean management approach focuses on fine-tuning processes and their feasibility, whilst design thinking explores and identifies the needs, questions, concerns and preferences of patients and their families.

PROMS

This approach is used through interview to the parents of the children on treatment in the units.

Number of patients included [tool we use]

• Palliative Care [HRQoL]: 35
• Rheumatoid Arthritis [JADAS]: 556
• Diabetes Mellitus [PedsQL]: 405
• Palatine Fissure [Set ICHOM Cleft&Palate]: 120
• Cognitive-behavioural disorders [NeuroQol]: 45
• Cystic Fibrosis [Cystic Fibrosis Questionnaire-Revised Application]: 42
• Inflammatory Bowel Disease [IMPACT III]: 60
• Haemophilia [HaemoQol]: 15
• Immunodeficiencies [PEDsQL]: 20

PREMS

There has been 467 qualitative dynamics with a participation of 1,140 participants.

• Interviews: 250 dynamics with 343 participants.
• Observational sessions: 83 dynamics with 183 participants.
• Focus groups: 48 dynamics with 330 participants.
• Activity registry file: 70 dynamics with 100 participants.
• Co-design sessions: 16 dynamics with 162 participants.
• User’s testing: 22 participants.

The profiles of the users have been the following ones:

• Patients: 262
• Relatives: 385
• Staff: 431
• Volunteers: 60
• Patient's associations: 2