Becker's Clinical Quality & Infection Control

September / October 2018 IC_CQ

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25 111 patient safety benchmarks | 2018 By Mackenzie Bean and Megan Knowles B enchmarking data is valuable for hospital and health system leaders to measure individual institutions and discover areas of excellence, as well as assess opportunities for improvement. Becker's Healthcare compiled 111 patient safety benchmarks from various sources for hospital comparison. Readmissions, Mortality and Complications Entries one through 11 are based on data from CMS' Hospital Compare website, last updat- ed May 23, 2018. Data presented reflect the national average. 30-day average readmission rates 1. Heart attack: 16.3 percent 2. Heart failure: 21.6 percent 3. Pneumonia: 16.9 percent 30-day average death rates 4. Heart attack: 13.6 percent 5. Heart failure: 11.9 percent 6. Pneumonia: 15.9 percent Rates of serious complications Figures reflect the national average rates per 1,000 patient discharges. 7. Collapsed lung due to medical treatment: 0.4 8. Serious blood clots aer surgery: 4.35 9. A wound that splits open aer surgery, abdomen or pelvis: 2.26 10. Accidental cuts and tears from medical treatment: 0.88 11. Deaths among patients with serious treat- able complications aer surgery: 139.05 Respondents reporting events in the past 12 months Entries 12 through 17 are based on data from the Agency for Healthcare Research and Quality's Hospital Survey on Patient Safety Culture 2018 User Comparative Database Report, using data from 382,834 surveyed hospital providers and staff respondents from 630 hospitals. Percentages may not add up to 100 due to rounding. 12. No reported events: 55 percent 13. One to two reported events: 25 percent 14. ree to five reported events: 13 percent 15. Six to 10 reported events: 4 percent 16. Eleven to 20 reported events: 2 percent 17. Twenty-one or more reported events: 1 percent Healthcare-Associated Infections Entries 18 through 31 are based on the CDC HAI Progress Report that includes 2014 data, published in 2016. e report uses data from the CDC's National Healthcare Safety Network. Around 17,000 hospitals and healthcare facili- ties report data to NHSN. National standardized infection ratio (a summary statistic that can be used to track HAI prevention progress over time) 18. CLABSI: 0.50 19. CAUTI: 1.00 20. MRSA bacteremia: 0.87 21. C. difficile infections: 0.92 National standardized infection ratios for surgical site infection 22. Hip arthroplasty: 0.78 23. Knee arthroplasty: 0.59 24. Colon surgery: 0.98 25. Rectal surgery: 0.60 26. Abdominal hysterectomy: 0.83 27. Vaginal hysterectomy: 0.86 28. Coronary artery bypass gra: 0.55 29. Other cardiac surgery: 0.42 30. Peripheral vascular bypass surgery: 0.70 31. Abdominal aortic aneurysm repair: 0.28 Sentinel events Entries 32 through 41 are based on e Joint Commission's sentinel event data summary published in March 2018, representing the number of sentinel events e Joint Commission reviewed for each category in 2017. Sentinel events reviewed by e Joint Commission: 32. Unintended retention of a foreign body: 116 33. Falls: 114 34. Wrong patient, wrong site, wrong proce- dures: 95 35. Suicides: 89 36. Delay in treatment: 66 37. Other unanticipated events (including as- phyxiation, burn, choking on food, drowning or being found unresponsive): 60 38. Criminal event: 37 39. Medication error: 32 40. Operative/postoperative complications: 19 41. Self-inflicted injury: 18 Process of Care Measures Entries 42 through 60 are based on data from CMS' Hospital Compare website, last updat- ed April 24, 2018. Data presented reflect the national average. Heart attack/chest pain patient data 42. Average (median) time before outpatients with chest pain or possible heart attack were transferred to another hospital if he or she needed specialized care: 57 minutes 43. Average (median) time before outpatients with chest pain or possible heart attack got an electrocardiogram: 7 minutes 44. Percent of outpatients with chest pain or possible heart attack who received fibrinolytic medication within 30 minutes of arrival: 59 percent 45. Average (median) time to fibrinolysis for heart attack or chest pain patients: 28 minutes 46. Percentage of outpatients with chest pain or possible heart attack who got aspirin within 24 hours of arrival: 95 percent Preventive care 47. Percentage of patients assessed and given influenza vaccination: 93 percent 48. Percentage of healthcare workers given influenza vaccination: 88 percent Colonoscopy care 49. Percentage of patients receiving appropri- ate recommendation for follow-up screening colonoscopy: 85 percent 50. Percentage of patients with history of

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