Becker's Clinical Quality & Infection Control

Becker's Infection Control and Clinical Quality July 2014

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5 16. Eleven to 20 reported events: 2 percent 17. Twenty one or more reported events: 1 percent Healthcare-Associated Infections Entries 18 through 32 are based on the Centers for Disease Control and Prevention 2014 HAI Prevalence Survey using data from 183 hospitals reporting on 11,282 patients between May and September 2011. 18. Percentage of patients contracting at least one HAI: 4 percent 19. Median interval from hospital admission to symptom-onset: 6 days Percentage of all HAIs 20. Pneumonia: 21.8 percent 21. Surgical site infection: 21.8 percent 22. Gastrointestinal infection: 17.1 percent 23. Urinary tract infection: 12.9 percent 24. Primary bloodstream infection: 9.9 percent 25. Eye, ear, nose, throat or mouth infection: 5.6 percent 26. Lower respiratory tract infection: 4.0 percent 27. Skin and soft-tissue infection: 3.2 percent 28. Cardiovascular system infection: 1.2 percent 29. Bone and joint infection: 1.0 percent 30. Central nervous system infection: 0.8 percent 31. Reproductive tract infection: 0.6 percent 32. Systemic infection: 0.2 percent Process of Care Measures Entries 33 through 67 are based on data from Medi- care.gov's Hospital Compare, last updated April 16, 2014. Data presented reflect the national average. Heart attack/chest pain patient data 33. Average number of minutes before outpa- tients with chest pain or possible heart attack were transferred to another hospital if he or she needed specialized care: 59 minutes 34. Average number of minutes before outpa- tients with chest pain or possible heart attack got an ECG: 7 minutes 35. Percentage of outpatients with chest pain or potential heart attack who got drugs to break up clots within 30 minutes of arrival: 57 percent 36. Percentage of outpatients with chest pain or possible heart attack who got aspirin within 24 hours of arrival: 96 percent 37. Percentage of heart attack patients who were given fibrinolytic medication within 30 minutes of arrival: 58 percent 38. Percentage of heart attack patients who were given percutaneous coronary intervention within 90 minutes of arrival: 96 percent 39. Percentage of heart attack patients given aspi- rin at discharge: 99 percent 40. Percentage of heart attack patients given a pre- scription for a statin at discharge: 98 percent 41. Percentage of heart failure patients given dis- charge instructions: 94 percent 42. Percentage of heart failure patients given an evaluation of left ventricular systolic function: 99 percent 43. Percentage of heart failure patients given ACE inhibitor or ARB for left ventricular systolic dys- function: 97 percent Pneumonia patient data 44. Percentage of pneumonia patients whose ini- tial emergency room blood culture was performed before antibiotic administration: 98 percent 45. Percentage of pneumonia patients given most appropriate initial antibiotics: 95 percent Surgery patient data 46. Percentage of patients given an antibiotic within one hour of surgery: 99 percent 47. Percentage of patients given an antibiotic to help prevent infection within an hour of surgery: 99 percent 48. Percentage of patients whose preventive anti- biotics were stopped within 24 hours of surgery: 98 percent 49. Percentage of patients who got treatment within 24 hours before or after surgery to help prevent blood clots after certain types of surgery: 98 percent 50. Percentage of outpatients given the right kind of antibiotic: 98 percent 51. Percentage of patients taking beta blockers kept on the beta blockers just before and after surgery: 98 percent 52. Percentage of patients given the right kind of antibiotic to prevent infection: 99 percent 53. Percentage of heart surgery patients whose blood glucose was well controlled in days imme- diately after surgery: 97 percent 54. Percentage of patients whose urinary catheters were removed on the first or second post-surgical day: 97 percent 55. Percentage of patients actively warmed in operating room or whose body temperature was near normal by the end of surgery: 100 percent 56. Percentage of patients who got treatment within 24 hours before or after surgery to help prevent blood clots from certain types of surger- ies: 98 percent Emergency department patient data 57. Average time spent in the emergency department before being admitted as an inpatient: 275 minutes 58. Average time spent in the emergency depart- ment after doctor decided to admit them as an inpatient before moving from emergency depart- ment to inpatient room: 98 minutes 59. Average time spent in the emergency depart- ment before being sent home: 135 minutes 60. Average time spent in the emergency depart- ment before being seen by a healthcare profes- sional: 26 minutes 61. Average time spent with broken bones waiting before receiving pain medication: 58 minutes 62. Percentage of patients who came to the emergen- cy room with stroke symptoms and received brain scan results within 45 minutes of arrival: 54 percent 63. Percentage of patients assessed and given in- fluenza vaccination: 90 percent 64. Percentage of patients assessed and given pneumonia vaccination 91 percent Pediatric asthma data 65. Percentage of children who received reliever med- ication while hospitalized for asthma: 100 percent 66. Percentage of children who received systemic corticosteroid medication while hospitalized for asthma: 100 percent 67. Percentage of children and caregivers who received a home management plan of care docu- ment while hospitalized for asthma: 87 percent Patient Experience Entries 68 through 77 are based on data from Medi- care.gov's Hospital Compare, last updated April 16, 2014. Data presented reflect the national average. Percentage of patients reporting that something was "always" done during their hospital stays: 68. Nurses communicated well: 79 percent 69. Physicians communicated well: 82 percent 70. Patients received help as soon as they wanted: 67 percent 71. Pain was well controlled: 71 percent 72. Staff explained medicines before administra- tion: 64 percent 73. Room and bathroom were clean: 73 percent 74. Area around patient room was quiet at night: 61 percent 75. Information was given to patients about what to do at home during recovery: 85 percent 76. Patients rated their hospital a 9 or 10 (10 being the highest): 70 percent 77. Patients reported they would recommend their hospital: 71 percent 100 Patient Safety Benchmarks — 2014 (continued from cover)

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