Becker's Clinical Quality & Infection Control

5 100 Patient Safety Benchmarks | 2016 By Shannon Barnet Becker's Infection Control & Clinical Qual- ity has compiled a list of 100 patient safety benchmarks from various sources for hospital comparison. Readmissions, Mortality and Compli- cations Entries 1 through 11 are based on data from CMS' Hospital Compare website, last updated May 4, 2016. Data presented reflect the nation- al average. 30-day average readmission rates 1. Heart attack: 17 percent 2. Heart failure: 22 percent 3. Pneumonia: 16.9 percent 30-day average death rates 4. Heart attack: 14.2 percent 5. Heart failure 11.6 percent 6. Pneumonia: 11.5 percent Rates of serious complications Figures reflect the national average rates per 1,000 patient discharges. 7. Collapsed lung due to medical treatment: 0.39 8. Serious blood clots aer surgery: 4.35 9. A wound that splits open aer surgery, abdomen or pelvis: 1.7 10. Accidental cuts and tears from medical treatment: 1.81 11. Deaths among patients with serious treat- able complications aer surgery: 117.75 Respondents reporting events in the past 12 months Entries 12 through 17 are based on data from AHRQ's Hospital Survey on Patient Safety Cul- ture 2016 User Comparative Database Report, using data from 447,584 surveyed hospital staff respondents from 680 hospitals. Percentages may not add to 100 due to rounding. 12. No reported events: 55 percent 13: One to two reported events: 27 percent 14. ree to five reported events: 12 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 32 are based on the CDC's 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 per- cent 25. Eye, ear, nose, throat or mouth infection: 5.6 percent 26. Lower respiratory tract infection: 4.0 percent 27. Skin and so-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 Sentinel Events Entries 33 through 43 are based on the Joint Commission's sentinel event data summary published in 2016 based on 2015 data. Sentinel events reviewed by the Joint Com- mission: 33. Unintended retention of a foreign body — 116 34. Wrong-patient, wrong-site, wrong-proce- dure — 111 35. Falls — 95 36. Suicide — 95 37. Dialysis-related event — 76 38. Operative/post-operative complication — 76 39. Other unanticipated event (including asphyxiation, burn, choked on food, drowned or found unresponsive) — 56 40. Delay in treatment — 46 41. Perinatal death/injury — 42 Process of Care Measures Entries 42 through 66 are based on data from CMS' Hospital Compare, last updated May 4, 2016. Data presented reflect the national average. Heart attack/chest pain patient data 42. 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: 57 minutes 43. Average number of minutes before outpa- tients with chest pain or possible heart attack got an ECG: 7 minutes 44. Percentage of outpatients with chest pain or potential heart attack who got drugs to break up clots within 30 minutes of arrival: 59 percent 45. Percentage of outpatients with chest pain or possible heart attack who got aspirin within 24 hours of arrival: 97 percent 46. Percentage of heart attack patients who were given fibrinolytic medication within 30 minutes of arrival: 57 percent 47. Percentage of heart attack patients who were given percutaneous coronary interven- tion within 90 minutes of arrival: 96 percent 48. Percentage of heart failure patients given an evaluation of le ventricular systolic func- tion: 99 percent Pneumonia patient data 49. Percentage of pneumonia patients given most appropriate initial antibiotics: 95 percent Surgery patient data 50. Percentage of patients given an antibiotic to help prevent infection within an hour of surgery: 99 percent 51. Percentage of patients whose preventive antibiotics were stopped within 24 hours of surgery: 98 percent 52. Percentage of patients who got treatment within 24 hours before or aer surgery to help prevent blood clots aer certain types of surgery: 100 percent

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