Becker's Clinical Quality & Infection Control

Becker's Infection Control & Clinical Quality July 2017

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8 PATIENT SAFETY 100 Patient Safety Benchmarks | 2017 By Anuja Vaidya and Brian Zimmerman 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 100 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 updated April 28, 2017. Data presented reflect the national average. 30-day average readmission rates 1. Heart attack: 16.8 percent 2. Heart failure: 21.9 percent 3. Pneumonia: 17.1 percent 30-day average death rates 4. Heart attack: 14.1 percent 5. Heart failure: 12.1 percent 6. Pneumonia: 16.3 percent Rates of serious complications Figures reflect the national average rates per 1,000 patient discharges. 7. Collapsed lung due to medical treatment: 0.41 8. Serious blood clots aer surgery: 5.31 9. A wound that splits open aer surgery, abdomen or pelvis: 2.32 10. Accidental cuts and tears from medical treatment: 1.43 11. Deaths among patients with serious treatable complications aer surgery: 136.48 Respondents reporting events in the past 12 months Entries 12 through 17 are based on data from the Agency for Healthcare Research and Qual- ity's Hospital Survey on Patient Safety Culture 2016 User Comparative Database Report, us- ing data from 447,584 surveyed hospital staff respondents from 680 hospitals. Percentages may not add up 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 Venous thromboembolism care Entries 18 through 22 are VTE care measure results based on 2015 data from America's Hospitals: Improving Quality and Safety – e Joint Commission's Annual Report 2016. Results are determined by the number of times the hospital met the measure divided by the number of opportunities the hospital had during the year. Results are expressed as a percentage. 18. VTE medicine/treatment: 95.2 percent 19. VTE medicine/treatment in ICU: 97.2 percent 20. VTE patients with overlap therapy: 94 percent 21. VTE warfarin discharge instructions: 92.6 percent 22. Incidence of potentially preventable VTE: 1.8 percent Healthcare-Associated Infections Entries 23 through 36 are based on the Centers for Disease Control and Prevention HAI Progress Report that includes 2014 data, published in 2016. e report uses data from the CDC's National Healthcare Safety Net- work. Around 17,000 hospitals and healthcare facilities report data to NHSN. National standardized infection ratio (a summary statistic that can be used to track HAI prevention progress over time) 23. CLABSI: 0.50 24. CAUTI: 1.00 25. MRSA bacteremia: 0.87 26. C. difficile infections: 0.92 National standardized infection ratios for surgical site infection 27. Hip arthroplasty: 0.78 28. Knee arthroplasty: 0.59 29. Colon surgery: 0.98 30. Rectal surgery: 0.60 31. Abdominal hysterectomy: 0.83 32. Vaginal hysterectomy: 0.86 33. Coronary artery bypass gra: 0.55 34. Other cardiac surgery: 0.42 35. Peripheral vascular bypass surgery: 0.70 36. Abdominal aortic aneurysm repair: 0.28 Sentinel events Entries 37 through 45 are based on the Joint Commission's sentinel event data summary published in March 2017, representing the number of sentinel events e Joint Commis- sion reviewed for each category in 2016. Sentinel events reviewed by e Joint Com- mission: 37. Unintended retention of a foreign body: 120 38. Wrong-patient, wrong-site, wrong-pro- cedures: 104 39. Falls: 92 40. Suicides: 87 41. Delay in treatment: 54 42. Other unanticipated events (including as- phyxiation, burn, choked on food, drowned or found unresponsive): 47 43. Operative/postoperative complications: 45 44. Medication error: 33 45. Criminal event: 32 Process of Care Measures Entries 46 through 66 are based on data from CMS' Hospital Compare website, last updated April 28, 2017. Data presented reflect the national average. Heart attack/chest pain patient data 46. Average (median) number of minutes before outpatients with chest pain or possible heart attack were transferred to another hospital if he or she needed specialized care: 59 minutes 47. Average (median) number of minutes before outpatients with chest pain or possible heart attack got an electrocardiogram: 7 minutes 48. Percent of outpatients with chest pain or possible heart attack who received fibrinolyt- ic medication within 30 minutes of arrival: 59 percent

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