Patient Safety Indicators
Clostridium Difficile Infection (CDI)
Clostridium Difficile Infection (CDI) occurs when good bacteria in the bowel are eliminated or decreased allowing the C. difficile bacteria to grow and produce toxin. The toxin produced can damage the bowel and cause diarrhea. C. difficile is one example of a hospital-acquired infection and is one of the most common infections found in hospitals and long-term care facilities.
| Reporting Period |
Rate per 1,000
Patient Days |
Case Count |
| April 2021 - March 2022 |
0.00 |
0 |
Methicillin Resistant Staphylococcus Aureus (MRSA)
Methicillin Resistant Staphylococcus Aureus (MRSA) bacteraemia is defined as a patient identified with laboratory confirmed bloodstream infection with Methicillin Resistant Staphylococcus Aureus. A blood stream infection is a single positive blood culture for MRSA.
|
Reporting Period
|
Rate per 1,000
Patient Days
|
Case Count
|
|
April 2021 - March 2022
|
0.00
|
0
|
Vancomycin Resistant Enterococci (VRE)
Vancomycin Resistant Enterococci (VRE) is defined as a patient identified with laboratory confirmed bloodstream infection with Vancomycin Resistant Enterococci. A blood stream infection is a single positive blood culture for MRSA.
|
Reporting Period
|
Rate per 1,000
Patient Days
|
Case Count
|
| April 2021 - March 2022 |
0.00
|
0
|
Hand Hygiene Compliance (HHC)
The single most common way of transferring health care associated infection (HAI's) in health care settings is on the hands of health care providers. Health care providers move from patient to patient and room to room while providing care and working in the patient environment.
Proper hygiene will protect patients and providers and will reduce the spread of infections and the associated treatment costs, reduce hospital lengths of stay and readmission, reduce wait times and prevent deaths.
|
Reporting Period
|
Percent Compliance
Before Patient Contact
|
Percent Compliance
After Patient Contact
|
| April 2021 - March 2022 |
77%
|
87%
|
Surgical Safety Checklist Compliance (SSCC)
As part of the provincial government's public reporting safety indicators, all hospitals with operating rooms are required to publicly report on their compliance with a surgical checklist. this helps to ensure quality and safe surgical services.
The surgical safety checklist is considered to be performed when the designated checklist coordinator confirms that the surgical team members have implemented and/or addressed all of the necessary tasks and items in each of the three phases of the checklist - briefing, time out, and debriefing.
|
Reporting Period
|
Percentage
|
|
March 2022
|
100%
|
Falls in Long Term Care
This is a measure of Long Term Care residents who fell per 1000 patient days.
|
Reporting Period
|
Falls per 1000 patient days
|
| April 2021 - March 2022 |
3.8 falls/1000 patient days
|
Falls in Acute Care
This is a measure of Acute Care patients who fell per 1000 patient days.
|
Reporting Period
|
Falls per 1000 patient days
|
|
April 2021 - March 2022
|
7.3 falls/1000 patient days
|
Staff Influenza Vaccination Rate
|
Reporting Period
|
Percentage
|
|
2021-2022
|
75%
|
Critical Medication Incidents
The critical medication incidents are critical incidents that are medication IV/fluids.
|
Reporting Period
|
Number of Incidents
|
|
April 2021 - March 2022
|
0
|
Medication Reconciliation
At Admission
This is a measure of the total number of patients with medication reconciliation as a portion of the total number of patient admitted to the hospital.
|
Reporting Period
|
Percentage
|
| April 2021 - March 2022 |
99%
|
At Discharge
This is a measure of the total number of discharged patients for whom a Best Possible Medication Discharge Plan was created as a proportion of the total number of patients discharged.
|
Reporting Period
|
Percentage
|
| April 2021 - March 2022 |
92%
|