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100 patient safety benchmarks | 2016

Becker’s Infection Control & Clinical Quality has compiled a list of 100 patient safety benchmarks from various sources for hospital comparison.

Readmissions, Mortality and Complications
Entries 1 through 11 are based on data from CMS’ Hospital Compare website, last updated May 4, 2016. Data presented reflect the national 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 after surgery: 4.35
9. A wound that splits open after surgery, abdomen or pelvis: 1.7
10. Accidental cuts and tears from medical treatment: 1.81
11. Deaths among patients with serious treatable complications after 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 Culture 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. Three 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 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 percent
27. Skin and soft-tissue infection: 3.2 percent
28. Cardiovascular system infection: 1.2 percent
29. Bone and joint infection: 1 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 41 are based on the Joint Commission’s sentinel event data summary published in 2016 based on 2015 data.
Sentinel events reviewed by the Joint Commission:
33. Unintended retention of a foreign body: 116
34. Wrong-patient, wrong-site, wrong-procedures: 111
35. Falls: 95
36. Suicides: 95
37. Dialysis-related events: 76
38. Operative/post-operative complications: 76
39. Other unanticipated events (including asphyxiation, burn, choked on food, drowned or found unresponsive: 56
40. Delays in treatment: 46
41. Perinatal deaths/injuries: 42

Process of Care Measures
Entries 42 through 66 are based on data from CMS’ Hospital Compare website, last updated May 4, 2016. Data presented reflect the national average.
Heart attack/chest pain patient data
42. Average number of minutes 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 number of minutes before outpatients 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 intervention within 90 minutes of arrival: 96 percent
48. Percentage of heart failure patients given an evaluation of left ventricular systolic function: 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 after surgery to help prevent blood clots after certain types of surgery: 100 percent
53. Percentage of patients taking beta blockers kept on the beta blockers just before and after surgery: 98 percent
54. Percentage of patients given the right kind of antibiotic to prevent infection: 99 percent
55. Percentage of patients whose urinary catheters were removed on the first or second post-surgical day: 98 percent

Emergency department patient data
56. Average time spent in the emergency department before being admitted as an inpatient: 279 minutes
57. Average time spent in the emergency department after doctor decided to admit them as an inpatient before moving from emergency department to inpatient room: 99 minutes
58. Average time spent in the emergency department before being sent home: 141 minutes
59. Average time spent in the emergency department before being seen by a healthcare professional: 24 minutes
60. Average time spent waiting with broken bones before receiving pain medication: 54 minutes
61. Percentage of patients who came to the emergency room with stroke symptoms and received brain scan results within 45 minutes of arrival: 67 percent
62. Percentage of patients assessed and given influenza vaccination: 94 percent
63. Percentage of healthcare workers given influenza vaccination: 84 percent

Blood clot prevention and treatment
64. Patients who got treatment to prevent blood clots on the day of or day after hospital admission or surgery: 93 percent
65. Patients with blood clots who were discharged on a blood thinner medication and received written instructions about that medicine: 91 percent
66. Patients who developed a blood clot while in the hospital who did not get treatment that could have prevented it: 4 percent

Patient Experience
Entries 67 through 77 are based on data from CMS’ Hospital Compare website, last updated May 4, 2016. Data presented reflect the national average.
Percentage of patients reporting that something was “always” done during their hospital stays:
67. Nurses communicated well: 80 percent
68. Physicians communicated well: 82 percent
69. Patients received help as soon as they wanted: 68 percent
70. Pain was well controlled: 71 percent
71. Staff explained medicines before administration: 65 percent
72. Room and bathroom were clean: 74 percent.
73. Area around patient room was quiet at night: 62 percent
74. Information was given to patients about what to do at home during recovery: 86 percent
75. Patients rated their hospital a 9 or 10 (10 being the highest): 71 percent
76. Patients reported they would recommend their hospital: 71 percent
77. Patients “strongly agree” that they understood their care when they left the hospital: 52 percent

Patient Volumes & Hospital Beds
Entries 78 through 82 are from the Kaiser Family Foundation’s 2014 State Health Facts. Data presented represent the average annual patient volume per 1,000 population.
78. Number of hospital admissions: 104
79. Number of hospital inpatient days: 566
80. Hospital emergency room visits: 428
81. Hospital outpatient visits: 2,174
82. Hospital beds: 2.5

Access to Care
Entry 83 is from the CDC’s Behavioral Risk Factor Surveillance System 2014 Survey, using data from 464,664 surveyed respondents in all U.S. states and territories.
83. Percentage of adults not seeing a physician in past 12 months due to cost: 14.3 percent

Patient Safety Culture
Entries 84 through 100 are based on data from AHRQ’s Hospital Survey on Patient Safety Culture 2016 User Comparative Database Report, using data from 447,584 surveyed hospital staff respondents from 680 hospitals.

84. Percentage of hospital staff reporting teamwork within units:
10th percentile: 75 percent
25th percentile: 79 percent
Median: 82 percent
75th percentile: 85 percent
90th percentile: 88 percent
Average: 82 percent

85. Percentage of hospital staff reporting supervisor/manager expectations and actions promoting patient safety:
10th percentile: 71 percent
25th percentile: 75 percent
Median: 79 percent
75th percentile: 83 percent
90th percentile: 86 percent
Average: 78 percent

86. Percentage of hospital staff reporting organizational learning and continuous improvement from mistakes:
10th percentile: 63 percent
25th percentile: 68 percent
Median: 73 percent
75th percentile: 77 percent
90th percentile: 81 percent
Average: 73 percent

87. Percentage of hospital staff reporting management support for patient safety:
10th percentile: 60 percent
25th percentile: 67 percent
Median: 73 percent
75th percentile: 79 percent
90th percentile: 83 percent
Average: 72 percent

88. Percentage of hospital staff reporting overall perceptions of patient safety:
10th percentile: 55 percent
25th percentile: 60 percent
Median: 66 percent
75th percentile: 72 percent
90th percentile: 77 percent
Average: 66 percent

89. Percentage of hospital staff reporting feedback and communications about errors:
10th percentile: 58 percent
25th percentile: 63 percent
Median: 68 percent
75th percentile: 74 percent
90th percentile: 78 percent
Average: 68 percent

90. Percentage of hospital staff reporting frequency of events that had potential to cause harm but did not cause harm and were reported:
10th percentile: 57 percent
25th percentile: 61 percent
Median: 67 percent
75th percentile: 71 percent
90th percentile: 76 percent
Average: 67 percent

91. Percentage of hospital staff reporting communication and openness:
10th percentile: 55 percent
25th percentile: 59 percent
Median: 64 percent
75th percentile: 68 percent
90th percentile: 72 percent
Average: 64 percent

92. Percentage of hospital staff reporting teamwork across units:
10th percentile: 50 percent
25th percentile: 56 percent
Median: 61 percent
75th percentile: 67 percent
90th percentile: 73 percent
Average: 61 percent

93. Percentage of hospital staff reporting adequate unit staffing to provide quality care:
10th percentile: 42 percent
25th percentile: 48 percent
Median: 53 percent
75th percentile: 60 percent
90th percentile: 66 percent
Average: 54 percent

94. Percentage of hospital staff reporting smooth informational handoffs & care transitions:
10th percentile: 35 percent
25th percentile: 41 percent
Median: 46 percent
75th percentile: 54 percent
90th percentile: 62 percent
Average: 48 percent

95. Percentage of hospital staff reporting nonpunitive response to error:
10th percentile: 35 percent
25th percentile: 39 percent
Median: 44 percent
75th percentile: 51 percent
90th percentile: 56 percent
Average: 45 percent

Percentage of respondents giving their work area a patient safety grade:
96. Excellent: 34 percent
97. Very good: 42 percent
98. Acceptable: 19 percent
99. Poor: 4 percent
100. Failing: 1 percent

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