Clinical Indicator Report - October 2024
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Questions and Answers

What was the change in the rate of Surgical Site Infections per 1,000 Hysterectomies from the previous month?

  • Increased by 50.00%
  • Decreased by 25.00%
  • Decreased by 77.30% (correct)
  • Remained the same
  • How many Surgical Site Infections were recorded for Hip Replacements this month?

  • 4
  • 0
  • 3
  • 1 (correct)
  • What was the percentage change in Surgical Site Infections for Caesarean Sections from the previous month?

  • Decreased by 50.00%
  • Decreased by 100.00% (correct)
  • Remained the same
  • Increased by 25.00%
  • What was the rate of Methicillin Resistant Staph.Aureus (Healthcare Associated) infections reported this month?

    <p>0.00 per 100,000 PD's (C)</p> Signup and view all the answers

    What was the rate of Surgical Site Infections per 1,000 Knee Replacements for the current year?

    <p>0.00 (A)</p> Signup and view all the answers

    How much did the rate of MRSA (Community & Healthcare Associated) change from the previous month?

    <p>Decreased by 40% (C)</p> Signup and view all the answers

    What was the reported number of Surgical Site Infections for Coronary Artery Bypass Grafting (CABG) this month?

    <p>0 (D)</p> Signup and view all the answers

    Which surgical procedure had the most significant decrease in infection rate from the previous month?

    <p>Hysterectomies (D)</p> Signup and view all the answers

    Which procedure had the highest percentage increase in the month-on-month comparisons?

    <p>Knee Replacements (A)</p> Signup and view all the answers

    What percentage decrease did Hysterectomies experience in month-on-month comparisons?

    <p>60.00% (D)</p> Signup and view all the answers

    Which of the following procedures had zero occurrences reported across all months?

    <p>Coronary Artery Bypass Grafts (A)</p> Signup and view all the answers

    Which condition had the least number of medical admissions reported?

    <p>Strokes (C)</p> Signup and view all the answers

    What was the month-on-month percentage change for Acute Bronchitis?

    <p>-60.00% (C)</p> Signup and view all the answers

    What was the reported percentage change for Knee Replacements over the past 12 months?

    <p>-5.56% (D)</p> Signup and view all the answers

    What was the percentage change in volumes for Hypertension over the specified period?

    <p>15.22% (C)</p> Signup and view all the answers

    Which surgical procedure showed an increase in month-on-month comparisons?

    <p>Arthroscopy Knee (A)</p> Signup and view all the answers

    What was the 12-month rolling comparison percentage for Caesarean Sections?

    <p>-13.72% (A)</p> Signup and view all the answers

    What was the trend of Coronary Artery Disease volumes in the most recent month observed compared to the previous month?

    <p>Decreased by 2 (C)</p> Signup and view all the answers

    Which diagnosis's admissions fluctuated the least over the three reported months?

    <p>Depression (B)</p> Signup and view all the answers

    Which chronic disease had the highest percentage change in volume among the selected diseases?

    <p>Rheumatoid Arthritis (A)</p> Signup and view all the answers

    In the ambulatory admissions for knee operations, which procedure recorded the highest variability?

    <p>Knee Replacements (B)</p> Signup and view all the answers

    What does the total volume of cases for Coronary Artery Disease indicate about its overall trend in the past 24 months?

    <p>The cases have gradually increased. (B)</p> Signup and view all the answers

    Among the age population profiles, which group showed the highest percentage change in volume relative to previous measurements?

    <p>Geriatrics [&gt;65 years] (C)</p> Signup and view all the answers

    What was the percentage change in the total actions from the previous reporting period to the current period?

    <p>-23.99% (B)</p> Signup and view all the answers

    How did the hand hygiene compliance rate change from the previous report to the current one?

    <p>-2.31% (D)</p> Signup and view all the answers

    What was the HAI rate per 1,000 patient days during the current reporting period?

    <p>1.8 (C)</p> Signup and view all the answers

    Which infection had an increase in the total cases during the current reporting period?

    <p>Surgical Site Infections (D)</p> Signup and view all the answers

    What was the percentage change in the Catheter Associated Urinary Tract Infections cases?

    <p>-83.33% (A)</p> Signup and view all the answers

    How did the Ventilator Days statistic change in the current period?

    <p>-37.29% (C)</p> Signup and view all the answers

    What was the VAP rate per 1,000 ventilator days in the current reporting period?

    <p>4.72 (C)</p> Signup and view all the answers

    Which overall indicator showed a decrease in its associated rate in the current reporting period?

    <p>SSI Rate (A)</p> Signup and view all the answers

    Which of the following devices recorded no deaths from associated infections in the last period reported?

    <p>Central Line (A)</p> Signup and view all the answers

    What was the percentage change in the surgical site infections from the previous to the current period?

    <blockquote> <p>100.0% (A)</p> </blockquote> Signup and view all the answers

    What is the percentage change for Serious Reportable Events (SRE) from the previous year to the current as of October '24?

    <p>20.00% (A)</p> Signup and view all the answers

    Which harm level shows the highest relative increase between the previous and current periods?

    <p>Events Resulting in Death (B)</p> Signup and view all the answers

    Which surgical safety step had the greatest percentage decrease in compliance from the previous month?

    <p>Sign out Step (D)</p> Signup and view all the answers

    How many falls with injuries were recorded in October '24?

    <p>2 (A)</p> Signup and view all the answers

    Regarding medication errors, what was the rate per 1,000 Patient Days in September '24?

    <p>1.29 (D)</p> Signup and view all the answers

    Which category had the highest rate of harm events per 1,000 Patient Days reported in August '24?

    <p>No Harm Events (B)</p> Signup and view all the answers

    What was the percentage change in the number of medication errors from the previous year?

    <p>-28.13% (D)</p> Signup and view all the answers

    What was the trend observed in the number of IV Line Harm Cases in October '24?

    <p>12.50% increase (D)</p> Signup and view all the answers

    Which of the following surgical safety metrics is reported to always be at 100%?

    <p>Handover from ward to theatre staff (C)</p> Signup and view all the answers

    What was the change in rate of No Harm Events per 1,000 Patient Days from the previous year?

    <p>4.60% increase (C)</p> Signup and view all the answers

    Flashcards

    Hysterectomy Infection Rate

    The rate of surgical site infections following hysterectomies, per 1000 procedures.

    CABG Infection Rate

    The rate of surgical site infections resulting from Coronary Artery Bypass Graft (CABG) procedures, per 1000 procedures.

    Knee Replacement Infection Rate

    The rate of surgical site infections following knee replacement surgeries, per 1000 procedures.

    Hip Replacement Infection Rate

    The rate of surgical site infections following hip replacement surgeries, per 1000 procedures.

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    Caesarean Section Infection Rate

    The rate of surgical site infections following Cesarean deliveries, per 1000 procedures.

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    Health.Ass.MRSA Rate

    The rate of Methicillin-Resistant Staphylococcus aureus (MRSA) infections acquired in healthcare settings, per 100,000 procedures (presumably pertaining to patients).

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    Community-associated MRSA Rate

    The rate of Methicillin-Resistant Staphylococcus aureus (MRSA) Infections acquired outside healthcare settings, often in the community.

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    MRSA (Healthcare Associated) Rate

    The rate of Methicillin-Resistant Staphylococcus aureus (MRSA) infections found in healthcare facilities.

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    What are Month-on-Month Comparisons?

    These are comparisons of data from the current month with data from the previous month. They help identify trends and changes in procedure volumes over short periods.

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    What are 12 Month Rolling Comparisons?

    These comparisons examine data from the current month against the same month of the previous year. They provide a broader perspective on performance trends.

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    Procedure Volume

    The total number of a specific surgery or procedure performed during a particular time frame.

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    Increased Procedure Volume

    An increase in the number of procedures completed compared to a previous period.

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    Decreased Procedure Volume

    A decrease in the number of procedures completed compared to a previous period.

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    Normal Deliveries

    A childbirth that occurs without complications and does not require surgical intervention.

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    Caesarean Section

    A surgical procedure to deliver a baby through an incision in the abdomen.

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    Arthroscopy

    A minimally invasive surgical procedure using a small camera and instruments to examine and treat joints.

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    Colonoscopy

    A procedure to visually examine the colon using a flexible, thin tube with a camera.

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    Hysterectomy

    A surgical procedure to remove the uterus.

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    Patient Safety Reporting Indicators

    A collection of metrics that assess patient safety in a hospital. These indicators track various events and their frequency, including serious reportable events (SRE), near misses, and harm levels.

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    Serious Reportable Events (SRE)

    Serious patient safety incidents that have the potential to cause significant harm or death, such as wrong-site surgery or medication errors with serious consequences.

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    Near Miss

    An event that could have caused harm but didn't, due to chance or intervention.

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    Harm Levels

    Categorizing the severity of patient safety events. Levels include near misses, no harm, low harm, moderate harm, severe harm, and death.

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    Surgical Safety

    A set of safety practices and procedures specifically designed to prevent errors and complications during surgery. This includes pre-operative checklists, timeouts, and communication protocols.

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    Never Events

    Serious preventable medical errors that should never occur under any circumstances, such as wrong-site surgery, leaving a foreign object in a patient, or administering the wrong medication.

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    Medication Errors

    Mistakes related to medication administration, including prescribing, dispensing, or administering the wrong medication, wrong dose, or route of administration.

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    Falls

    Incidents where a patient falls, potentially leading to injuries.

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    Hospital-Acquired Skin Lesions

    Skin injuries acquired during a hospital stay, such as pressure injuries (bedsores) or infections.

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    Hospital-Acquired Pressure Injuries

    Skin breakdown or ulcers that develop due to prolonged pressure on the body, often occurring in bedridden patients.

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    What is a 12 Month Rolling Comparison?

    It compares data from the current month to the same month of the previous year. This helps track performance trends over a longer period.

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    What is a Month-on-Month Comparison?

    It compares data from the current month to the previous month. This highlights short-term changes and trends.

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    Trend

    A general direction or pattern of change over time.

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    BMI Categories

    These categorize people based on their body mass index (BMI), a measure of weight relative to height.

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    HAI Rate

    The number of healthcare-associated infections (HAIs) per 1,000 patient days.

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    VAP Rate

    The number of ventilator-associated pneumonia (VAP) infections per 1,000 ventilator days.

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    CLABSI Rate

    The number of central line-associated bloodstream infections (CLABSIs) per 1,000 central line days.

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    CAUTI Rate

    The number of catheter-associated urinary tract infections (CAUTIs) per 1,000 catheter days.

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    SSI Rate

    The number of surgical site infections (SSIs) per 1,000 operative procedures.

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    HAI Trend

    The direction (increasing or decreasing) of the HAI rate over time.

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    VAP Trend

    The direction (increasing or decreasing) of the VAP rate over time.

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    CLABSI Trend

    The direction (increasing or decreasing) of the CLABSI rate over time.

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    CAUTI Trend

    The direction (increasing or decreasing) of the CAUTI rate over time.

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    SSI Trend

    The direction (increasing or decreasing) of the SSI rate over time.

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    Study Notes

    Clinical Indicator Report - Mediclinic Newcastle

    • Reporting Period: October 2024
    • Data Breakdown: A detailed breakdown across several sections, including operational overview, selected acute care procedures, chronic diseases, patient safety, infection prevention & control and clinical effectiveness. Data is presented monthly (August-October 2024), compared to previous months, and to the last 12 and 24 months.
    • Indicator Categories: The report includes numerous indicators across various clinical areas, including admissions, surgeries, emergency cases, vaccinations, specific medical and surgical procedures, chronic disease management, patient safety events (e.g., falls, medication errors), and infection control.

    Operational Overview

    • Hospital Admissions: Data for hospital admissions, daycases, and overnight cases, with comparison data for previous months and 12/24 month rolling totals. Metrics include the number of cases, percentages, and change over time.
    • Emergency Centre Cases: Volume of emergency center cases, provided as a monthly figure and compared to previous periods.
    • Ambulatory/Outpatient Cases: Monthly volumes of ambulatory and outpatient cases are summarized.

    Selected Acute Care Procedures

    • Medical Admissions: Volume data for various medical conditions, broken down by procedure.
    • Surgical Admissions: Detailed data for various surgical procedures listed, showing monthly volumes and comparisons to prior periods. Types of surgeries, such as arthroscopy, caesarean section, and various surgeries of the heart and the abdomen are included.

    Chronic Diseases

    • Specific Chronic Diseases: Data is provided on the volume of patients with a wide range of chronic diseases such as hypertension, diabetes, hyperlipidaemia, asthma, coronary artery disease, cardiac failure, hypothyroidism, and others. The data is collected monthly and compared over the previous 12 and 24 months.

    Patient Safety

    • Adverse Events Summarized: Numbers on medication errors, falls and surgery-related events like foreign objects left behind are presented and benchmarked over several time periods
    • Surgical Safety Indicators: Data on adherence to ward-based and theatre-based checks, handoffs and time-out steps.

    Infection Prevention and Control

    • Healthcare-Associated Infections (HAIs): Data on the number of healthcare-associated infections, such as Ventilator-Associated Pneumonia (VAP), Central Line Associated Bloodstream Infections (CLABSIs), Catheter-Associated Urinary Tract Infections (CAUTIs) and Surgical Site Infections (SSIs) are provided as a monthly summary, compared against previous periods for trend analysis. Further breakdown is provided for specific surgery procedures and other potential areas for risk.

    Clinical Effectiveness

    • Mortality Indicators: Provides mortality rates on patients in various circumstances, such as inpatients and through emergency care. Data is also compiled from maternal and critical care cases.
    • Key Metrics Summarized: Data on various performance indicators, including hospital mortality data, surgery mortality, and emergency center mortality. Data is presented to create a graphical trend over time.

    Additional Indicators

    • Age Population Profile: The population is broken down by age groups.
    • Body Mass Index (BMI) categories: A breakdown of patients by BMI categories, including those who are underweight, normal weight, overweight, obese and morbidly obese.
    • Additional Indicators: Data on several other healthcare indicators like antimicrobial stewardship, drug usage and specific types of infections, all compiled for monthly, 12 and 24 month periods.

    Trend Analysis for Selected Indicators

    • Charts: Provides graphs showing trends for Patient Falls, Pressure Ulcers, HAI rates, and other clinical indicators over multiple reporting periods.

    Detailed Charts

    • Graphical Representation: Data in the report is visually summarized in various graphs to show trends in specific clinical indicators over several months, time periods and previous reporting benchmarks.

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    Description

    Explore the Clinical Indicator Report for Mediclinic Newcastle, detailing critical health metrics for October 2024. This comprehensive report covers operational overviews, patient safety, and infection control, comparing data over several months and years.

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