Page 16 - Hoag Orthopedic Institute 2012 Outcomes Report

“HAVING SURVEILLANCE METRICS TO MONITOR EVIDENCE-BASED INFECTION PREVENTION PRACTICES TAKES PATIENT SAFETY TO
THE NEXT LEVEL.”
PHILIP ROBINSON, MD, MEDICAL DIRECTOR OF INFECTION CONTROL
INFECTION PREVENTION CONTINUED
CATHETER ASSOCIATED URINARY TRACT INFECTIONS (CAUTI)
Urinary tract infections are the most common type of healthcare-associated infections, accounting for more than 30% of healthcare-associated infections reported in acute care hospitals. Care strategies enabling HOI to prevent CAUTI and achieve zero CAUTI incidences in FY12 include:
• Insert catheters only for appropriate indications
• Leave catheters in place only as long as needed
• Following aseptic insertion, maintain a closed
drainage system
• Maintain unobstructed urine flow
• Practice hand hygiene and standard (or
appropriate isolation) precautions according to CDC Healthcare Infection Control Practices Advisory Committee (HICPAC) guidelines
In FY12, HOI achieved 100% success with zero CAUTIs occurring.
Catheter Associated Urinary Tract Infection Rates (CAUTI)
SURGICAL SITE INFECTIONS
A surgical site infection (SSI) is defined as an infection that develops within 30 days after an operation or within one year if an implant was placed and the infection appears to be related to the surgery. National data shows that post- surgical wound infections more than double a patient’s hospital costs. A hospital-wide protocol has been implemented at HOI to prevent and monitor for SSIs.
CMS considers surgical site infections as “Never Events,” with tolerance for SSIs at 0%. HOI has embraced prevention of hospital-acquired SSIs/complications as an opportunity to improve the quality and safety of patient care. This proactive approach is reflected in HOI’s low infection
rates and chronological improvement.
Overall Surgical Site Infection Rate
Percent (Lower is Better)
Percent (Lower is Better)
1.2 1.0 0.8 0.6 0.4 0.2 0
1.01%
Hoag Orthopedic Institute FY11
0.42%
Hoag Orthopedic Institute FY12
0.6 0.5 0.4 0.3 0.2 0.1 0
0.56%
Hoag Orthopedic Institute FY11
Source: Hoag Orthopedic Institute, Infection Prevention Dashboard Summary Report FY12
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0.00%
Hoag Orthopedic Institute FY12
Source: Hoag Orthopedic Institute, Infection Prevention Dashboard Summary Report FY12