patient safety indicators database report

What is the hospital patient safety indicator report?

The Hospital Patient Safety Indicator Report (HPSIR) is a monthly report that collates a range of patient safety indicators and is then reviewed by the Senior Accountable Officer at both hospital-level and hospital group-level before publication on the website.

What are the prevention quality indicators (PSIS)?

The PSIs can be used to help hospitals assess the incidence of adverse events and in-hospital complications and identify issues that might need further study. For more information about the Prevention Quality Indicators, download the Patient Safety Indicators Brochure .

Where can I find resources to improve patient safety in healthcare?

The Agency for Healthcare Research and Quality (AHRQ) offers tools for health care organizations, providers, policymakers, and patients to improve patient safety in health care settings. The free tools and resources listed here are available online and in print.

What are the quality indicators™?

Measures of health care quality that make use of readily available hospital administrative data, the Quality Indicators™ can be used to highlight potential quality concerns, identify areas that need further study and investigation, and track changes over time.

Where are patient safety indicators reported?

It can be accessed at AHRQ's Quality Indicators Web site (http://www.qualityindicators.ahrq.gov/downloads.htm). The technical report for the third module, entitled Measures of Patient Safety Based on Hospital Administrative Data―The Patient Safety Indicators, is also available on AHRQ's Quality Indicators Web site.

What are examples of patient safety indicators?

Examples of this include the ability to link multiple hospital stays associated with one patient; the availability of bedsection data; more diagnosis and procedure codes; and admission, discharge, and procedure times.

What are the 4 quality indicators?

Quality Indicator Modules The AHRQ QIs include four modules: Prevention Quality Indicators (PQIs), Inpatient Quality Indicators (IQIs), Patient Safety Indicators (PSIs), and Pediatric Quality Indicators (PDIs).

How are patient safety indicators determined?

PSIs are defined on two levels: the provider level and the area level. Provider-level indicators provide a measure of the potentially preventable complication for patients who received their initial care and the complication of care within the same hospitalization.

What are quality patient indicators?

Quality Indicators (QIs) are standardized, evidence-based measures of health care quality that can be used with readily available hospital inpatient administrative data to measure and track clinical performance and outcomes.

What is a good PSI 90 score?

The PSI 90 score is designed to vary around 1.0. The average hospital score in a given year may vary slightly from the 2013 reference population in which the PSI 90 score was predetermined to equal 1.0. For 2011, the average PSI 90 score was 1.03. For 2014, the average PSI 90 score was 0.97.

What are the 5 key performance indicators in healthcare?

Five key performance indicators for healthcare organizations: People, quality, time, growth & financial performance.

What are indicators in healthcare?

A health indicator is a measure designed to summarize information about a given priority topic in population health or health system performance. Health indicators provide comparable and actionable information across different geographic, organizational or administrative boundaries and/or can track progress over time.

What are clinical health indicators?

Clinical indicators measure the extent to which set targets are achieved. They are expressed as. numbers, rates, or averages that can provide a basis for clinicians, organisations, and planners. aiming to achieve improvement in care and the process in which patient care are provided.

What is Ndnqi data?

The National Database of Nursing Quality IndicatorsTM (NDNQI®) is the only national nursing database that provides quarterly and annual reporting of structure, process, and outcome indicators to evaluate nursing care at the unit level.

What is PSI and Hac?

The HAC Reduction Program is comprised of patient safety indicator (PSI) 90 (The Patient Safety and Adverse Events Composite), as well as healthcare-associated infections (HAI). PSI 90 was developed by the Agency for Healthcare Research and Quality (AHRQ) and is used to track potential complications and adverse events.

What is a data quality indicator?

Data quality indicators (DQIs) are descriptors used in computer file systems to record the quality attributes of the data. They are process time variables and their setting can determine which values participate in a computation and how that computation proceeds.

What is a HPSIR report?

The Hospital Patient Safety Indicator Report (HPSIR) is a monthly report that collates a range of patient safety indicators and is then reviewed by the Senior Accountable Officer at both hospital-level and hospital group-level before publication on the website.

Can HPSIR be used to compare hospitals?

The HPSIR cannot, and should not, be used to compare the performance of hospitals or hospitals groups. Different hospitals specialise in treating patients with different and sometimes much more complex care needs, making comparisons between hospitals ineffective.

Why do hospitals collect and report hand hygiene rates?

Hospitals will use this information to identify areas for improvement and strategies for reducing the incidence of health-care-associated infections.

Why is it important to report infection rates?

It’s important to understand that the reporting of these rates is not the overall solution to reducing the rates of infections in hospitals. These rates are tools that will provide hospitals with good information to assist us in understanding where patient safety issues exist and to help us take actions to improve.

How often do we report MRSA cases?

We report our rate and case count of new Methicillin-resistant Staphylococcus aureus (MRSA) blood stream infections quarterly (every three months) including, the hospital acquired MRSA bacteraemia rate and the number of new hospital acquired MRSA blood stream infection cases. The total number of new cases of MRSA bacteraemia acquired in the hospital in a quarter is divided by the total number of patient days for that quarter.

What is HSMR in hospitals?

HSMR is an overall quality indicator and measurement tool used by all acute care hospitals and regions in Canada to provide a snapshot of a hospital’s performance at any given time .

Why is public reporting important?

Public reporting is another helpful measure to ensure the care provided to our patients is even safer and improves over time. The analysis of our CLI rates will provide us with helpful information that we can use to make quality improvements in our organization.

How is hand hygiene compliance measured?

Compliance is measured by auditing (direct observation) health care workers in the course of their duties. Rates are calculated by taking the number of times hand hygiene was performed before initial patient or patient environment contact and after patient or patient environment contact and dividing by the number of observed hand hygiene indications for that specific indication. The results are multiplied by 100. This calculation represents the percentage compliance rate for hand hygiene for the reporting facility. Like many Ontario hospitals, we have implemented the provincial Just Clean Your Hands campaign to help drive increased compliance. Since the release of compliance rates for observations for the 2009/2010 fiscal year, our compliance has jumped to over 70 per cent overall.

What is a surgical checklist?

The surgical safety checklist is a patient safety communication tool that is used by a team of operating room professionals (nurses, surgeons, anesthesiologists, and others) to discuss important details about a surgical case. The checklist, similar to that used by airline pilots prior to take off, is used at three distinct stages or phases during surgery: pre-induction (before the patient is put to sleep), time out (just before the first incision) and debriefing (during or after surgical closure).

What are patient safety indicators?

Patient Safety Indicators reflect quality of care inside hospitals, as well as geographic areas, to focus on potentially avoidable complications and iatrogenic events.

What is AHRQ Quality Indicators?

Measures of health care quality that make use of readily available hospital administrative data, the Quality Indicators™ can be used to highlight potential quality concerns, identify areas that need further study and investigation, and track changes over time. AHRQ distributes the Quality Indicators through free software programs that can help hospitals identify quality of care events that might need further study. The current AHRQ Quality Indicators modules represent various aspects of quality:

What is AHRQ toolkit?

The toolkit is a general guide to using improvement methods and focuses on the 17 Patient Safety Indicators and the 28 Inpatient Quality Indicators to improve quality and patient safety.

How does the Guide to Patient and Family Engagement in Hospital Quality and Safety work?

The Guide to Patient and Family Engagement in Hospital Quality and Safety will help hospitals work as partners with patients and families to improve quality and safety. It contains four strategies to help hospitals partner with patients and families, and it has an implementation handbook and tools for patients, families, and clinicians for each strategy. The four strategies are: Helping hospitals recruit and work with patient and family advisors, communicating with patients and families throughout their hospital stay to improve quality, implementing nursing bedside change of shift report, and engaging patients and families in discharge planning.

What is a hospital safety culture survey?

The Hospital Survey on Patient Safety Culture examines patient safety culture from a hospital staff perspective and allows hospitals to assess their safety culture and track changes over time. Hospitals that administer the patient safety culture survey can voluntarily submit their data to the Comparative Database, a resource for hospitals wishing to compare their survey results to similar types of hospitals.

What is AHRQ in healthcare?

The Agency for Healthcare Research and Quality (AHRQ) offers tools for health care organizations, providers, policymakers, and patients to improve patient safety in health care settings. The free tools and resources listed here are available online and in print.

What is the Medical Office Survey on Patient Safety Culture?

The Medical Office Survey on Patient Safety Culture presents data from staff within U.S. medical offices that completed the Medical Office Survey on Patient Safety Culture so offices can compare their patient safety culture to other medical offices. The full report contains detailed comparative data for various medical office characteristics (number of providers, specialty, ownership, and region) and staff positions.

What are quality indicators?

The Quality Indicators (QIs) developed and maintained by the Agency for Healthcare Research and Quality (AHRQ) are one response to the need for multidimensional, accessible quality measures that can be used to gage performance in health care. The QIs are evidence based and can be used to identify variations in the quality of care provided on both an inpatient and outpatient basis. These measures are currently organized into four modules: the Prevention Quality Indicators (PQIs),1the Inpatient Quality Indicators (IQIs),2the Patient Safety Indicators (PSIs),3and the Pediatric Quality Indicators (PDIs).4A brief description of each module appears in Table 1.

Why do researchers use AHRQ indicators?

On the whole, researchers use the indicators because of the quality and level of detail of the AHRQ documentation of the QIs as well as the fact that these measures capture important aspects of clinical care40(p. v).

What is AHRQ measure developer?

As a measure developer, AHRQ maintains these measures and on an annual basis, provides revisions to the measures, including ICD-9-CM and DRG code updates, an update to the reference population used in calculating the QIs, and refinement of the specifications based on additional evidence in the literature and user input. Literature reviews are completed on one QI module every year, which allows time for new research to be completed and subsequently published in peer reviewed journals.

What is the AHRQ process?

The AHRQ QIs were developed from an extensive, iterative process that included interviews from a broad spectrum of organizations that represented QI users and potential users, literature reviews that identified possible quality measures, evaluation of the candidate measures as well as evaluation of several risk-adjustment methods for use with the potential measures, empirical analysis, and validation. The process can be roughly divided into two phases: the first identifies candidate measures or indicators, and the second analyzes the potentially viable measures or indicators.

Why are AHRQ QIs important?

The AHRQ QIs are valuable because they are based on widely available data that can be used to assess quality. Theses QI indicators also have uniform definitions and standardized algorithms that can be used with virtually any administrative data set, which allows for comparisons across States, regions, communities, and hospitals.

What is AHRQ technical support?

AHRQ also provides technical support to users on a wide range of issues, including questions about the software package, clarifications of indicator definitions, theoretical questions on the indicators, and interpretation of performance results.

How are POIs used in health care?

The POIs can be used to provide a picture of health care in the community by identifying unmet needs, monitoring how well complications are being avoided in the outpatient setting, assessing access to health care, and comparing the performance of local health care systems across communities.