100 Patient Safety Benchmarks — 2014

For hospitals, benchmarking data can be incredibly valuable. It allows individual institutions to identify areas of excellence and assess opportunities for improvement, ultimately resulting in more efficient operations and better care. Becker's Hospital Review 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 Medicare.gov's Hospital Compare, last updated April 16, 2014. Data presented reflect the national average.

30-Day average readmission rates

1. Heart attack: 18.3 percent                    

2. Heart failure: 23.0 percent

3. Pneumonia: 17.6 percent

30-Day average death rates

4. Heart attack: 15.2 percent

5. Heart failure 11.7 percent

6. Pneumonia: 11.9 percent

Rates of serious complications

Figures reflect the national average rates per 1,000 patient discharges.

7. Collapsed lung due to medical treatment: 0.32

8. Serious blood clots after surgery: 4.14

9. A wound that splits open after surgery, abdomen or pelvis: 0.92

10. Accidental cuts and tears from medical treatment: 1.83

11. Deaths among patients with serious treatable complications after surgery: 110.25

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 2014 User Comparative Database Report, using data from 405,281 surveyed hospital staff respondents from 653 hospitals.

12. No reported events: 56 percent

13: One to two reported events: 26 percent

14. Three to five reported events: 11 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: 4.0 percent

27. Skin and soft-tissue infection: 3.2 percent

28. Cardiovascular system infection: 1.2 percent

29. Bone and joint infection: 1.0 percent

30. Central nervous system infection: 0.8 percent

31. Reproductive tract infection: 0.6 percent

32. Systemic infection: 0.2 percent

Process of Care Measures

Entries 33 through 67 are based on data from Medicare.gov's Hospital Compare, last updated April 16, 2014. Data presented reflect the national average.

Heart attack/chest pain patient data

33. 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: 59 minutes

34. Average number of minutes before outpatients with chest pain or possible heart attack got an ECG: 7 minutes

35. Percentage of outpatients with chest pain or potential heart attack who got drugs to break up clots within 30 minutes of arrival: 57 percent

36. Percentage of outpatients with chest pain or possible heart attack who got aspirin within 24 hours of arrival: 96 percent

37. Percentage of heart attack patients who were given fibrinolytic medication within 30 minutes of arrival: 58 percent

38. Percentage of heart attack patients who were given percutaneous coronary intervention within 90 minutes of arrival: 96 percent

39. Percentage of heart attack patients given aspirin at discharge: 99 percent

40. Percentage of heart attack patients given a prescription for a statin at discharge: 98 percent

41. Percentage of heart failure patients given discharge instructions: 94 percent

42. Percentage of heart failure patients given an evaluation of left ventricular systolic function: 99 percent

43. Percentage of heart failure patients given ACE inhibitor or ARB for left ventricular systolic dysfunction: 97 percent

Pneumonia patient data

44. Percentage of pneumonia patients whose initial emergency room blood culture was performed before antibiotic administration: 98 percent

45. Percentage of pneumonia patients given most appropriate initial antibiotics: 95 percent

Surgery patient data

46. Percentage of patients given an antibiotic within one hour of surgery: 99 percent

47. Percentage of patients given an antibiotic to help prevent infection within an hour of surgery: 99 percent

48. Percentage of patients whose preventive antibiotics were stopped within 24 hours of surgery: 98 percent

49. Percentage of patients who got treatment within 24 hours before or after surgery to help prevent blood clots after certain types of surgery: 98 percent

50. Percentage of outpatients given the right kind of antibiotic: 98 percent

51. Percentage of patients taking beta blockers kept on the beta blockers just before and after surgery: 98 percent

52. Percentage of patients given the right kind of antibiotic to prevent infection: 99 percent

53. Percentage of heart surgery patients whose blood glucose was well controlled in days immediately after surgery: 97 percent

54. Percentage of patients whose urinary catheters were removed on the first or second post-surgical day: 97 percent

55. Percentage of patients actively warmed in operating room or whose body temperature was near normal by the end of surgery: 100 percent

56. Percentage of patients who got treatment within 24 hours before or after surgery to help prevent blood clots from certain types of surgeries: 98 percent

Emergency department patient data

57. Average time spent in the emergency department before being admitted as an inpatient: 275 minutes

58. Average time spent in the emergency department after doctor decided to admit them as an inpatient before moving from emergency department to inpatient room: 98 minutes

59. Average time spent in the emergency department before being sent home: 135 minutes

60. Average time spent in the emergency department before being seen by a healthcare professional: 26 minutes

61. Average time spent waiting with broken bones before receiving pain medication: 58 minutes

62. Percentage of patients who came to the emergency room with stroke symptoms and received brain scan results within 45 minutes of arrival: 54 percent

63. Percentage of patients assessed and given influenza vaccination: 90 percent

64. Percentage of patients assessed and given pneumonia vaccination 91 percent

Pediatric asthma data

65. Percentage of children who received reliever medication while hospitalized for asthma: 100 percent

66. Percentage of children who received systemic corticosteroid medication while hospitalized for asthma: 100 percent

67. Percentage of children and caregivers who received a home management plan of care document while hospitalized for asthma: 87 percent

Patient Experience

Entries 68 through 77 are based on data from Medicare.gov's Hospital Compare, last updated April 16, 2014. Data presented reflect the national average.

Percentage of patients reporting that something was "always" done during their hospital stays:

68. Nurses communicated well: 79 percent

69. Physicians communicated well: 82 percent

70. Patients received help as soon as they wanted: 67 percent

71. Pain was well controlled: 71 percent

72. Staff explained medicines before administration: 64 percent

73. Room and bathroom were clean: 73 percent

74. Area around patient room was quiet at night: 61 percent

75. Information was given to patients about what to do at home during recovery: 85 percent

76. Patients rated their hospital a 9 or 10 (10 being the highest): 70 percent

77. Patients reported they would recommend their hospital: 71 percent

Patient Volumes & Hospital Beds

Entries 78 through 81 are from the Kaiser Family Foundation's 2011 State Health Facts. Data presented represent the average annual patient volume per 1,000 population.

78. Number of hospital admissions: 112

79. Number of hospital inpatient days: 600

80. Hospital emergency room visits: 415

81. Hospital outpatient visits: 2,106

82. Hospital beds: 2.6

Access to Care

Entry 83 is from the CDC's Behavioral Risk Factor Surveillance System 2012 Survey, using data from 477,285 surveyed respondents in all U.S. states and territories.

83. Percentage of adults not seeing a physician in past 12 months due to cost: 16.5 percent

Patient Safety Culture

Entries 84 through 100 are based on data from AHRQ's Hospital Survey on Patient Safety Culture 2014 User Comparative Database Report, using data from 405,281 surveyed hospital staff respondents from 653 hospitals.

84. Percentage of hospital staff reporting teamwork within units:

10th percentile: 73 percent

25th percentile: 78 percent

Median: 81 percent

75th percentile: 85 percent

90th percentile: 88 percent

Average: 81 percent

85. Percentage of hospital staff reporting supervisor/manager expectations and actions promoting patient safety:

10th percentile: 68 percent

25th percentile: 71 percent

Median: 76 percent

75th percentile: 80 percent

90th percentile: 84 percent

Average: 76 percent

86. Percentage of hospital staff reporting organizational learning and continuous improvement from mistakes:

10th percentile: 64 percent

25th percentile: 68 percent

Median: 73 percent

75th percentile: 78 percent

90th percentile: 82 percent

Average: 73 percent

87. Percentage of hospital staff reporting management support for patient safety:

10th percentile: 61 percent

25th percentile: 67 percent

Median: 72 percent

75th percentile: 79 percent

90th percentile: 84 percent

Average: 72 percent

88. Percentage of hospital staff reporting overall perceptions of patient safety:

10th percentile: 56 percent

25th percentile: 61 percent

Median: 66 percent

75th percentile: 71 percent

90th percentile: 77 percent

Average: 66 percent

89. Percentage of hospital staff reporting feedback and communications about errors:

10th percentile: 57 percent

25th percentile: 61 percent

Median: 66 percent

75th percentile: 72 percent

90th percentile: 78 percent

Average:  67 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: 65 percent

75th percentile: 71 percent

90th percentile: 76 percent

Average: 66 percent

91. Percentage of hospital staff reporting communication and openness:

10th percentile: 54 percent

25th percentile: 58 percent

Median: 62 percent

75th percentile: 66 percent

90th percentile: 71 percent

Average: 62 percent

92. Percentage of hospital staff reporting teamwork across units:

10th percentile: 49 percent

25th percentile: 53 percent

Median: 59 percent

75th percentile: 647 percent

90th percentile: 75 percent

Average: 61 percent

93. Percentage of hospital staff reporting adequate unit staffing to provide quality care:

10th percentile: 44 percent

25th percentile: 49 percent

Median: 55 percent

75th percentile: 61 percent

90th percentile: 68 percent

Average: 55 percent

94. Percentage of hospital staff reporting smooth informational handoffs & care transitions:

10th percentile: 35 percent

25th percentile: 40 percent

Median: 46 percent

75th percentile: 53 percent

90th percentile: 63 percent

Average: 47 percent

95: Percentage of hospital staff reporting nonpunitive response to error:

10th percentile: 34 percent

25th percentile: 38 percent

Median: 43 percent

75th percentile: 50 percent

90th percentile: 56 percent

Average: 44 percent

Percentage of respondents giving their work area a patient safety grade:

96. Excellent: 33 percent

97. Very good: 43 percent

98. Acceptable: 19 percent

99. Poor: 4 percent

100. Failing: 1 percent

 

 

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