Ontario Reports Three More Patient Safety Indicators

Archived Release

Ontario Reports Three More Patient Safety Indicators

Ministry of Health

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McGuinty Government Establishes Ontario As An International Leader In
Patient Safety
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TORONTO, Dec. 30 /CNW/ -
NEWS
Ontario is now reporting three more patient safety indicators as part of a comprehensive plan for unprecedented transparency in the province's hospitals.
By visiting www.ontario.ca/patientsafety, Ontarians now have access to bacteraemia infection rates for methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant enterococci (VRE) by hospital site. Both MRSA and VRE are hospital-associated infections that are resistant to certain antibiotics.
Public reporting will enable hospitals to monitor MRSA and VRE bacteraemia infection rates in their facilities so that the most appropriate infection control measures and highest standards of practice can be put in place. It will also be used to analyze any province-wide trends.
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Numbers for September, October and November 2008 in Ontario show that:
- There were 61 cases of MRSA bacteraemia found and the provincial MRSA
rate was 0.02
- There were 10 cases of VRE bacteraemia and the provincial VRE rate
was 0.00
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Ontario is also beginning to report hospital standardized mortality ratios (HSMR), calculated annually by the Canadian Institute for Health Information. HSMR is a measure that provides a starting point to assess mortality rates and identify areas for improvement.
QUOTES
"Our government is committed to upholding the highest standards of care in hospitals," said David Caplan, Minister of Health and Long-Term Care. "With this data, we're giving hospitals more tools to reduce the spread of infectious diseases and keep patients safe."
"These new indicators being reported place us among the leaders in hospital patient safety across the country," said Dr. Michael Baker, Executive Lead of Patient Safety. "It's important for patients to know that their local hospital is safe and is making every effort to ensure they receive the highest quality care possible."
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QUICK FACTS
- Ontario began public reporting of Clostridium difficile associated
disease (CDAD) - the first of eight patient safety indicators - in
September, 2008.
- Public reporting on four more patient safety indicators - ventilator-
associated pneumonia, central line infections, surgical site
infections and hand hygiene compliance - will begin on April 30,
2009.
- Proper hand hygiene practice - by both health care providers and
patients - is the most effective way to prevent the spread of
infectious diseases.
LEARN MORE
Find out more about Ontario's Patient Safety Initiative and hospital
reporting (http://www.health.gov.on.ca/patient_safety/).
Learn more about Ontario's hand hygiene initiative Just Clean Your Hands
(http://www.justcleanyourhands.ca/).
Read the announcement (http://webx.newswire.ca/click/?id=560cf6a7dd1b64d)
on the full public reporting of eight patient safety indicators.
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BACKGROUNDER
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PUBLIC REPORTING OF PATIENT SAFETY INDICATORS
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Public reporting began today on three additional patient safety indicators, establishing Ontario as an international leader in patient safety. Ontario began public reporting of Clostridium difficile associated disease on September 26, 2008.
The newly-reported patient safety indicators are:
Methicillin-resistant Staphylococcus aureus (MRSA)
Staphylococcus aureus is among the normal bacteria that many people have and is commonly found on the skin and in the nose. Some strains of MRSA have become resistant to the most commonly used antibiotics. MRSA is one of a number of hospital-associated infections.
The ministry will release each hospital's quarterly rate and case count of new MRSA bacteraemia. The information will be posted on the ministry website. Bacteraemia is the presence of bacteria in the bloodstream and is referred to as a bloodstream infection.
Vancomycin-Resistant Enterococci (VRE)
Enterococci are bacteria found in the stomach and bowels of about 19 out of every 20 healthy people. They are also found in the vagina, mouth and throat, and on skin around the anal area. The bacteria can be present in or on the body without causing illness.
Enterococci can get into open wounds or skin ulcers, and cause infection. Less often, they can cause more serious infections of the blood or other body tissues.
Vancomycin is an antibiotic that is used to treat enterococcal infections. Some strains of Enterococci have developed resistance against vancomycin and are said to be Vancomycin-Resistant Enterococci (VRE). VRE is one of a number of hospital-associated infections.
The ministry will release each hospital's quarterly rate and case count of new VRE bacteraemia. The information will be posted on the ministry website. Bacteraemia is the presence of bacteria in the bloodstream and is referred to as a bloodstream infection.
Hospital Standardized Mortality Ratio (HSMR)
The Hospital Standardized Mortality Ratio is a measure that provides a starting point to assess mortality rates and identify areas for improvement. The HSMR is calculated as the ratio of the actual number of deaths to the expected number of deaths among hospital patients. It's adjusted for other factors affecting mortality such as age, sex and lengths of hospital stay.
Public reporting of HSMR is calculated by the Canadian Institute of Health Information (CIHI) and the results are posted annually on their website. The latest results were released on December 11th.
Only certain hospitals are included in the CIHI reporting. Some hospitals' results were not included because they didn't meet CIHI's requirements of at least 2,500 qualifying cases a year. Specialty hospitals were not included because they treat a different type of patient and their information would not be comparable to figures compiled by general hospitals.
HSMR is intended to track a hospital's trend over time and is not designed for comparisons between hospitals.
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September, October, November 2008 Data
- 61 cases of MRSA bacteraemia were found and the provincial MRSA rate
was 0.02
- 10 cases of VRE bacteraemia were found and the provincial VRE rate
was 0.00
This is the first time hospitals have been required to report their MRSA and VRE bacteraemia rates and it will take time to establish a trend.
Four Additional Patient Safety Indicators
On April 30, 2009 the province will being public reporting on:
- Ventilator-Associated Pneumonia
- Central Line Infections
- Surgical Site Infections
- Hand Hygiene compliance
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For further information: For public inquiries call ServiceOntario, INFOline at 1-866-532-3161 (Toll-free in Ontario only); Steve Erwin, Minister's Office, (416) 326-3986; Andrew Morrison, Ministry of Health and Long-Term Care, (416) 314-6197