Patient Safety Indicators

Thunder Bay Regional Health Sciences Centre takes your care and safety very seriously, and we are committed to transparency.

Nine separate indicators will be reported on, including a number of hospital-related infections and the success rates of health care professionals practicing proper hand hygiene to prevent the spread of disease.

The public reporting of safety indicator rates is not intended to serve as a measure for hospitals to compare themselves against other organizations, or for the public to use as a measure of where to seek care. Rates can vary from hospital to hospital, month to month. Some hospitals may experience higher specific rates due to the nature of the care they provide and their patient population, such as those with higher elderly patient populations.

What public reporting adds and ensures is that all hospitals are tracking and counting in the same way. This is not for comparison purposes, but rather for accountability. Our posting the data on our website confirms TBRHSC’s commitment to public accountability and transparency. A further benefit is that hospitals with similar demographics and challenges can more easily share tips and strategies.

Indicator Reporting Period Data Trend
Central-Line Primary Blood Stream Infection (CLI) April 2016 to June 2016 CLI rate = 0.00
(per 1000 central line days)
Clostridium Difficile Infection (CDI) November 2016 # new cases of hospital-acquired CDI = 4

rate of C. difficile per 1,000 patient days: 0.35

Hand Hygiene Compliance April 2015 to March 2016 hand hygiene compliance before initial patient/environment contact = 92.9%

hand hygiene compliance after patient/environment contact = 95.8%

Hospital Standardized Mortality Ratio (HSMR) (Q1-Q3) 2016-2017 ratio of observed to expected deaths: 86 Trend
Methicillin Resistant Staphylococcus Aureus (MRSA) July 2016 to September 2016 # of cases hospital-acquired MRSA bacteraemia: 1

Rate of MRSA per 1,000 patient days: 0.03

Surgical Safety Checklist (SSC) February 2017 SSC Rate = 100% Trend
Surgical Site Infection Prevention (SSI) July 2016 to September 2016 SSI Prevention Rate = 98.25% Trend
Vancomycin Resistant Enterococcis (VRE) July 2016 to September 2016 # of cases hospital-acquired VRE bacteraemia: 0

Rate of VRE per 1,000 patient days: 0.00

Ventilator-Assisted Pneumonia (VAP) April 2016 to June 2016 Rate of VAP per 1,000 ventilator days: 0.00 Trend