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Kemptville District Hospital

2675 Concession Road, Kemptville, ON K0G 1J0
Tel:   (613) 258-6133    Fax:   (613) 258-7853

Public Reporting of Patient Safety Indicators

Infection control rates may vary from month to month. The smaller the facility, the greater the rates will vary. This is because a change in even one case in a small facility will cause the rate to go up and down considerably.

Clostridium Difficile Reporting (C-Diff): The C. Diff Infection rate is calculated as a rate per 1,000 patient days. The ?total patient days? represents the sum of the number of days during which services were provided to all inpatients during the given time period.

Method of Calculation: The rate is calculated as follows:

Number of new hospital acquired cases of C. Diff in our facility x 1000
Total number of patient days (for one month)

Methicillin Resistant Staphylococcus Aureus (MRSA): A case is a patient identified with a laboratory confirmed bloodstream infection with methicillin resistant staphyloccus aureus (MRSA). A blood stream infection is a single positive blood culture for MRSA.

Hospital Acquired MRSA: The infection is not present on admission (ie: onset of symptoms<72 hours after admission) or the infection was present at the time of admission but was related to a previous admission to the same facility within the last 72 hours.

Method of Calculation: The rate is calculated as a rate per 1000 patient days.

The calculation of the MRSA bacteremia infection rate for the reporting period (on a quarterly basis) is:

Number of new hospital acquired cases of MRSA in our facility x 1000
Total number of patient days

Vancomycin-Resistant Enterococcus (VRE): A case is a patient identified with laboratoy confirmed bloodstream infection with vancomycin-resistant enterococcus (VRE bacteremia). A blood stream infection is a single positive blood culture for VRE.

Hospital acquired VRE: The infection was present on admission (ie onset of symptoms <72 hours after admission) or the infection was present at the time of admission but was related to a previous admission to the same facility in the last 72 hours.

Method of Calculation: The rate is calculated as a rate per 1000 patient days.
The calculation of the VRE bacteremia infection rate for the reporting period ( on a quarterly basis) is:

Number of new hospital acquired cases of VRE in our facility x 1000
Total number of patient days

C.Difficile (C.Diff) Public Reporting:
	June 2009	July 2009	Aug 2009	Sept 2009	Oct 2009	Nov 2009	Dec 2009
Number of new cases of C-Diff	0	0	0	0	0	0	0
Clostridium Difficile Rate	0	0	0	0	0	0	0
	Jan 2010	Feb 2010	Mar 2010	Apr 2010	May 2010	June 2010	July 2010
Number of new cases of C-Diff	0	0	0	0	0	0
Clostridium Difficile Rate	0	0	0	0	0	0

MRSA Public Reporting:
	April-June 2009	July-Sept 2009	Oct-Dec 2009	Jan-Mar 2010
Number of new cases of MRSA	0	0	0	0
MRSA Rate	0	0	0	0
	April-June 2010	July-Sept 2010	Oct-Dec 2010	Jan-Mar 2011
Number of new cases of MRSA	0
MRSA Rate	0

Vancomycin-Resistant Enterococcus (VRE) public reporting:
	April-June 2009	July-Sept 2009	Oct-Dec 2009	Jan-Mar 2010
Number of new cases of VRE	0	0	0	0
VRE Rate	0	0	0	0
	April-June 2010	July-Sept 2010	Oct-Dec 2010	Jan-Mar 2011
Number of new cases of VRE	0
VRE Rate	0

Hand Hygiene Compliance Rate

Hand hygiene is known to significantly reduce the spread of infections in hospitals. Effective hand hygiene practices by health care practitioners improves patient and worker safety and helps prevent the spread of hospital-acquired infections. Our health care workers do practice effective hand hygiene; the provincial audit ensures that they are washing their hands at the right time and in the right fashion.

	2009-2010	2010-2011	2011-2012
Hand Hygiene Before Initial Patient/Patient Environment Contact	81.66%
Hand Hygiene After Initial Patient/Patient Environment Contact	86.83%

For more information on Public Reporting of Patient Safety Indicators, please go to OHA (Ontario Hospital's Association) website: http://www.oha.com/