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Patient Safety Indicators

The Ontario Ministry of Health and Long-Term Care has established patient safety indicators that all hospitals publicly report. Click on any one to see our current results.

Clostridium difficile (C difficile) Rates

Clostridium difficile is a bacterium that is commonly found in the bowel. C. difficile infection occurs when other good bacteria are eliminated or reduced in numbers, allowing the c. difficile bacteria to grow and produce a toxin. This can cause diarrhea. C. difficile is one of the most common infections in hospitals and long-term care facilities. Ontario hospitals report C. difficile rates monthly.

C. difficile Rates at Kemptville District Hospital 

Reporting PeriodNumber of new cases of C. difficileC. difficile rate
Reporting PeriodNumber of new cases of C. difficileC. difficile rate
Fiscal Year 2018/19
April 201800.00 per 1000 patient days
May 201800.00 per 1000 patient days
June 201800.00 per 1000 patient days
July 201800.00 per 1000 patient days
August 201800.00 per 1000 patient days
September 201800.00 per 1000 patient days
October 2018<52.46 per 1000 patient days
November 201800.00 per 1000 patient days
December 201800.00 per 1000 patient days
January 201900.00 per 1000 patient days
February 201900.00 per 1000 patient days
March 201900.00 per 1000 patient days
Fiscal Year 2019/20
April 201900.00 per 1000 patient days
May 201900.00 per 1000 patient days
June 201900.00 per 1000 patient days
July 201900.00 per 1000 patient days
August 201900.00 per 1000 patient days
September 201900.00 per 1000 patient days
October 201900.00 per 1000 patient days
November 201900.00 per 1000 patient days
December 201900.00 per 1000 patient days
January 202000.00 per 1000 patient days
February 202000.00 per 1000 patient days
March 202000.00 per 1000 patient days
Fiscal Year 2020/21
April 202000.00 per 1000 patient days
May 202000.00 per 1000 patient days
June 202000.00 per 1000 patient days
July 202000.00 per 1000 patient days
August 202000.00 per 1000 patient days
September 202000.00 per 1000 patient days
October 202000.00 per 1000 patient days
November 202000.00 per 1000 patient days
December 202000.00 per 1000 patient days
January 202100.00 per 1000 patient days
February 202100.00 per 1000 patient days
March 202100.00 per 1000 patient days
Fiscal Year 2021/22
April 202100.00 per 1000 patient days
May 202100.00 per 1000 patient days
June 202100.00 per 1000 patient days
July 2021<54.98 per 1000 patient days
August 202100.00 per 1000 patient days
September 202100.00 per 1000 patient days
October 202100.00 per 1000 patient days
November 202100.00 per 1000 patient days
December 202100.00 per 1000 patient days
January 202200.00 per 1000 patient days
February 202200.00 per 1000 patient days
March 202200.00 per 1000 patient days
April 202200.00 per 1000 patient days
May 202200.00 per 1000 patient days
June 2022<51.75 per 1000 patient days
July 202200.00 per 1000 patient days
August 202200.00 per 1000 patient days
September 202200.00 per 1000 patient days
October 202200.00 per 1000 patient days
November 2022<51.72 per 1000 patient days
December 202200.00 per 1000 patient days
January 202300.00 per 1000 patient days
February 202300.00 per 1000 patient days
March 202300.00 per 1000 patient days
April 2023<51.77 per 1000 patient days
May 202300.00 per 1000 patient days
June 202300.00 per 1000 patient days
July 202300.00 per 1000 patient days
August 202300.00 per 1000 patient days
September 202300.00 per 1000 patient days

Methicillan-Resistant Staphylococcus aureus (MRSA) Rates

Staphylococcus aureus is a bacterium normally found on the skin and nose of healthy people. Sometimes it can cause an infection. It can also develop resistance to antibiotics; it is then called MRSA. MRSA is spread from one person to another by contact, usually on the hands of caregivers. Ontario hospitals report MRSA rates at the end of every quarter.

MRSA Rates at Kemptville District Hospital 

Reporting Period
Number of new cases of MRSA
MRSA rate
Fiscal Year 2018/19
April - June 201800.00 per 1000 patient days
July - September 201800.00 per 1000 patient days
October - December 201800.00 per 1000 patient days
January - March 201900.00 per 1000 patient days
Fiscal Year 2019/20
April - June 201900.00 per 1000 patient days
July - September 201900.00 per 1000 patient days
October - December 201900.00 per 1000 patient days
January - March 202000.00 per 1000 patient days
Fiscal Year 2020/21
April - June 202000.00 per 1000 patient days
July - September 202000.00 per 1000 patient days
October - December 202000.00 per 1000 patient days
January 202100.00 per 1000 patient days
February 202100.00 per 1000 patient days
March 202100.00 per 1000 patient days
April 202100.00 per 1000 patient days
May 202100.00 per 1000 patient days
June 202100.00 per 1000 patient days
July 202100.00 per 1000 patient days
August 202100.00 per 1000 patient days
September 202100.00 per 1000 patient days
October 202100.00 per 1000 patient days
November 202100.00 per 1000 patient days
December 202100.00 per 1000 patient days
January 202200.00 per 1000 patient days
February 202200.00 per 1000 patient days
March 2022<51.78 per 1000 patient days
April 202200.00 per 1000 patient days
May 202200.00 per 1000 patient days
June 202200.00 per 1000 patient days
July 202200.00 per 1000 patient days
August 202200.00 per 1000 patient days
September 202200.00 per 1000 patient days
October 202200.00 per 1000 patient days
November 202200.00 per 1000 patient days
December 202200.00 per 1000 patient days
January 202300.00 per 1000 patient days
February 202300.00 per 1000 patient days
March 202300.00 per 1000 patient days
April 202300.00 per 1000 patient days
May 202300.00 per 1000 patient days
June 202300.00 per 1000 patient days
July 202300.00 per 1000 patient days
August 202300.00 per 1000 patient days
September 202300.00 per 1000 patient days

Vancomycin-Resistant Enterococci (VRE) Rates

Enterococci are bacteria that live in the intestines of most people and usually do not cause illness. VRE are strains of enterococci that are resistant to the antibiotic vancomycin. VRE is spread by contact from person to person, usually on the hands of caregivers. It can survive for weeks in the environment but is easily killed with disinfectants and hand hygiene. Ontario hospitals report VRE rates at the end of every quarter.

VRE Rates at Kemptville District Hospital 

Reporting PeriodNumber of new cases of VREVRE rate
Fiscal Year 2018/19
April - June 201800.00 per 1000 patient days
July - September 201800.00 per 1000 patient days
October - December 201800.00 per 1000 patient days
January - March 201900.00 per 1000 patient days
Fiscal Year 2019/20
April - June 201900.00 per 1000 patient days
July - September 201900.00 per 1000 patient days
October - December 201900.00 per 1000 patient days
January - March 202000.00 per 1000 patient days
Fiscal Year 2020/210
April - June 202000.00 per 1000 patient days
July - September 202000.00 per 1000 patient days
October - December 202000.00 per 1000 patient days
January 202100.00 per 1000 patient days
February 202100.00 per 1000 patient days
March 202100.00 per 1000 patient days
April 202100.00 per 1000 patient days
May 202100.00 per 1000 patient days
June 202100.00 per 1000 patient days
July 202100.00 per 1000 patient days
August 202100.00 per 1000 patient days
September 202100.00 per 1000 patient days
October 202100.00 per 1000 patient days
November 202100.00 per 1000 patient days
December 202100.00 per 1000 patient days
January 202200.00 per 1000 patient days
February 202200.00 per 1000 patient days
March 202200.00 per 1000 patient days
April 202200.00 per 1000 patient days
May 202200.00 per 1000 patient days
June 202200.00 per 1000 patient days
July 202200.00 per 1000 patient days
August 202200.00 per 1000 patient days
September 202200.00 per 1000 patient days
October 202200.00 per 1000 patient days
November 202200.00 per 1000 patient days
December 202200.00 per 1000 patient days
January 202300.00 per 1000 patient days
February 202300.00 per 1000 patient days
March 202300.00 per 1000 patient days
April 202300.00 per 1000 patient days
May 202300.00 per 1000 patient days
June 202300.00 per 1000 patient days
July 202300.00 per 1000 patient days
August 202300.00 per 1000 patient days
September 202300.00 per 1000 patient days

Hand Hygiene Compliance

Hand hygiene is the most important and effective infection prevention and control measure to prevent the spread of hospital-acquired infections. At KDH we audit healthcare workers’ compliance with hand hygiene using Public Health Ontario’s program, “Just Clean Your Hands”. Ontario hospitals report hand hygiene compliance annually on April 1st for the previous year.

Hand Hygiene Compliance at Kemptville District Hospital

Reporting Period
Type of indications% Compliance
Reporting Period
Type of indications% Compliance
As of March 31, 2013
Before initial patient/patient environment contact80%
After patient/patient environment contact
83%
As of March 31, 2014Before initial patient/patient environment contact73%
After patient/patient environment contact94%
As of March 31, 2015Before initial patient/patient environment contact61%
After patient/patient environment contact73%
As of March 31, 2016Before initial patient/patient environment contact53%
After patient/patient environment contact55%
As of March 31, 2017Before initial patient/patient environment contact59%
After patient/patient environment contact64%
As of March 31, 2018Before patient/patient environment contact66%
After patient/patient environment contact65%
As of March 31, 2019Before patient/patient environment contact71%
After patient/patient environment contact75%
As of March 31, 2020Before patient/patient environment contact78%
After patient/patient environment contact85%
As of March 31, 2021Before patient/patient environment contact89.20%
After patient/patient environment contact93.12%
As of March 31, 2022Before patient/patient environment contact91.92%
After patient/patient environment contact92.28%
As of March 31, 2023Before patient/patient environment contact74.43%
After patient/patient environment contact84.68%

Hospital Standardized Mortality Ratio

HSMR is a measure of patient safety that compares a hospital’s mortality rate with a national standard. It has been proven useful in identifying areas that can be changed to improve patient safety and the quality of care. HSMR is a ratio of “observed” to “expected” deaths, multiplied by 100. A ratio greater than 100 means more deaths occurred than expected, while a ratio less than 100 suggests fewer deaths occurred than expected. Note that HSMR is adjusted for factors affecting mortality (e.g., age, sex, length of stay) and is based on diagnosis groups that account for 80% of deaths.

HSMR at Kemptville District Hospital

Reporting PeriodKDHOntario Small Hospital Average
Fiscal Year 2015/16108109
Fiscal Year 2016/17137107
Fiscal Year 2017/1891105
Fiscal Year 2018/1982101
Fiscal Year 2019/20104104

To see the full report or for more information, please visit the Canadian Institute for Health Information (CIHI) website.

Surgical Site Infection Prevention Rate

A surgical site infection is an infection that occurs at the site of a surgical incision, caused by bacteria getting into the wound. This can occur from a few days after surgery to much later. Antibiotics are given just before some operations (e.g., joint replacements) to reduce the risk of infection. This indicator ensures that this process is being followed at KDH for hip and knee joint replacements. Ontario hospitals report surgical site infection prevention rates at the end of every quarter.

Surgical Site Infection Prevention Rates at Kemptville District Hospital

Reporting PeriodCombined Rate
Fiscal Year 2018/19
April - June 201891.95%
July - September 201896.88%
October - December 201885.83%
January - March 201997.53%
Fiscal Year 2019/20
April - June 201997.53%
July - September 201997.53%
October - December 201993.55%
January - March 2020100% (Note: 0 surgeries in March due to COVID-19)
Fiscal Year 2020/21
April - June 2020100% (Note: 0 surgeries in April & May due to COVID-19)
July - September 202093.44%
October - December 202097.30%
January 202197.92%
February 2021100%
March 202198.18%
April 2021100%
May 20210 surgeries in May
June 202192.86%
July 20210 surgeries in July
August 20210 surgeries in August
September 2021100%
October 202196.30%
November 2021100%
December 2021100%
January 202266.67%
February 20220 surgeries in February
March 202295.65%
April 202293.75%
May 202287.10%
June 202279.41%
July 20220 surgeries in July
August 202258.33%
September 202276.67%
October 202260.87%
November 202293.94%
December 202295.45%
January 202396.00%
February 2023100.00%
March 202392.59%
April 202386.36%
May 202390.00%
June 202393.10%
July 202392.31%
August 202392.86%
September 202396.30%

Surgical Safety Checklist Compliance

The Surgical Safety Checklist is a set of tasks that the Operating Room team completes at three key phases: before the patient is given anesthesia; before skin incision; and before closing the incision. The checklist ensures that the entire surgical team is ready and confident about proceeding, as well as ensuring the surgical process is complete. Ontario hospitals report on surgical safety checklist compliance biannually, in January and July.

Surgical Safety Checklist Compliance at Kemptville District Hospital 2012/2013 Rates

Reporting PeriodCompliance Rate
2018
January-June 201895.78%
July-December 201892.09%
2019
January - June 201990.41%
July - December 201994.91%
2020
January - June 202099.21%
July - December 202097.54%
January - March 202196.36%
April - June 202197.40%
July - September 202194.87%
October - December 202195.00%
January - March 202297.02%
April - June 202294.84%
July - September 202295.33%
October - December 202298.43%
January - March 202399.81%
April - June 202399.61%
July - September 202399.78%