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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
Fiscal Year 2012/13
April 201200.00 per 1000 patient days
May 201200.00 per 1000 patient days
June 201200.00 per 1000 patient days
July 201200.00 per 1000 patient days
August 201200.00 per 1000 patient days
September 201200.00 per 1000 patient days
October 201200.00 per 1000 patient days
November 201200.00 per 1000 patient days
December 201200.00 per 1000 patient days
January 201300.00 per 1000 patient days
February 201300.00 per 1000 patient days
March 201300.00 per 1000 patient days
Fiscal Year 13/14
April 201300.00 per 1000 patient days
May 201300.00 per 1000 patient days
June 201300.00 per 1000 patient days
July 201300.00 per 1000 patient days
August 201300.00 per 1000 patient days
September 201300.00 per 1000 patient days
October 201300.00 per 1000 patient days
November 201300.00 per 1000 patient days
December 201300.00 per 1000 patient days
January 201400.00 per 1000 patient days
February 201400.00 per 1000 patient days
March 201400.00 per 1000 patient days
Fiscal Year 2014/15
April 201400.00 per 1000 patient days
May 201400.00 per 1000 patient days
June 20140
0.00 per 1000 patient days
July 2014
00.00 per 1000 patient days
August 201400.00 per 1000 patient days
September 201400.00 per 1000 patient days
October 201400.00 per 1000 patient days
November 201400.00 per 1000 patient days
December 201400.00 per 1000 patient days
January 201500.00 per 1000 patient days
February 2015
00.00 per 1000 patient days
March 201500.00 per 1000 patient days
Fiscal Year 2015/16
April 201500.00 per 1000 patient days
May 201500.00 per 1000 patient days
June 201500.00 per 1000 patient days
July 201500.00 per 1000 patient days
August 201500.00 per 1000 patient days
September 201500.00 per 1000 patient days
October 201500.00 per 1000 patient days
November 201500.00 per 1000 patient days
December 201500.00 per 1000 patient days
January 201600.00 per 1000 patient days
February 201600.00 per 1000 patient days
March 201600.00 per 1000 patient days
Fiscal Year 2016/17
April 201600.00 per 1000 patient days
May 201600.00 per 1000 patient days
June 201600.00 per 1000 patient days
July 201600.00 per 1000 patient days
August 201600.00 per 1000 patient days
September 201600.00 per 1000 patient days
October 201600.00 per 1000 patient days
November 201600.00 per 1000 patient days
December 201600.00 per 1000 patient days
January 201700.00 per 1000 patient days
February 201700.00 per 1000 patient days
March 201700.00 per 1000 patient days
Fiscal Year 2017/18
April 201700.00 per 1000 patient days
May 201700.00 per 1000 patient days
June 201700.00 per 1000 patient days
July 201702.10 per 1000 patient days
August 201700.00 per 1000 patient days
September 201700.00 per 1000 patient days
October 201700.00 per 1000 patient days
November 201700.00 per 1000 patient days
December 201700.00 per 1000 patient days
January 201800.00 per 1000 patient days
February 201800.00 per 1000 patient days
March 201800.00 per 1000 patient days
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

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 2012/13
April - June 201200.00 per 1000 patient days
July - September 201200.00 per 1000 patient days
October - December 201200.00 per 1000 patient days
January - March 2013
00.00 per 1000 patient days
Fiscal Year 2013/14
April - June 201300.00 per 1000 patient days
July - September 201300.00 per 1000 patient days
October - December 201300.00 per 1000 patient days
January - March 201400.00 per 1000 patient days
Fiscal Year 2014/15
April - June 201400.00 per 1000 patient days
July - September 201400.00 per 1000 patient days
October-December 201400.00 per 1000 patient days
January - March 201500.00 per 1000 patient days
Fiscal Year 2015/16
April - June 201500.00 per 1000 patient days
July - September 201500.00 per 1000 patient days
October - December 201500.00 per 1000 patient days
January - March 201600.00 per 1000 patient days
Fiscal Year 2016/17
April - June 201600.00 per 1000 patient days
July - September 201600.00 per 1000 patient days
October - December 201600.00 per 1000 patient days
January - March 201700.00 per 1000 patient days
Fiscal Year 2017/18
April - June 201700.00 per 1000 patient days
July - September 201700.00 per 1000 patient days
October - December 201700.00 per 1000 patient days
January - March 201800.00 per 1000 patient days
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

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 2012/13
April - June 201200.00 per 1000 patient days
July - September 201200.00 per 1000 patient days
October - December 2012000.00 per 1000 patient days
January – March 201300.00 per 1000 patient days
Fiscal Year 2013/14
April – June 201300.00 per 1000 patient days
July – September 201300.00 per 1000 patient days
October – December 201300.00 per 1000 patient days
January - March 201400.00 per 1000 patient days
Fiscal Year 2014/15
April - June 201400.00 per 1000 patient days
July - September 201400.00 per 1000 patient days
October - December 201400.00 per 1000 patient days
January - March 201500.00 per 1000 patient days
Fiscal Year 2015/16
April - June 201500.00 per 1000 patient days
July - September 201500.00 per 1000 patient days
October-December 2015
January-March 201600.00 per 1000 patient days
Fiscal Year 2016/17
April-June 201600.00 per 1000 patient days
July-September 201600.00 per 1000 patient days
October-December 201600.00 per 1000 patient days
January-March 201700.00 per 1000 patient days
Fiscal Year 2017/18
April - June 201700.00 per 1000 patient days
July - September 201700.00 per 1000 patient days
October - December 201700.00 per 1000 patient days
January - March 201800.00 per 1000 patient days
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

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
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%

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 2013/1482102
Fiscal Year 2014/15143107
Fiscal Year 2015/169799
Fiscal Year 2016/1712098
Fiscal Year 2017/188297

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 2012/13
April - June 201285.56%
July - September 201292.94%
October - December 201298.88%
January - March 201394.32%
Fiscal Year 2013/14
April - June 201385.9%
July - September 201377.3%
October - December 201372.2%
January - March 201491.8%
Fiscal Year 2014/15
April - June 201488.16%
July - September 201487.97%
October - December 201498.51%
January - March 201584.83%
Fiscal Year 2015/16
April - June 201598.93%
July - September 201595.54%
October - December 201577.66%
January-March 201684.65%
Fiscal Year 2016/17
April - June 201681.55%
July - September 2016100%
October-December 201686.93%
January-March 201789.58%
Fiscal Year 2017/18
April - June 201797.10%
July - September 201781.82%
October - December 201782.86%
January - March 201886.21%
Fiscal Year 2018/1997.10%
April - June 201891.95%
July - September 201896.88%
October - December 201885.83%

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
2012
January-June 201292.95%
July-December 201295.02%
2013
January-June 201399.5%
July-December 201399.3%
2014
January-June 201497.92%
July-December 201499.62%
2015
January-June 201599.65%
July-December 201599.51%
2016
January-June 201699.25%
July-December 201698.84%
2017
January-June 201795.89%
July-December 201797.14%
2018
January-June 201895.78%
July-December 201892.09%