Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms
- Exhibit A1: 2013 Interim AHRQ National Scorecard Data on HACs (Calculated October 23, 2014).
- Exhibit A2: AHRQ National Scorecard HACs for 2013 vs. 2010, and Projected 2013 Cost Savings and Reductions in Deaths Associated With HACs.
- Exhibit A3: Percent Reduction in AHRQ National Scorecard HACs From 2010 to 2013 (Interim).
- Exhibit A4: Estimates, Goals, and Projections for HACs at the Launch of PfP Initiative in 2011.
Exhibit A1 provides the interim 2013 data on HACs. The HACs that are the focus of the PfP initiative are shown, as well as the source of the data and the corresponding measures related to each HAC. The interim rate for 2013 is 121 HACs per 1,000 discharges, which is a 17 percent reduction from the 2010 baseline of 145 HACs per 1,000 discharges before the start of the PfP initiative.
|PfP Hospital-Acquired Conditions||Interim 2013 PfP HACs: Interim Final 2013 Data for MPSMS, Preliminary 2013 CDC NHSN Data on SSIs, and 2012 Data for Obstetric Adverse Events and Other PSIs|
|Partnership for Patients Hospital-Acquired Condition||Source (& Data Year)||Measure||PfP HACs (Normalized to 32,750,000 Discharges—Based on 2010 Baseline)||PfP Measured HACs per 1,000 Discharges|
|ADEs||MPSMS (2013)||ADE Associated With Digoxin||8,800||0.27|
|MPSMS (2013)||ADE Associated With Hypoglycemic Agents||760,000||23.3|
|MPSMS (2013)||ADE Associated With IV Heparin||170,000||5.1|
|MPSMS (2013)||ADE Associated With Low Molecular Weight Heparin and Factor Xa Inhibitor||240,000||7.3|
|MPSMS (2013)||ADE Associated With Warfarin||140,000||4.3|
|MPSMS (2013)||Total ADE (rounded sum of above 5 measures)||1,320,000||40.3|
|CAUTIs||MPSMS (2013)||Catheter-Associated Urinary Tract Infections||290,000||8.8|
|CLABSIs||MPSMS (2013)||Blood Stream Infections Associated With Central Venous Catheters||9,200||0.28|
|Falls||MPSMS (2013)||In-Hospital Patient Falls||240,000||7.2|
|Obstetric Adverse Events||PSI (2012)||OB Trauma in Vaginal Delivery With (PSI 18) and Without Instrument (PSI 19)||77,000||2.4|
|Pressure Ulcers||MPSMS (2013)||Hospital-Acquired Pressure Ulcers||1,060,000||32.5|
|Surgical Site Infections||NHSN (preliminary 2013)||SSIs for 17 selected procedures||78,000||2.4|
|VAPs||MPSMS (2013)||Ventilator-Associated Pneumonia||37,000||1.1|
|VTEs||MPSMS (2013)||Postoperative Venous Thromboembolic Events||23,000||0.71|
|All Other Hospital-Acquired Conditions||MPSMS (2013)||Femoral Artery Puncture for Catheter Angiographic Procedures||59,000||1.8|
|MPSMS (2013)||Adverse Events Associated With Hip Joint Replacements||21,000||0.63|
|MPSMS (2013)||Adverse Events Associated With Knee Joint Replacements||14,000||0.42|
|MPSMS (2013)||Contrast Nephropathy Associated With Catheter Angiography||250,000||7.6|
|MPSMS (2013)||Hospital-Acquired MRSA||11,000||0.35|
|MPSMS (2013)||Hospital-Acquired VRE||10,000||0.31|
|MPSMS (2013)||Hospital-Acquired Antibiotic-Associated C. difficile||100,000||3.1|
|MPSMS (2013)||Mechanical Complications Associated With Central Venous Catheters||110,000||3.3|
|MPSMS (2013)||Postoperative Cardiac Events for Cardiac and Non-cardiac Surgeries||35,000||1.1|
|MPSMS (2013)||Postoperative Pneumonia||65,000||2.0|
|PSI (2012)||Iatrogenic Pneumothorax (PSI 6)||12,000||0.37|
|PSI (2012)||Post-Op Hemorrhage or Hematoma (PSI 9)||20,000||0.60|
|PSI (2012)||Post-Op Respiratory Failure (PSI 11)||50,000||1.5|
|PSI (2012)||Accidental Puncture or Laceration (PSI 15)||66,000||2.0|
|MPSMS (2013) & PSI (2012)||Total All Other HACs (sum of above 14 measures)||823,000||25.1|
|Interim Total of 2013 PfP HACs and HACs per 1,000 discharges (rounded)||3,957,200||121|
Source: AHRQ National Scorecard Estimates from Medicare Patient Safety Monitoring System, National Healthcare Safety Network, and Healthcare Cost and Utilization Project.
Page originally created December 2014