scholarly journals 2020 Pennsylvania Patient Safety Reporting: Updated Acute Care Reporting Rates

2021 ◽  
pp. 54-56
Author(s):  
Shawn Kepner
Keyword(s):  
Patient Safety ◽  
Acute Care ◽  
Recent Article ◽  
Hospital Patient ◽  
Safety Reporting ◽  
Care Facilities ◽  
Fall Rates ◽  
Acute Care Facilities ◽  
Reporting Rates ◽  
Complete Reporting

In our recent article summarizing 2020 data from acute care facilities in Pennsylvania, reporting rates and fall rates were provided for Q1 and Q2 2020 based on the latest data we had available at the time of publication. Given that 2020 was an unpredictable year in healthcare, any forecasting of rates for Q3 and Q4 2020 would have been unreliable. Therefore, this data snapshot serves to complete reporting rates for 2020 now that all hospital patient days and surgical encounters data from 2020 have been made available for rate calculations.

scholarly journals 2020 Pennsylvania Patient Safety Reporting: An Analysis of Serious Events and Incidents From the Nation's Largest Event Reporting Database

2021 ◽  
Author(s):  
Shawn Kepner ◽  
Rebecca Jones
Keyword(s):  
Patient Safety ◽  
Acute Care ◽  
Safety Data ◽  
The United States ◽  
Healthcare Facilities ◽  
Safety Reporting ◽  
Safety Event ◽  
Acute Care Facilities ◽  
Acute Healthcare ◽  
Reporting Rates

Pennsylvania is the only state that requires acute healthcare facilities to report all events of harm or potential for harm. With over 3.9 million acute care event reports, the Pennsylvania Patient Safety Reporting System (PA-PSRS) is the largest repository of patient safety data in the United States and one of the largest in the world. Of the 278,548 patient safety event reports submitted by Pennsylvania’s acute care facilities in 2020, 97.2% were from hospitals and 2.7% were from ambulatory surgical facilities (ASFs). The remaining 0.1% were from birthing centers and abortion facilities. The vast majority of the 2020 reports were Incidents (97.0%) rather than Serious Events (3.0%). For each of the last five years, the most frequently reported event type was Error Related to Procedure/Treatment/Test, accounting for 32.1% of all submitted acute care event reports in 2020. The second, third, and fourth most frequently reported event types were Medication Error, Complication of Procedure/Treatment/Test, and Fall, accounting for 16.7%, 16.2%, and 11.8% of submitted reports in 2020, respectively. The reporting rates for hospitals in Q1 and Q2 2020 were 32.8 and 31.5 reports per 1,000 patient days, respectively. For ASFs, the reporting rates for Q1 and Q2 2020 were 9.8 and 8.4 reports per 1,000 surgical encounters, respectively.

scholarly journals Surveillance nursing diagnoses, ongoing assessment and outcomes on in-patients who suffered a cardiorespiratory arrest

2018 ◽  
Vol 51 (0) ◽  
Author(s):  
Maria-Eulàlia Juvé-Udina ◽  
Núria Fabrellas-Padrés ◽  
Jordi Adamuz-Tomás ◽  
Sònia Cadenas-González ◽  
Maribel Gonzalez-Samartino ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Acute Care ◽  
Vital Signs ◽  
Cross Sectional ◽  
Care Plans ◽  
Care Facilities ◽  
Cross Sectional Design ◽  
Acute Care Facilities ◽  
Ongoing Assessment ◽  
Nursing Diagnoses

ABSTRACT Objective The purposes of this study were to examine the frequency of surveillance-oriented nursing diagnoses and interventions documented in the electronic care plans of patients who experienced a cardiac arrest during hospitalization, and to observe whether differences exist in terms of patients’ profiles, surveillance measurements and outcomes. Method A descriptive, observational, retrospective, cross-sectional design, randomly including data from electronic documentation of patients who experienced a cardiac arrest during hospitalization in any of the 107 adult wards of eight acute care facilities. Descriptive statistics were used for data analysis. Two-tailed p-values are reported. Results Almost 60% of the analyzed patients’ e-charts had surveillance nursing diagnoses charted in the electronic care plans. Significant differences were found for patients who had these diagnoses documented and those who had not in terms of frequency of vital signs measurements and final outcomes. Conclusion Surveillance nursing diagnoses may play a significant role in preventing acute deterioration of adult in-patients in the acute care setting.

Carbapenem-ResistantKlebsiella pneumoniaein Post-Acute-Care Facilities in Israel

2011 ◽  
Vol 32 (9) ◽  
pp. 845-853 ◽  
Author(s):  
Debby Ben-David ◽  
Samira Masarwa ◽  
Shiri Navon-Venezia ◽  
Hagit Mishali ◽  
Ilan Fridental ◽  
...  
Keyword(s):  
Risk Factors ◽  
Acute Care ◽  
Case Control Study ◽  
Case Control ◽  
Antibiotic Exposure ◽  
Care Facilities ◽  
History Of ◽  
Independent Risk Factors ◽  
Acute Care Facilities ◽  
Control Study

Objective.To assess the prevalence of and risk factors for carbapenem-resistantKlebsiella pneumoniae(CRKP) carriage among patients in post-acute-care facilities (PACFs) in Israel.Design, Setting, and Patients.A cross-sectional prevalence survey was conducted in 12 PACFs. Rectal swab samples were obtained from 1,144 patients in 33 wards. Risk factors for CRKP carriage were assessed among the cohort. Next, a nested, matched case-control study was conducted to define individual risk factors for colonization. Finally, the cohort of patients with a history of CRKP carriage was characterized to determine risk factors for continuous carriage.Results.The prevalence of rectal carriage of CRKP among 1,004 patients without a history of CRKP carriage was 12.0%. Independent risk factors for CRKP carriage were prolonged length of stay (odds ratio [OR], 1.001;P< .001), sharing a room with a known carrier (OR, 3.09;P= .02), and increased prevalence of known carriers on the ward (OR, 1.02;P= .013). A policy of screening for carriage on admission was protective (OR, 0.41;P= .03). Risk factors identified in the nested case-control study were antibiotic exposure during the prior 3 months (OR, 1.66;P= .03) and colonization with other resistant pathogens (OR, 1.64;P= .03). Among 140 patients with a history of CRKP carriage, 47% were colonized. Independent risk factors for continued CRKP carriage were antibiotic exposure during the prior 3 months (OR, 3.05;P= .04), receipt of amoxicillin-clavulanate (OR, 4.18;P= .007), and screening within 90 days of the first culture growing CRKP (OR, 2.9;P= .012).Conclusions.We found a large reservoir of CRKP in PACFs. Infection-control polices and antibiotic exposure were associated with patient colonization.

MUST-Plus: A Machine Learning Classifier That Improves Malnutrition Screening in Acute Care Facilities

2020 ◽  
pp. 1-10 ◽  
Author(s):  
Prem Timsina ◽  
Himanshu N. Joshi ◽  
Fu-Yuan Cheng ◽  
Ilana Kersch ◽  
Sara Wilson ◽  
...  
Keyword(s):  
Machine Learning ◽  
Acute Care ◽  
Learning Classifier ◽  
Care Facilities ◽  
Acute Care Facilities

scholarly journals CIHI Survey: Dying of Cancer in Canada's Acute Care Facilities

2005 ◽  
Vol 8 (3) ◽  
pp. 26-28 ◽  
Author(s):  
Kira Leeb ◽  
Kathleen Morris ◽  
Naomi Kasman
Keyword(s):  
Acute Care ◽  
Care Facilities ◽  
Acute Care Facilities

scholarly journals Infection Control in Acute Care Facilities: Evidence-Based Patient Safety

2001 ◽  
Vol 12 (3) ◽  
pp. 131-132 ◽  
Author(s):  
Lindsay E Nicolle
Keyword(s):  
World War Ii ◽  
Infection Control ◽  
Acute Care ◽  
Epidemiological Analysis ◽  
Control Programs ◽  
Care Facilities ◽  
Surveillance Programs ◽  
Acute Care Facilities ◽  
Program Components ◽  
And Control

Infection control in acute care facilities has a noble history. These programs were born of the nosocomial penicillin-resistantStaphylococcus aureusoutbreaks in the post-World War II era. Over the past four decades, an impressive body of evidence has emerged that documents the effectiveness of infection control programs and systematically evaluates specific program components. Fumigation, tacky floor mats, shoe covers and 'reverse' isolation have disappeared. They are replaced by focused surveillance programs, prophylactic antimicrobial therapy, outbreak investigation and control, routine barrier practices and molecular typing of organisms for epidemiological analysis.

The burden of multidrug-resistant organisms on tertiary hospitals posed by patients with recent stays in long-term acute care facilities

2012 ◽  
Vol 40 (8) ◽  
pp. 760-765 ◽  
Author(s):  
Dror Marchaim ◽  
Teena Chopra ◽  
Christopher Bogan ◽  
Suchitha Bheemreddy ◽  
David Sengstock ◽  
...  
Keyword(s):  
Acute Care ◽  
Multidrug Resistant ◽  
Care Facilities ◽  
Multidrug Resistant Organisms ◽  
Tertiary Hospitals ◽  
Acute Care Facilities
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