Patient Safety at Kaiser Santa Rosa
The Kaiser Permanente Santa Rosa Medical Center is committed to remaining a national leader in patient safety and becoming the safest place to give and receive care.
Patient safety requires providing patient-centered care that is reliable, effective, consistent, and safe. It is an ongoing and relentless commitment to build safer systems, using performance improvement methodology thereby preventing the preventable.
We aim to achieve this by monitoring our performance on certain patient safety measures which include:
- Catheter Associated Urinary Tract Infections (CAUTI)
- Central Line Associated Blood Stream Infections (CLABSI)
- Clostridium Difficile Infections (CDI)
- Methicillin-Resistant Staphylococcus Aureus (MRSA) Blood Stream Infections
- Patient Falls and Injuries
- Hospital Acquired Pressure Injuries (HAPI)
This document contains information related to these patient safety measures.
CATHETER ASSOCIATED URINARY TRACT INFECTIONS (CAUTI)
What are we measuring?
If a patient is in the hospital, they may require a urinary catheter. Patients with catheters are at risk for developing a dangerous infection in the urinary tract; this is called a catheter associated urinary tract infection (CAUTI). CAUTIs can lead to other complications and increase recovery time.
How are we performing?
The number below represents a comparison of the number of CAUTIs that occurred at Kaiser Permanente Santa Rose Medical Center to the number of infections expected, given the number of catheters used and other factors like facility type and size. A number lower than one means fewer infections than expected; a number more than one means more infections than expected.
Medicare.gov/care-compare Data:
CENTRAL LINE ASSOCIATED BLOOD STREAM INFECTIONS (CLABSI)
What are we measuring?
If a patient is in the hospital, they may require a central line (a tube inserted into the body to delivery medication and other treatments). Patients with a central line are at risk for developing a dangerous infection in the blood; this is called a central line blood stream infection (CLABSI). CLABSIs can lead to other complications and increase recovery time.
How are we performing?
The number below represents a comparison of the number of CLABI that occurred at Kaiser Permanente Santa Rose Medical Center to the number of infections expected, given the number of central lines used and other factors like facility type and size. A number lower than one means fewer infections than expected; a number more than one means more infections than expected.
Medicare.gov/care-compare Data:
CLOSTRIDIUM DIFFICLE INFECTIONS (CDI)
What are we measuring?
Clostridium difficile infection (CDI) can cause diarrhea and inflammation of the large intestine. CDIs usually occurs in patients who are taking or have recently taken antibiotics. It can also be spread more directly through contaminated or shared equipment and the hands of healthcare providers.
How are we performing?
The number below represents a comparison of the number of CDIs that occurred at Kaiser Permanente Santa Rose Medical Center to the number of infections expected, given the number of patients cared for and how widespread CDI is in the local community. A number lower than one means fewer infections than expected; a number more than one means more infections than expected.
Medicare.gov/care-compare Data:
METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS (MRSA) BLOOD STREAM INFECTIONS
What are we measuring?
Staph bacteria are common in hospitals, but Methicillin-resistant Staphylococcus aureus (MRSA) is a type of staph bacteria that is resistant to many antibiotics. It can be spread directly through contaminated or shared equipment and the hands of healthcare providers. MRSA can cause life-threatening bloodstream infections in hospitalized patients.
How are we performing?
The number below represents a comparison of the number of MRSA blood stream infections that occurred at Kaiser Permanente Santa Rose Medical Center to the number of infections expected, given the number of patients cared for and how widespread MRSA is in the local community. A number lower than one means fewer infections than expected; a number more than one means more infections than expected.
Medicare.gov/care-compare Data:
PATIENT FALLS AND INJURIES
What are we measuring?
One common problem that patients face in the hospital is a serious injury or death resulting from a fall or other kind of trauma. Patient falls increase time in the hospital, require additional care, and can result in permanent disability.
How are we performing?
The number represents the number of times patients experienced falls or other types of trauma for every 1,000 patients discharged. The lower number the better, with zero indicating no patients falls with injury or trauma during this period.
HospitalSafetyGrade.org Data:
HOSPITAL ACQUIRED PRESSURE INJURIES (HAPI)
What are we measuring?
Hospital Acquired Pressure Injuries (HAPI), commonly known as a bed sore, is a wound on the skin that forms when a patient remains in one position for too long without being moved. The wound can reach a muscle or bone and can lead to complications and longer hospital stays.
How are we performing?
The number presents the number of a times patient experiences a HAPI for every 1,000 patients discharged. The lower number the better, with zero indicating no HAPIs during this period.
HospitalSafetyGrade.org Data:
