1) What does the data tell you about the quality of patient care from 2015 to 20

Question

1) What does the data tell you about the quality of patient care from 2015 to 2016? Is the overall infection higher or lower in 2016 when compared with 2015? 2) What is leaderships role in disseminating the information and identifying ways to sustain or reduce the infection rates? Central line- associated bloodstream infections (CLABSIs Catheter-associated Surgical site infections urinary tract infections (SSIs) after colorn Procedures (CAUTIs) surgery 2015 DATA 1st Qtr. (Jan-Mar)68 2nd Qtr. (Apr-June) 3rdQtr.(July-Sept) -83 4th Qtr. (Oct-Dec) 42 62 31 43 1,645178 410 535 490 210 36 24 21 32 113 52 14 75 278 16 (14.16%) Subtotal (11.87%) 10.56% 10 24 (10.82%) 2015 Infection Rate National Hospital Benchmark Rates 9.79% 12.58% 2016 DATA 492 93 106 72 84 355 (21.79%) 96 1st Qtr. (Jan-Mar) 2nd Qtr. (Apr-June)747 32 29 46 162 3rd atr. Uuly-Sept) 1031 74502 386 250 1,629 th Otr.(Oct-Dec)89 62 (17.12%) 26 (16.05%) Subtotal 362 2016 Infection Rate National Hospital Benchmark Rates 11.45% 95 (14.84%) 12.34% 533 (16.28%) 13.76% 42 (15.27% TOTAL640 3,274 275 Total Infection Rate

Explanation / Answer

1) What does the data tell you about the quality of patient care from 2015 to 2016? Is the overall infection higher or lower in 2016 when compared with 2015? 2) What is leaderships role in disseminating the information and identifying ways to sustain or reduce the infection rates? Central line- associated bloodstream infections (CLABSIs Catheter-associated Surgical site infections urinary tract infections (SSIs) after colorn Procedures (CAUTIs) surgery 2015 DATA 1st Qtr. (Jan-Mar)68 2nd Qtr. (Apr-June) 3rdQtr.(July-Sept) -83 4th Qtr. (Oct-Dec) 42 62 31 43 1,645178 410 535 490 210 36 24 21 32 113 52 14 75 278 16 (14.16%) Subtotal (11.87%) 10.56% 10 24 (10.82%) 2015 Infection Rate National Hospital Benchmark Rates 9.79% 12.58% 2016 DATA 492 93 106 72 84 355 (21.79%) 96 1st Qtr. (Jan-Mar) 2nd Qtr. (Apr-June)747 32 29 46 162 3rd atr. Uuly-Sept) 1031 74502 386 250 1,629 th Otr.(Oct-Dec)89 62 (17.12%) 26 (16.05%) Subtotal 362 2016 Infection Rate National Hospital Benchmark Rates 11.45% 95 (14.84%) 12.34% 533 (16.28%) 13.76% 42 (15.27% TOTAL640 3,274 275 Total Infection Rate

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