Patient Quality

Patient Quality Overview

Cincinnati Children's Hospital Medical Center is focused intensively on transforming health care delivery. Our aim is to make lasting changes that result in improvement from the point of view of our patients and their families. The scope and impact of our work continues to grow. Work is targeted to address all the dimensions of quality identified by the Institute of Medicine (IOM).

We've learned that dramatic, system-wide improvement starts with goal setting, and so we set stretch goals, with these results in mind:

  • We will achieve perfect care
  • We will be best-in-class (where benchmarks are available)
  • Our improvements will be sustained

We use high-reliability principles and methods to achieve these goals. Our improvements have focused on five key changes in health care:

  • Prevent incidence of patients developing infections following surgery
  • Prevent infections following central venous catheter insertion
  • Prevent pneumonia for patients on ventilators
  • Prevent adverse drug events
  • Prevent incidence of patients requiring chest compressions or assisted ventilation

Each of these measures has a true, direct impact on patient quality.

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Patient Quality

 

December 2007

Surgical Site Infections (Class I and II): How often do patients acquire an infection as a result of surgery?

(The number of surgical cases per 100 procedure days where patients developed an infection following surgery) 		0.9
Catheter Associated – Bloodstream Infections: How often do patients acquire an infection as a result of a central venous catheter (CVC)?

(Average number of hospital-wide CVC related infections per 1,000 catheter line days)		2.6
Ventilator Associated Pneumonia (VAP) Combined: How often do patients acquire pneumonia as a result of being on a ventilator?

(Rate of pneumonia detected per 1,000 ventilator days in the Regional Center for Newborn Intensive Care (RCNIC), Cardiac Intensive Care Unit (CICU), and the Pediatric Intensive Care Unit (PICU))		0
Adverse Drug Events (ADEs): How often do patients have an adverse reaction to medications?

(Average number of hospital-wide adverse drug events per 1,000 doses)		1.3
 

October - December 2007

Emergency Codes Outside the Critical Care Unit: How many patients required resuscitation outside of the ICU?

(The number of cases per 1,000 non-ICU patient days when a patient required chest compressions or assisted ventilation)		0

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We Want Your Feedback

We would like to know what you think of the information presented here. Please send us an email to let us know if you found this web page helpful and easy to understand, or if you there's any additional information you need but couldn't find (childrens-quality@cchmc.org).

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Last updated February 2008.