Patient Safety
What We Measure
The Standardized Infection Ratio (SIR) is the ratio of observed-to-expected infections. SIRs below 1.00 indicate that the observed number of infections was lower than would be expected under normal conditions. Values above 1.00 indicate that the observed number of infections was higher than expected. Some, but not all patient-specific risk factors are included in the adjustment of the SIR for these types of infections. The SIRs for hospitals performing complex procedures or with larger volumes of trauma or emergency procedures may not be adequately adjusted to account for those patient-specific risk factors.
Healthcare Associated Infections
C. difficile is a germ (bacterium) that causes severe diarrhea and colitis (an inflammation of the colon). Most cases of C. difficile occur when you’ve been taking antibiotics or not long after you’ve finished taking antibiotics. Other risk factors include:
- Being 65 or older
- Recent stay at a hospital or nursing home
- A weakened immune system, such as people with HIV/AIDS, cancer, or organ transplant patients taking immunosuppressive drugs
- Previous infection with C. diff or known exposure to the germs
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Methicillin-resistant Staphylococcus aureus (MRSA) is a type of bacteria that is resistant to several antibiotics. MRSA most often causes skin infections and in some cases, it causes pneumonia and other infections. If left untreated, MRSA infections can become severe and cause sepsis—the body’s extreme response to an infection.
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What We Do to Prevent
- Cottage Health has a robust antibiotic stewardship program run by specially trained pharmacists and physicians. Every day they review the antibiotics inpatients have been prescribed to ensure they are necessary and appropriate.
- High risk patient care rooms are cleaned with bleach and sprayed with an electrostatic spraying system which is the best method to kill germs.
- Vigorous handwashing and use of appropriate personal protective gear to prevent possible spread within our facilities.
Device Related Infections
Central line-associated bloodstream Infection: A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs (usually bacteria or viruses) enter the bloodstream through the central line.
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Catheter-associated Urinary Tract Infection: A urinary tract infection is an infection involving any part of the urinary system, including urethra, bladder, ureters, and kidney. Though considered largely preventable, catheter-associated urinary tract infection (CAUTI) is the most common health care associated infection reported to the Centers for Disease Control and Prevention.
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What We do to Prevent
- We follow strict protocols when inserting Central Line and Foleys to ensure sterility.
- We use stringent daily infection control practices to ensure the indwelling devices are properly cleaned and maintained.
- We follow evidence-based practices to remove these devices as soon as they are no longer medically necessary.