Baycrest Patient Safety Indicators
At Baycrest, we take patient safety seriously. Managing and preventing the spread of infectious disease is one key part of safety. Recently, there have been a lot of articles in the newspapers about hospital acquired infections, such as C.difficle, MRSA and VRE to name a few. To help reduce the incidence of these infections, we practice good infection prevention, management and control.
Furthering our efforts to provide the best patient care, we post our infection rates in accordance with the Ministry of Health and Long Term Care's new reporting framework on patient safety indicators.
We believe this is an important step forward to improving transparency as it relates to patient safety. Our information is posted in accordance to the government's standardized approach The reporting of the rates will help us understand where safety issues exist and how we can improve.
Click the tab below to view the infection rate.
- C. difficile Rate
- MRSA
- VRE
- Hand Hygiene
The C. difficile infection rate is calculated as a rate per 1,000 patient days.
The “total patient days” represents the sum of the number of days during which services were provided to all inpatients during the given time period.
The rate is calculated as follows:
Number of new hospital acquired cases of C. difficile in Baycrest Hospital
----------------------------------------------------------------------------------------------------- x 1000
Total number of patient days (for one month)
| New nosocomial cases of C. difficile |
C. difficile rate per 1000 patient days | |
| August 2008 | 0 | 0 |
| September 2008 | 3 | 0.41 |
| October 2008 | 1 | 0.14 |
| November 2008 | 1 | 0.14 |
| December 2008 | 2 | 0.26 |
| January 2009 | 7 | 0.94 |
| February 2009 | 0 | 0 |
| March 2009 | 1 | 0.13 |
| April 2009 | 0 | 0 |
| May 2009 | 4 | 0.54 |
| June 2009 | 2 | 0.28 |
| July 2009 | 3 | 0.41 |
| August 2009 | 0 | 0 |
| September 2009 | 3 | 0.41 |
| October 2009 | 0 | 0 |
| November 2009 | 6 | 0.82 |
| December 2009 | 3 | 0.41 |
| January 2010 | 1 | 0.13 |
| February 2010 | 2 | 0.29 |
C. difficile Frequently Asked Questions
The MRSA infection rate is calculated as a rate per 1,000 patient days.
The “total patient days” represents the sum of the number of days during which services were provided to all inpatients during the given time period.
The rate is calculated as follows:
Number of new hospital acquired cases of MRSA in Baycrest Hospital
----------------------------------------------------------------------------------------------------- x 1000
Total number of patient days (for one month)
| New nosocomial cases of MRSA bacteremia |
MRSA bacteremia rate per 1000 patient days | |
| September 2008 | 0 | 0 |
| October 2008 | 0 | 0 |
| November 2008 | 0 | 0 |
| December 2008 | 0 | 0 |
| January 2009 | 0 | 0 |
| February 2009 | 0 | 0 |
| March 2009 | 1 | 0.13 |
| April 2009 | 0 | 0 |
| May 2009 | 0 | 0 |
| June 2009 | 0 | 0 |
| July 2009 | 0 | 0 |
| August 2009 | 0 | 0 |
| September 2009 | 0 | 0 |
| October 2009 | 1 | 0.13 |
| November 2009 | 0 | 0 |
| December 2009 | 0 | 0 |
| January 2010 | 0 | 0 |
| February 2010 | 0 | 0 |
MRSA Frequently Asked Questions
The VRE rate is calculated as a rate per 1,000 patient days.
The “total patient days” represents the sum of the number of days during which services were provided to all inpatients during the given time period.
The rate is calculated as follows:
Number of new hospital acquired cases of VRE in Baycrest Hospital
----------------------------------------------------------------------------------------------------- x 1000
Total number of patient days (for one month)
| New nosocomial cases of VRE bacteremia |
VRE rate per 1000 patient days | |
| September 2008 | 0 | 0 |
| October 2008 | 0 | 0 |
| November 2008 | 0 | 0 |
| December 2008 | 0 | 0 |
| January 2009 | 0 | 0 |
| February 2009 | 0 | 0 |
| March 2009 | 0 | 0 |
| April 2009 | 0 | 0 |
| May 2009 | 0 | 0 |
| June 2009 | 0 | 0 |
| July 2009 | 0 | 0 |
| August 2009 | 0 | 0 |
| September 2009 | 0 | 0 |
| October 2009 | 0 | 0 |
| November 2009 | 0 | 0 |
| December 2009 | 0 | 0 |
| January 2010 | 0 | 0 |
| February 2010 | 0 | 0 |
C. difficile Frequently Asked Questions
Hand hygiene relates to the removal of visible soil and the removal or killing of transient microorganisms from the hands and may be accomplished using soap and running water or an alcohol-based hand rub.
Baycrest will post hand hygiene compliance rates as percentages for time periods identified by the Ministry of Health and Long-Term Care, using the following formula:
# of times hand hygiene performed
----------------------------------------------------------------------------------------------------- x 100
# of observed hand hygiene indications
These percentages also reflect:
- hand hygiene before initial patient/patient environment contact by combined health care provider type (e.g., nurses, allied health professionals, physicians, etc.)
- hand hygiene after patient/patient environment contact by combined health care provider type (e.g., nurses, allied health professionals, physicians, etc.)
Baycrest will collect at least 200 observations for every 100 in patient beds.
To ensure statistically valid data for smaller hospitals, or hospitals with fewer in-patient beds a minimum of 50 observed opportunities for hand hygiene will need to be collected.
The goal of public reporting hand hygiene compliance is to achieve an overall assessment of whether compliance rates are improving. It is normal for rates to vary from hospital to hospital.
| March 2009 | 2010 | |
| Rate per 100 patient beds | 51.6% | 42.8% |
Hand Hygiene Frequently Asked Questions