Sample Technical Facility-Specific Health Care Safety Report


Click on links to learn more about different parts of the report. For more information about how to understand the data presented here, go to Understanding the HAI Data


TEXAS HOSPITAL DSHS Logo cannot display

TEXAS HOSPITAL
1234 Address Road
Austin, TX 78754

# of Hospital Beds: 250
# Patient Admissions per year: 10,000
# Patient-Days per year: 30,000
# Procedures per year: 350

Facility-Specific Health Care Safety Report - Technical Version

Reported by the Texas Department of State Health Services

Time Period: January - June 2015
Report current as of: 10/01/2015 02:44 PM

Data shown in this report came from the National Healthcare Safety Network (NHSN).

Central Line-Associated Bloodstream Infection (CLABSI) Standardized Infectigon Ratio (SIR)*
Unit Type No. of Central Line Days Number of Infections SIR and 95% Confidence Interval SIR Interpretation No. of CLABSIs that Contributed to the Patient's Death
Observed Predicted SIR Lower Upper
NICU 215 0 0.511      
The SIR is not calculated when the number of predicted infections is less than 1 The SIR is not calculated when the number of predicted infections is less than 1
0
ICU 4728 0 2 0 0 0.857
Significantly fewer infections observed than predicted, based on the 2006 - 2008 national  baselineSignificantly fewer infections observed than predicted, based on the 2006 - 2008 national baseline
0
* NOTE: The SIR Statistical Interpretation only takes into consideration the SIR values. The facility is responsible for providing any additional explanation regarding deaths and if provided, can be found below in the Facility Comments Section.

Catheter-Associated Urinary Tract Infection (CAUTI) Standardized Infection Ratio (SIR)*
Unit Type No. of Urinary Catheter Days Number of Infections SIR and 95% Confidence Interval SIR Interpretation No. of CAUTIs that Contributed to the Patient's Death
Observed Predicted SIR Lower Upper
ICU 4150 9 0      
The SIR is not calculated when the number of predicted infections is less than 1 The SIR is not calculated when the number of predicted infections is less than 1
1
* NOTE: The SIR Statistical Interpretation only takes into consideration the SIR values. The facility is responsible for providing any additional explanation regarding deaths and if provided, can be found below in the Facility Comments Section.

Surgical Site Infections (SSI) Standardized Infection Ratio (SIR)*
Procedure Type Procedures Number of Infections SIR and 95% Confidence Interval SIR Interpretation No. of SSIs that Contributed to the Patient's Death
Observed Predicted SIR Lower Upper
Colon surgery
Inpatient 331 26 36.067 0.721 0.481 1.041
No significant difference between the number of observed and predicted infections, based on the 2006 - 2008 national baseline No significant difference between the number of observed and predicted infections, based on the 2006 - 2008 national baseline
0
Outpatient 2 0 0.115      
The SIR is not calculated when the number of predicted infections is less than 1The SIR is not calculated when the number of predicted infections is less than 1
0
Hip prosthesis
Inpatient 36 2 1.299 1.540 1.012 2.306
Significantly more infections observed than predicted, based on the 2006 - 2008 national baselineSignificantly more infections observed than predicted, based on the 2006 - 2008 national baseline
0
Outpatient 1 0 0.036      
The SIR is not calculated when the number of predicted infections is less than 1The SIR is not calculated when the number of predicted infections is less than 1
0
* NOTE: The SIR Statistical Interpretation only takes into consideration the SIR values. The facility is responsible for providing any additional explanation regarding deaths and if provided, can be found below in the Facility Comments Section.


Preventable Adverse Events (PAEs)
Type of Event Total Number
PAE - Patient Protection Event
Discharge or release of a patient of any age, who is unable to make decisions, to someone other than an authorized person. 1


Facility Comments on NHSN data:


Facility Comments on PAE data: