Patient Safety - CLI, SSI, & VAP Public Reporting @ SFMH

What is a Central-Line Associated Blood Stream Infection (CLI-BSI)?

When a patient requires long-term medication or fluids through an IV (intravenous), a central line is put in place. A central line blood stream infection can occur when bacteria and/or fungi enters the blood stream, causing a patient to become sick. The bacteria can come from a variety of places (e.g., skin, wounds, environment, etc.), though it most often comes from the patient’s skin.

Hospitals follow best practices on how to prevent bacteria from entering into a central line. Patients in the ICU often require a central line since they are seriously ill, and will require a lot of medication, for a long period of time.

St. Francis Memorial Hospital Reporting

Not all hospitals are considered “eligible” to report on central line infection rates. Only hospitals with ICUs that report into the government’s Critical Care Information System (CCIS) – a centralized data collection system where hospitals report a variety of critical care information – are reporting this data. Because we are not one of those hospitals, we do not have this data to post.

St. Francis Memorial Hospital remains committed to ensuring the utmost quality of care and patient safety and supports our commitment through various quality improvement initiatives.

If you have any questions about the information above or about our hospital’s infection prevention and control program, please contact Gwen Brown at 613-756-3044 Ext 258 or by email at browng@sfmhosp.com

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What is a Ventilator Associated Pneumonia (VAP)?

For our public reporting purposes, ventilator associated pneumonia (VAP) is defined as a pneumonia (lung infection) occurring in patients in an intensive care unit (ICU), requiring, external mechanical breathing support (a ventilator) intermittently or continuously, through a breathing tube for more than 48 hours.

VAP can develop in patients for many reasons. Because they are relying on an external machine to breath, their normal coughing, yawning, and deep breath reflexes are suppressed. Furthermore, they may have a depressed immune system, making them more vulnerable to infection.  ICU teams have many ways to try to assist patients with these normal breathing reflexes, but despite this, patients are still at risk for developing pneumonia.

St. Francis Memorial Hospital Reporting

Not all hospitals are considered “eligible” to report on VAP rates. Only hospitals with ICUs that ventilate patients for more than 48 hours and also report into the government’s Critical Care Information System (CCIS) – a centralized data collection system where hospitals report a variety of critical care information – are reporting this data. Because we are not one of those hospitals, we do not have this data to post.

St. Francis Memorial Hospital remains committed to ensuring the utmost quality of care and patient safety and supports our commitment through various quality improvement initiatives.

If you have any questions about the information above or about our hospital’s infection prevention and control program, please contact Gwen Brown at 613-756-3044 Ext 258 or by email at browng@sfmhosp.com

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What is a Surgical Site Infection (SSI)?

A surgical site infection (SSI) occurs at the site of a surgical incision. Germs can get into the incision area, and cause an infection. It can develop within 30 days of an operation, or sometimes even up to one year if an implant (such as a knee or hip joint implant) is used.  Infections can be minor, or occasionally they can increase complications that result in a longer length of stay in the hospital, or an increased readmission rate for patients.  Post-operative SSIs are the most common health care-associated infections in surgical patients.

St. Francis Memorial Hospital Reporting

Hospitals that perform hip and/or knee joint replacement surgeries are required by the Ministry of Health and Long-Term Care to publicly report their surgical site infection prevention percentages. St. Francis Memorial Hospital does not do these surgeries and is, therefore, considered “ineligible” to publicly report this information.

St. Francis Memorial Hospital remains committed to ensuring the utmost quality of care and patient safety and supports our commitment through various quality improvement initiatives.

If you have any questions about the information above or about our hospital’s infection prevention and control program, please contact Gwen Brown at 613-756-3044 Ext 258 or by email at browng@sfmhosp.com

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