Benchmarking Best Care

The latest benchmark reports from the Health Roundtable that go up to December 2023 have recently been released, that show how our delivery of Best Care compares to other health services across Australasia.

The reports below show a summary, as well as a 4 year trend in all hospital acquired complications.

For Western Health as a whole:

2.3% of our admitted episodes had a major hospital acquired complication (compared to 2.7% at our peers),

3.1% of admitted patients experienced a major hospital acquired complication (compared to 4.0% at our peers).

Pleasingly our rate of hospital acquired complications rate over the past 4 years has been progressively dropping – and predominantly green when compared to our peers.

The latest benchmark reports from the Health Roundtable that go up to December 2023 show how our delivery of Best Care compares to other health services across Australasia.

Let’s look at how we perform in the area of delirium.

Delirium:

The rates of delirium at Western Health is in the green when compared to our peers, and keeping consistently low and dropping. This is a fantastic result.

Well done to all of our nurses on this remarkable result.

The latest benchmark reports from the Health Roundtable that go up to December 2023 have recently been released, that show how our delivery of Best Care compares to other health services across Australasia.

Let’s look at how we perform in the area of falls. The following data looks at the rate of falls that result in an intracranial haemorrhage, fractured neck or femur or other fractures.

Falls:

We have had a drop in the falls with serious injury in the last quarter bringing when compared with our peers.

Over the past 12 months, unfortunately Western Health is performing poorly in this indicator, so continued focus and effort is required in this area.

The continuing efforts of our Falls Champions implementing the actions from the Falls Improvement Plan is essential to keeping this heading in the right direction.

We can do this!

The latest benchmark reports from the Health Roundtable that go up to December 2023 have recently been released, that show how our delivery of Best Care compares to other health services across Australasia.

Let’s look at how we perform in the area of hospital acquired infections. Hospital acquired infections include urinary tract infections, surgical site infection, pneumonia, blood stream infection, central line and peripheral line associated bloodstream infection, multi-resistant organisms, infection associated with prosthetics/implantable devices, gastrointestinal infections and other high impact infections.

Hospital Acquired Infections:

The rates of hospital acquired infections at Western Health has been consistently green but entered into the low amber last two quarters.

This means that our patients get far less hospital acquired infections that we do at peer hospitals. This is a wonderful result.

Remember, you can impact these results through:

• Gloves should always be clean: gloves should always be changed between patients, and clean gloves are always required when undertaking any procedure. Hand hygiene is required between changes of gloves, and alcoholic hand rub must never be applied to gloves.
• Hand Hygiene: ensure you undertake the 5 moments of hand hygiene and that there is alcoholic hand rub present at every bed side and point of care.
• Correct skin preparation: whenever an invasive device is being inserted, chlorhexidine skin preparation must be utilised. An alcohol wipe is never an appropriate skin preparation.
• Antiseptic non-touch technique (ANTT): when inserting, accessing, dressing or removing any invasive device, ANTT needs to be utilised. Also please ensure that you use a clean stainless steel dressing trolley, not a kidney dish, bedside table or the patient’s bed.
• Only insert a device if it is needed: Always ‘hesitate before you cannulate’. Does the patient really need that device inserted? Never insert a device ‘just in case’. Any invasive device is a potential source of infection, so let’s minimise them where we can.
• Remove the device as soon as it is not needed: As soon as a device is no longer needed, remove it as quickly as possible. Ask medical staff to change IV orders to oral orders where appropriate. The longer devices are in situ, the greater the risk of an infection occurring.

The latest benchmark reports from the Health Roundtable that go up to December 2023 have recently been released, that show how our delivery of Best Care compares to other health services across Australasia.

Let’s look at how we perform in the area of Medication complications, which include drug related respiratory complications/depression, haemorrhagic disorder due to circulating anticoagulants, movement disorders due to psychotropic medication and serious alteration to conscious state due to psychotropic medication.

Medication Complications:

At Western Health as a whole the rates of medication complications per 10,000 episodes has been consistently green. We are amongst some of the best outcomes in Australia. This is a wonderful result.

The last quarter this has decreased again to green for the past 2 quarters.

Well done to all of our Western Health teams.

The latest benchmark reports from the Health Roundtable that go up to December 2023 show how our delivery of Best Care compares to other health services across Australasia.

Let’s look at how we perform in the area of Neonatal Birth Trauma, which includes neonatal birth trauma and hypoxic ischaemic encephalopathy.

Neonatal Birth Trauma:

The rates of neonatal trauma at Western Health maternity services has been trending downwards, and the last 3 quarters have been green when compared to our peers, which is fantastic!

Overall we are very strong in this area when compared to our peers, well done to our midwives!

The latest benchmark reports from the Health Roundtable that go up to December 2023 have recently been released, that show how our delivery of Best Care compares to other health services across Australasia.

Let’s look at how we perform in the area of pressure injuries. The following data looks at Western Health’s rate of Stage III, Stage IV, unspecified and unstageable pressure injuries, and suspected deep tissue injury.

Pressure Injuries:

The rate of hospital acquired pressure injuries has significantly decreased in the past quarter, and wea re now green for this indicator when compared to our peers. This is excellent news – let’s keep this going and maintain this position!

The latest benchmark reports from the Health Roundtable that go up to December 2023 show how our delivery of Best Care compares to other health services across Australasia.

Let’s look at how we perform in the area of respiratory complications, which includes respiratory failure, acute respiratory distress syndrome, aspiration pneumonia and pulmonary oedema.

Respiratory Complications:

The rates of respiratory complications at Western Health is green when compared to our peers, and keeping consistently low. This is a fantastic result.

We are amongst the strongest performing health services in Australasia in this area. Well done to all of our Western Health teams.

The latest benchmark reports from the Health Roundtable that go up to December 2023 show how our delivery of Best Care compares to other health services across Australasia.

Let’s look at how we perform in the area of Severe Perineal Laceration, which includes third and fourth degree tear during vaginal delivery.

Severe Perineal Laceration:

The rates of severe perineal tears during vaginal delivery at Western Health maternity services was previously exceptionally high – in fact we were performing worse than our peers. However there has been concerted efforts through the Maternity Improvement Plan, and the great news is that this has consistently been dropping over the past 12 months.

However, over the last 2 quarters this has spiked upwards to the highest result in 18 months – and so we are investigating this further.

Overall, we are amber when compared to our peers!

The latest benchmark reports from the Health Roundtable that go up to December 2023 show how our delivery of Best Care compares to other health services across Australasia.

Let’s look at how we perform in the area of Surgical Complications, which includes post-operative haemorrhage or haematoma requiring transfusion, surgical wound dehiscence, anastomotic leak, vascular graft failure or any other surgical complication requiring a return to theatre.

Surgical Complications

For surgical complications Western Health has been fairly consistently in the low amber when compared to our peers, and this has remained pretty stable.

In Oct–Dec 2023, 4,313 people across Western Health were invited to participate in the Adult Inpatient survey. 649 participated in the Adult Inpatient survey, with a response rate of 15%.

In the last four quarters, 17,968 people across Western Health were invited to participate in the Adult Inpatient survey. 2,741 participated in the Adult Inpatient survey, with a response rate of 15%.

In Oct–Dec 2023, 3,199 people across Western Health were invited to participate in the Adult Emergency survey. 366 participated in the Adult Emergency survey, with a response rate of 11%.

In the last four quarters, 15,581 people across Western Health were invited to participate in the Adult Emergency survey. 1,843 participated in the Adult Emergency survey, with a response rate of 12%.

In Oct–Dec 2023, 483 people across Western Health were invited to participate in the Maternity survey. 99 participated in the Maternity survey, with a response rate of 20%.

In the last four quarters, 1,602 people across Western Health were invited to participate in the Maternity survey. 330 participated in the Maternity survey, with a response rate of 21%

In Oct–Dec 2023, 237 people across Western Health were invited to participate in the Paediatric Inpatient survey. 46 participated in the Paediatric Inpatient survey, with a response rate of 19%.

In the last four quarters, 978 people across Western Health were invited to participate in the Paediatric Inpatient survey. 152 participated in the Paediatric Inpatient survey, with a response rate of 16%.

In Oct–Dec 2023, 590 people across Western Health were invited to participate in the Paediatric Emergency survey. 54 participated in the Paediatric Emergency survey, with a response rate of 9%.

In the last four quarters, 2,963 people across Western Health were invited to participate in the Paediatric Emergency survey. 351 participated in the Paediatric Emergency survey, with a response rate of 12%.

In 2023, 8,627 people across Western Health were invited to participate in the Adult Specialist Clinics survey. 1,122 participated in the Adult Specialist Clinics survey, with a response rate of 13%.