patient safety a clinician’s vie · 40 - hie hac 1-14 trend report . all hacs nsw | complication:...
TRANSCRIPT
QIDS ApplicationData for Patient Safety & Quality Improvement
Dr James Mackie Medical Director, Patient Safety, Clinical Excellence Commission
Dr Jun BaiSenior Manager, Data Team,
Clinical Excellence Commission
Why are we here?The Questions that Clinicians need to ask.
Do we know how good we are today?
Do we know where our waste, unwarranted clinical variation and harm is?
Do we know how we compare to best in class?
Do we know our rate of improvement over time?
– Quality Audit Reporting System
QIDS one of three applicationsSupporting Patient Safety, Quality
Improvement, Governance & Assurance
– Quality Improvement Data System
– Death Review Database
4
Quality Improvement Data SystemFunctionality
Quality Improvement Data System
Quality Improvement Data System
Quality Improvement Data System
Quality Improvement Data System
Quality Improvement Data System
Data for Improvement
Data Available from QIDSIIMSConditionsHACsLOSMortality HAIHand HygieneService Agreement Reporting
101 - HIE Condition Trend Report
All NSW Pancreatectomy Report By Financial Year | Diagnosis: All | Procedure: Pancreatectomy : 978; | MDC: All | DRG: All | Age Group: All | Sex: All
101 - HIE Condition Trend Report
All NSW Oesophagectomy By Financial Year | Diagnosis: All | Procedure: Oesophagectomy by abdominal and thoracic mobilisation : 858; Oesophagectomy by abdominal and cervical mobilisation : 859; Oesophagectomy by abdominal and transthoracic mobilisation : 860; | MDC: All | DRG: All | Age Group: All | Sex: All
40 - HIE HAC 1-14 Trend Report
All HACs NSW
| Complication: 01. Pressure injury,02. Falls resulting in fracture or other intracranial injury,03. Healthcare associated infection,06. Respiratory complications,07. Venous thromboembolism,08. Re... | Diagnosis: All | Specific Diagnosis: All | Sex: All | Age Group: All | SRG: All | Indigenous Status: All | Diagnosis: All | Procedure: All |
106 - HIE HAC 15-16 By Trend Report
All third & fourth degree perineal lacerations during delivery | Complication: 15. Third and fourth degree perineal laceration during delivery | Sex: All | Age Group: All | Indigenous Status: All |
106 - HIE HAC 15-16 By Trend Report
Neonatal Birth Trauma
| Complication: 16. Neonatal birth trauma | Sex: All | Age Group: All | Indigenous Status: All |
40 - HIE HAC 1-14 Trend Report
A1 Hospital with HAC Rate Above A1 Peer Group
| Complication: All | Diagnosis: All | Specific Diagnosis: All | Sex: All | Age Group: All | SRG: All | Indigenous Status: All | Diagnosis: All | Procedure: All |
40 - HIE HAC 1-14 Trend Report
Pressure Injury NSW
| Complication: 01. Pressure injury | Diagnosis: All | Specific Diagnosis: All | Sex: All | Age Group: All | SRG: All | Indigenous Status: All | Diagnosis: All | Procedure: All |
40 - HIE HAC 1-14 Trend Report
Medication Complications All
| Complication: 10. Medication complications | Diagnosis: All | Specific Diagnosis: All | Sex: All | Age Group: All | SRG: All | Indigenous Status: All | Diagnosis: All | Procedure: All |
40 - HIE HAC 1-14 Trend Report
Medication Complications - Hypoglycaemia Only
| Complication: 10. Medication complications | Diagnosis: 10.3 Hypoglycaemia | Specific Diagnosis: All | Sex: All | Age Group: All | SRG: All | Indigenous Status: All | Diagnosis: All | Procedure: All |
Risk Stratification for HACsDiabetes
The impact is very large and easily measurable
40 - HIE HAC 1-14 Trend Report
All HACs NSW
| Complication: 01. Pressure injury,02. Falls resulting in fracture or other intracranial injury,03. Healthcare associated infection,06. Respiratory complications,07. Venous thromboembolism,08. Re... | Diagnosis: All | Specific Diagnosis: All | Sex: All | Age Group: All | SRG: All | Indigenous Status: All | Diagnosis: All | Procedure: All |
40 - HIE HAC 1-14 Trend Report
Presence of Diabetes Mellitus Increases HAC Rate from 30.5 to 63.5 | Complication: All | Diagnosis: All | Specific Diagnosis: All | Sex: All | Age Group: All | SRG: All | Indigenous Status: All | Diagnosis: Impaired glucose regulation and diabetes mellitus : E09-E14; | Procedure: All |
Questions?