Other Pneumonia Measures



Related Measures

Timing of Blood Cultures

What are we measuring and why?

MGH tracks the percentage of pneumonia patients who when blood cultures were taken, had them taken before antibiotics were given. In severe cases of pneumonia, bacteria can move from the lung tissue into the bloodstream. When bacteria from the lungs have entered the blood stream, this is an indication of a more serious disease and information from the blood can help ensure that the antibiotic selected is the right one.

How are we doing and how do we compare to best practice?

This data is no longer collected by the Joint Commission (TJC), nor is it publically reported.  For the last reporting period which was January through December 2013, ninety-eight (98%) percent of eligible patients with blood cultures had the cultures taken before antibiotics were given at the MGH. The national average for all Joint Commission accredited hospitals was 98%.

Click to see MGH’s performance on this measure by patients’ race.

  • Current Scores
  • Scores Over Time
  • Higher values are better
98% 100% 98%

MGH Source: Hospital administrative data and chart review.
Comparison Group Source: CMS/TJC National Hospital Quality Measures.

N.B. Data for this measure is no longer being collected, nor is it publically reported.

MGH: Jan 13-Dec 13
TJC: Jan 13-Dec 13

95 97 96 95 98 98 97 98 98 98 97 98 98 98 98 98 100 100 100 100 100 100 100 100

MGH Source: Hospital administrative data and chart review.
Comparison Group Source: CMS/TJC National Hospital Quality Measures.

N.B. Data for this measure is no longer being collected, nor is it publically reported.



What are we doing to improve?

Protocols have been implemented in the Emergency Department (ED) to identify patients who are suspected to have pneumonia and to draw blood cultures on them at the same time as other blood tests are being drawn in order to assure that the cultures are taken before antibiotics are given and to avoid an additional needlestick. Regular feedback is provided to ED staff on timing of blood cultures drawn in CAP patients.

What can you do?

If you or a family member arrive at the hospital with suspected pneumonia, you can help ensure the quality of care given to pneumonia patients by asking the physician about getting a blood culture before antibiotics are given.  Blood cultures are recommended for selected patients, and not for every patient with suspected pneumonia.  If antibiotics are prescribed, ask the physician if a blood culture should be collected first.

 

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