Key:

starThe best possible results

plusBetter than comparison group

checkSimilar to comparison group

minusLags behind comparison group

not applicableNot applicable

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Keeping Patients Safe

Over the past decade, patient safety has become a topic of national concern. During this period, the health care industry has learned a great deal about improving patient safety from scientific study and by borrowing lessons other industries, such as aviation and nuclear power. Massachusetts General Hospital physicians, nurses, and scientists alike have been at the forefront of efforts to identify and address the various threats to safety in the hospital setting. All staff and employees at MGH are now, more than ever, focused on making our patients’ hospital experiences free from harm.

Click on any of the measure names below to see a detailed description of the measure, our performance over time and what we are doing to improve. On the chart below, hover your mouse over the data columns or icons to see more information.

MeasureOur Current PerformanceComparison GroupHow We Compare
Healthcare Associated Infections
MRSA Incidence
0.43 New Cases
Oct - Dec 2016: New cases per 1,000 patient days. Lower values are better.
0.34
There is no national benchmark or target for new MRSA cases per 1,000 patient days. We compare ourselves to performance during the previous year (2015).
MGH's performance was in line with 2015 results, but did not reach the internal goal of zero events.
VRE Incidence
0.45 New Cases
Oct - Dec 2016: New cases per 1,000 patient days. Lower values are better.
0.48
There is no national benchmark or target for new VRE cases per 1,000 patient days. We compare ourselves to performance during the previous year (2015).
MGH's performance was in line with 2015 results, but did not reach the internal goal of zero events.
Central-Line Associated Bloodstream Infections in the ICU
0.94 Infections
Jul - Dec 2016: Infections per 1,000 line days. Lower values are better.
1.1
The NHSN pooled mean for combined Medical/Surgical ICU units in major teaching hospitals. Benchmark is based on Jan - Dec 2015 data.
MGH's performance was below the NHSN benchmark (1.1).
Preventing Central Line Infections: Saving Lives and Dollars
Hand Hygiene
90% before
95% after
Oct - Dec 2016: Adherence to protocol before and after patient contact. Higher values are better.
90% before
90% after
The Joint Commission (TJC) compliance expectation for all hospitals.
MGH's performance was in line with The Joint Commission's expectation, but did not reach the internal goal of 100% compliance before and after patient contact.
Hand Hygiene: Cleaner Hands, Safer Patients
MeasureOur Current PerformanceComparison GroupHow We Compare
Nursing Sensitive
Patient Falls with Injury on Medical Units
0.72 Falls with Injury
Apr 2016 - Mar 2017: Falls per 1,000 patient days. Lower values are better.
0.59
The Massachusetts average for hospitals with 500+ beds. Benchmark is calculated by PatientCareLink from Apr 2016 - Mar 2017 data.
Difference from peer group rate (MA hospitals with 500+ beds) was not statistically significant according to the PatientCareLink Statistical Appendix.
Patient Falls with Injury on Surgical Units
0.54 Falls with Injury
Apr 2016 - Mar 2017: Falls per 1,000 patient days. Lower values are better.
0.46
The Massachusetts average for hospitals with 500+ beds. Benchmark is calculated by PatientCareLink from Apr 2016 - Mar 2017 data.
Difference from peer group rate (MA hospitals with 500+ beds) was not statistically significant according to the PatientCareLink Statistical Appendix.
Pressure Ulcer Prevalence on Medical Units
1.56 Pressure Ulcers
Prevalence studies from Jun 2016 - Mar 2017: Hospital acquired pressure injuries per 100 patients. Lower values are better.
1.75
The Massachusetts average for hospitals with 500+ beds. Benchmark is calculated by PatientCareLink from Jun 2016 - Mar 2017 prevalence studies.
Difference from peer group rate (MA hospitals with 500+ beds) was not statistically significant according to the PatientCareLink Statistical Appendix.
Pressure Ulcer Prevalence on Surgical Units
0.68 Pressure Ulcers
Prevalence studies from Jun 2016 - Mar 2017: Hospital acquired pressure injuries per 100 patients. Lower values are better.
0.81
The Massachusetts average for hospitals with 500+ beds. Benchmark is calculated by PatientCareLink from Jun 2016 - Mar 2017 prevalence studies.
Difference from peer group rate (MA hospitals with 500+ beds) was not statistically significant according to the PatientCareLink Statistical Appendix.
MeasureOur Current PerformanceComparison GroupHow We Compare
Serious Reportable Events
Surgical Events
9
MGH had 9 Surgical events in 2014.
n/a
All hospitals aim for zero events.
All hospitals aim for zero events.
Product or Device Events
38
MGH had 38 Product or Device events in 2014.
n/a
All hospitals aim for zero events.
All hospitals aim for zero events.
Patient Protection Events
2
MGH had 2 Patient Protection events in 2014.
n/a
All hospitals aim for zero events.
All hospitals aim for zero events.
Care Management Events
43
MGH had 43 Care Management events in 2014.
n/a
All hospitals aim for zero events.
All hospitals aim for zero events.
Environmental Events
2
MGH had 2 Environmental events in 2014.
n/a
All hospitals aim for zero events.
All hospitals aim for zero events.
Radiologic Events
0
MGH had 0 Radiologic Events in 2014
n/a
All hospitals aim for zero events.
All hospitals aim for zero events.
Criminal Events
0
MGH had 0 Criminal events in 2014.
n/a
All hospitals aim for zero events.
All hospitals aim for zero events.

 

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