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
Central Line Associated Bloodstream Infections
0.69
Jan - Dec 2017: CLABSI standardized infection ratio. Lower values are better.
0.82
The CMS national average. Benchmark is based on Jan - Dec 2017 data.
The MGH standardized infection ratio was statistically better than the national benchmark (1.0).
Preventing Central Line Infections: Improving Care and Reducing Costs
Catheter-Associated Urinary Tract Infections
0.68
Jan - Dec 2017: CAUTI standardized infection ratio. Lower values are better.
0.87
The CMS national average. Benchmark is based on Jan - Dec 2017 data.
The MGH standardized infection ratio was statistically better than the national benchmark (1.0).
Surgical Site Infections from Colon Surgery
1.06
Jan - Dec 2017: Colon SSI standardized infection ratio. Lower values are better.
0.91
The CMS national average. Benchmark is based on Jan - Dec 2017 data.
The MGH standardized infection ratio was statistically similar to the national benchmark (1.0).
Surgical Site Infections from Abdominal Hysterectomy
2.30
Jan - Dec 2017: Abdominal Hysterectomy SSI standardized infection ratio. Lower values are better.
0.86
The CMS national average. Benchmark is based on Jan - Dec 2017 data.
The MGH standardized infection ratio was statistically worse than the national benchmark (1.0).
Methicillin Resistant Staphylococcus Aureus Blood Infections
0.79
Jan - Dec 2017: MRSA standardized infection ratio. Lower values are better.
0.87
The CMS national average. Benchmark is based on Jan - Dec 2017 data.
The MGH standardized infection ratio was statistically similar to the national benchmark (1.0).
Clostridium Difficile Intestinal Infections
0.90
Jan - Dec 2017: C. diff standardized infection ratio. Lower values are better.
0.81
The CMS national average. Benchmark is based on Jan - Dec 2017 data.
The MGH standardized infection ratio was statistically similar to the national benchmark (1.0).
Hand Hygiene
86% before
95% after
Jul - Sep 2018: 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
30-Day Mortality
Death Rate for COPD Patients
6.5%
Jul 2014 - Jun 2017: COPD 30-day mortality rate. Lower values are better.
8.3%
The CMS national average. Benchmark is based on Jul 2014 - Jun 2017 data.
The MGH risk-adjusted mortality rate was statistically better than the national benchmark.
Death Rate for Heart Attack Patients
10.5%
Jul 2014 - Jun 2017: Heart attack 30-day mortality rate. Lower values are better.
13.2%
The CMS national average. Benchmark is based on Jul 2014 - Jun 2017 data.
The MGH risk-adjusted mortality rate was statistically better than the national benchmark.
Death Rate for Heart Failure Patients
9.2%
Jul 2014 - Jun 2017: Heart failure 30-day mortality rate. Lower values are better.
11.7%
The CMS national average. Benchmark is based on Jul 2014 - Jun 2017 data.
The MGH risk-adjusted mortality rate was statistically better than the national benchmark.
Death Rate for Pneumonia Patients
12.7%
Jul 2014 - Jun 2017: Pneumonia 30-day mortality rate. Lower values are better.
15.7%
The CMS national average. Benchmark is based on Jul 2014 - Jun 2017 data.
The MGH risk-adjusted mortality rate was statistically better than the national benchmark.
Death Rate for Stroke Patients
14.7%
Jul 2014 - Jun 2017: Ischemic stroke 30-day mortality rate. Lower values are better.
14.3%
The CMS national average. Benchmark is based on Jul 2014 - Jun 2017 data.
The MGH risk-adjusted mortality rate was statistically similar to the national benchmark.
Death Rate for CABG Surgery Patients
1.7%
Jul 2014 - Jun 2017: CABG 30-day mortality rate. Lower values are better.
3.1%
The CMS national average. Benchmark is based on Jul 2014 - Jun 2017 data.
The MGH risk-adjusted mortality rate was statistically better than the national benchmark.
MeasureOur Current PerformanceComparison GroupHow We Compare
Nursing Sensitive
Patient Falls with Injury on Medical Units
0.45 Falls with Injury
Apr 2017 - Mar 2018: Falls per 1,000 patient days. Lower values are better.
0.65
The Massachusetts average for hospitals with 500+ beds. Benchmark is calculated by PatientCareLink from Apr 2017 - Mar 2018 data.
Difference from peer group rate (MA hospitals with 500+ beds) was not statistically significant, as reported in the PatientCareLink Statistical Appendix.
Patient Falls with Injury on Surgical Units
0.38 Falls with Injury
Apr 2017 - Mar 2018: Falls per 1,000 patient days. Lower values are better.
0.40
The Massachusetts average for hospitals with 500+ beds. Benchmark is calculated by PatientCareLink from Apr 2017 - Mar 2018 data.
Difference from peer group rate (MA hospitals with 500+ beds) was not statistically significant, as reported in the PatientCareLink Statistical Appendix.
Pressure Ulcer Prevalence on Medical Units
1.87 Pressure Ulcers
Prevalence studies from Jun 2017 - Mar 2018: Hospital acquired pressure injuries per 100 patients. Lower values are better.
1.84
The Massachusetts average for hospitals with 500+ beds. Benchmark is calculated by PatientCareLink from Jun 2017 - Mar 2018 prevalence studies.
Difference from peer group rate (MA hospitals with 500+ beds) was not statistically significant, as reported in the PatientCareLink Statistical Appendix.
Pressure Ulcer Prevalence on Surgical Units
0.29 Pressure Ulcers
Prevalence studies from Jun 2017 - Mar 2018: Hospital acquired pressure injuries per 100 patients. Lower values are better.
0.42
The Massachusetts average for hospitals with 500+ beds. Benchmark is calculated by PatientCareLink from Jun 2017 - Mar 2018 prevalence studies.
Difference from peer group rate (MA hospitals with 500+ beds) was not statistically significant, as reported in the PatientCareLink Statistical Appendix.
MeasureOur Current PerformanceComparison GroupHow We Compare
Serious Reportable Events
Surgical Events
7
MGH had seven surgical or invasive procedure events in 2018.
n/a
All hospitals aim for zero events.
All hospitals aim for zero events.
Product or Device Events
3
MGH had three product or device events in 2018.
n/a
All hospitals aim for zero events.
All hospitals aim for zero events.
Patient Protection Events
5
MGH had five patient protection events in 2018.
n/a
All hospitals aim for zero events.
All hospitals aim for zero events.
Care Management Events
46
MGH had 46 care management events in 2018.
n/a
All hospitals aim for zero events.
All hospitals aim for zero events.
Environmental Events
1
MGH had one environmental event in 2018.
n/a
All hospitals aim for zero events.
All hospitals aim for zero events.
Radiologic Events
0
MGH had zero radiologic events in 2018.
n/a
All hospitals aim for zero events.
All hospitals aim for zero events.
Criminal Events
1
MGH had one criminal event in 2018.
n/a
All hospitals aim for zero events.
All hospitals aim for zero events.

 

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