SHCMAQualityReport2020

National Health Care Safety Network

SHC - System Central Line Associated Bloodstream Infection (CLABSI) SIRs Q3 2017 - Q3 2019

2.5

SIR <1 = below expected rate SIR >1 = above expected rate Each SIR value- no statistical significance found

2.018

2

1.426

1.5

0.931

0.879

1

0.512

0.49

0.453

0.5

0

0

0

2015Q4

2016Q1

2016Q2

2016Q3

2016Q4

2017Q1

2017Q2

2017Q3

2017Q4

SHC System Spinal Fusion Surgical Site Infection (SSI) SIRs Q1 2017 - Q1 2019

0 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.8 2

1.777

1.523

1.41

1.38

0.776

0.669

0.666

0.375

SIR <1 - below expected rate SIR >1 - above expected rate Each SIR value no statistical significance found except 2nd qtr

0

p = 0.04

1st qtr 2016 2nd qtr 2016 3rd qtr 2016 4th qtr 2016 1st qtr 2017 2nd qtr 2017 3rd qtr 2017 4th qtr 2017 1st qtr 2018

13

2019 OUTCOMES REPORT |