Sepsis is one of the leading causes of death in hospitalized patients. As part of a recent M Health initiative to reduce sepsis, we implemented an early sepsis identification protocol in our hospital emergency departments. By implementing an alert system when a patient's vital signs indicate early signs of an inflammatory response, a nurse can request a lactic acid draw, the results of which are reviewed and evaluated by the physician. They can then implement appropriate fluid or antibiotic therapies. This early identification protocol has resulted in a reduction of sepsis mortality rate by 2.8%, from 14.83 to 11.99% at University of Minnesota Medical Center.
The 30-day readmission rate is measured as a percentage of patients who had an inpatient (observation status excluded) hospitalization and were subsequently admitted to the hospital within 30 days.
University of Minnesota Health continues its focus on reducing the readmission rates for our patients in the following ways:
Pressure ulcers are the breakdown of skin tissue, not present on admission, caused by sitting or lying in the same position for a long period of time. They are typically the most reported adverse health event. According to the Agency for Healthcare Research and Quality, each year more than 2.5 million people in the U.S. develop pressure ulcers. The injuries to the skin and underlying tissue are painful and increase risk for infection or other complications. Here are ways we are working to reduce the incidence of pressure ulcers:
We report the number of stage 3, 4 or unstageable pressure ulcer events to the State of Minnesota.
We measure and report the number of inpatient falls associated with an injury severity of moderate or greater that we report to the State of Minnesota.
A CLABSI is a laboratory-confirmed bloodstream infection where a central line or umbilical catheter was in place for more than two calendar days and the line was in place on the date of infection or the day before. We measure this rate per 1,000 line days in the ICU.CLABSIs result in thousands of deaths each year and billions of dollars in added costs to the U.S. healthcare system, yet these infections are preventable. We work to reduce the number of CLABSIs by:
A CAUTI is a urinary tract infection (UTI) where an indwelling urinary catheter was in place for more than two calendar days and the catheter was in place on the date of infection or the day before. We measure this rate per 1,000 catheter days.Approximately 75 percent of all hospital-acquired UTIs are associated with a urinary catheter, which is a tube inserted into the bladder through the urethra to drain urine. Around 1 in 4 hospitalized patients receive urinary catheters during their hospital stay. The most important risk factor for developing a CAUTI is prolonged use of the urinary catheter. We work to reduce the number of CAUTIs by:
We are doing the following to reduce the incidence of surgical site infections:
Definitions provided by the National Healthcare Safety Network.