Patient safety indicators

Patient safety indicators

At Oak Valley Health, your safety is very important to us. We don’t want you to be worried about picking up an infection when staying at our hospitals.

A health care-associated infection is when a patient is infected by a bacteria or virus during their stay that they did not have before their stay.

To reduce this risk, we constantly practice and follow standards to prevent and control infections. To help ensure your safety, and in compliance with the public reporting process, we manage and keep track of our health care-associated infection rates, as well as hand washing rates. These are referred to as patient safety indicators (see below).

Monitoring patient safety indicators helps us understand where safety issues exist and what we need to do to improve.

Clostridium difficile infections (CDI)

Reporting timeline (monthly)

Data source - IPAC surveillance

  July 2021 to August 2022
Markham Stouffville Hospital July Aug. Sept. Oct. Nov. Dec. Jan. Feb. Mar. Apr. May June July Aug.
Number of cases 1 1 2 0 5 1 4 1 2 2 1 1 0 1
Rates per 1000 patient days 0.11 0.11 0.21 0.0 0.51 0.10 0.42 0.11 0.30 0.20 0.1 0.1 0.0 0.1
  July 2021 to August 2022
Uxbridge Hospital July Aug. Sept. Oct. Nov. Dec. Jan. Feb. Mar. Apr. May June July Aug.
Number of cases 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Rates per 1000 patient days 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0

Rates are provide for Clostridioides difficile infections that are considered as having been in acquired within the hospital based on the case definitions from the Provincial Infectious Diseases Advisory Committee. For more information on how CDI rates are calculated refer to:

Infection summary

Brochure

Central Line Associated Blood Stream Infection (CLABSI)

Reporting timeline (quarterly)

Data source - IPAC surveillance

  2021/2022 2022/2023
Markham Stouffville Hospital Q1 Q2 Q3 Q4 Q1
Number of cases 8 2 1 4 6
Rate 5.67 3.30 1.42 3.93 7.86

Rates refer to central line associated blood stream infections that develop in patients within the intensive care unit (ICU) after at least 48 hours or more following an insertion of a central line.

For more information on how CLABSI rates are calculated refer to:

Infection summary

Hand Hygiene Compliance

Reporting timeline (annually)

Data source - IPAC surveillance

  BEFORE patient or patient environment contact (%)
Year 2016/2017 2017/2018 2018/2019 2019/2022 2020/2021
Markham Stouffville Hospital 93.93 95.0 92.1 93.0 88.0
Uxbridge Hospital 88.89 91.9 95.5 98.3 86.4
  AFTER patient or patient environment contact (%)
Year 2016/2017 2017/2018 2018/2019 2019/2020 2020/2021
Markham Stouffville Hospital 94.41 95.0 94.2 94.9 93.7
Uxbridge Hospital 93.13 97.6 96.3 97.8 91.5

Hand Hygiene compliance rates are reported for BEFORE and AFTER patient and patient environment contact annually.

We monitor and audit our health care providers for the four moments of hand hygiene:

  • Before initial patient/patient environment contact
  • Before aseptic procedure
  • After body fluid exposure risk
  • After patient/patient environment contact

Unit identified hand hygiene observers audit health care providers and results are shared with leadership in the area to ensure compliance targets are met and improvements made as needed to practices.

For more information on how hand hygiene rates are calculated refer to:

Infection summary

Methicillin-Resistant Staphylococcus aureus (MRSA)

Reporting timeline (quarterly)

Data source - IPAC surveillance

  2021/2022 2022/2023
Markham Stouffville Hospital Q1 Q2 Q3 Q4 Q1
Number of cases 0 0 0 0 0
Rate 0.0 0.0 0.0 0.0 0.0
  2021/2022 2022/2023
Uxbridge Hospital Q1 Q2 Q3 Q4 Q1
Number of cases 0 0 0 0 0
Rate 0.0 0.0 0.0 0.0 0.0

Rates refer to Methicillin-Resistant Staphylococcus aureus bacteremias that are considered to have been acquired within the hospital based on the case definitions provided by the Provincial Infectious Diseases Advisory Committee.

For more information on how MRSA rates are calculated refer to:

Infection summary

Brochure

Surgical Safety Checklist Compliance

99.9% of surgeries with completed safety checklists

Surgical Site Infection Prevention

Reporting timeline (quarterly)

Data source - IPAC surveillance

  2021/2022 2022/2023
Markham Stouffville Hospital Q1 Q2 Q3 Q4 Q1
Uxbridge Hospital 100 100 100 100 100

Rate refers to the percentage of total primary hip/knee replacement surgical patients with antibiotic administration within the appropriate time prior to beginning surgery.

For more information on how SSI prevention rates are calculated refer to:

Infection summary

Vancomycin-Resistant Enterococcus (VRE)

Reporting timeline (quarterly)

Data source - IPAC surveillance

  2021/2022 2022/2023
Markham Stouffville Hospital Q1 Q2 Q3 Q4 Q1
Number of cases 0 0 0 0 0
Rate 0.0 0.0 0.0 0.0 0.0
  2021/2022 2022/2023
Uxbridge Hospital Q1 Q2 Q3 Q4 Q1
Number of cases 0 0 0 0 0
Rate 0.0 0.0 0.0 0.0 0.0

Rates refer to Vancomycin Resistant Enterococcus bacteremias that are considered to have been acquired within the hospital based on the case definitions provided by the Provincial Infectious Diseases Advisory Committee.

For more information on how VRE rates are calculated refer to:

Infection summary

Brochure

Ventilator Associated Pneumonia (VAP)

Reporting timeline (quarterly)

Data source - IPAC surveillance

  2021/2022 2022/2023
Markham Stouffville Hospital Q1 Q2 Q3 Q4 Q1
Number of cases 0 4 2 7 8
Rate 0.0 9.78 3.64 7.71 12.36

Rates refer to ventilator associated pneumonia that develops in patients within the intensive care unit (ICU) after least 48 hours or more following placement of mechanical ventilation

For more information on how VAP rates are calculated refer to:

Infection summary

Patient Safety Public Reporting

We encourage you to visit the Health Quality Ontario website, which contains information about patient safety at hospitals across Ontario. The purpose of the site is to make information about Ontario hospitals accessible and useful to patients and their families, to help you participate in the management of your own health care.

Visit Health Quality Ontario

If you have any questions about Oak Valley Health’s infection prevention and control program, please contact call 905-472-7373 ext. 6991.