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In the most extreme cases, a patient may need a kidney transplant or risk death. Patients who are older or have other pre-existing health problems are at a greater risk of experiencing kidney failure. This number represents the estimated number of times patients experienced kidney failure for every 1, people who had surgery. They should also monitor urine output. Close monitoring can allow a patient to be treated for kidney failure quickly before long-term and irreversible damage is done.
After surgery some patients can develop a serious breathing problem. Their lungs either cannot take in enough oxygen or cannot get rid of carbon dioxide. Without immediate care, the patient can lose consciousness, fall into a coma, or even die.
This number represents the number of times patients experienced serious breathing problems for every 1, people who had surgery. For procedures of the abdomen and pelvis, there is a chance that the patient will suffer an accidental cut or tear of their skin or other tissue.
This number represents the number of times patients experienced accidental cuts and tears in the abdominal or pelvic region during a procedure for every 1, people discharged. Patients can experience complications and potentially harmful events following a surgery, a procedure, or childbirth. This number represents the number of times patients experienced dangerous safety-related adverse events for every 1, people discharged.
These potentially avoidable safety events represent opportunities for improving patient care. Staff should document when errors happen, discuss how the error occurred, and develop a plan to prevent future errors. A bed sore is a sore or wound on the skin that forms when a patient lays or sits in one position for too long without being moved.
Advanced bedsores also known as stage 3 or 4 pressure ulcers can become large and very deep. They can reach a muscle or bone and cause severe pain and serious infection. This can lead to longer hospital stays, amputation, or even death. This number represents the number of times patients experienced dangerous bed sores for every 1, people discharged.
One common problem that patients face in the hospital is a serious injury or death resulting from a fall or other kind of trauma. Patient falls increase time in the hospital, require additional care, and can result in permanent disability.
This number represents the number of times patients experienced falls or other types of trauma for every 1, people discharged. Patients in the hospital, especially those who are older or have weaker bones, are at risk of breaking their hip if they fall.
This number represents the number of times patients experienced hip fractures for every 1, people discharged. Hospital staff should ensure patients know how to request assistance when they want to get out of bed. Rooms should be kept free of all hazards that may cause a patient to trip and fall.
Patients should be provided with non-slip socks and garments that will not get in the way when they are trying to move. A collapsed lung is when air leaks out of the lung and goes into the area between the lungs and the chest wall. It can happen when a doctor or nurse is inserting a catheter, a feeding tube, or even a pacemaker.
This kind of lung injury can be serious and can cause severe chest pain and other complications. This number represents the number of times patients experienced collapsed lungs for every 1, people discharged.
A blood clot is a gathering of blood cells in a vein, which can be caused by damage to tissue during surgery. Most blood clots form in the leg but the clot can break away and travel through the bloodstream to other areas of the body. If the clot travels to the lungs and gets stuck, it can prevent oxygen from getting into the blood. This can lead to chest pain, unconsciousness, and even death. This number represents the number of times patients experienced dangerous blood clots for every 1, people who had surgery.
An air or gas bubble air embolism stops blood from flowing through the body. This serious mistake can happen during surgery or other procedures, like getting an injection. If blood flow is blocked, a patient can suffer a stroke or die. This number represents the number of times patients had an air or gas bubble in the blood for every 1, people discharged.
Hospitals can use Computerized Physician Order Entry CPOE systems to order medications for patients in the hospital, instead of writing out prescriptions by hand. Good CPOE systems alert the doctor if they try to order a medication that could cause harm, such as prescribing an adult dosage for a child. CPOE systems help to reduce medication errors in the hospital. Hospitals can earn up to points for using a well-functioning CPOE system in most areas of the hospital.
If the bar codes do not match, this signals there is an error, giving nurses and doctors the chance to confirm they have the right patient, right medication, and right dose. Bar code medication administration BCMA systems are proven to reduce the risk that a hospital accidentally gives the wrong medication to a patient.
Hospitals earn up to points for using a well-functioning bar coding system for all medication orders, and making sure it is used properly to keep patients safe. Healthcare workers can help stop infection and illness by carefully cleaning their hands. When hospital staff does not carefully wash their hands, they can spread germs from one patient to another and cause someone to become seriously ill.
Hospitals can earn up to points for having a handwashing policy and evaluating how hospital workers follow that policy. Effective communication about medicine prevents misunderstandings that could lead to serious problems for a patient.
Higher scores indicate more effective communication than lower scores. The Communication about Discharge measure summarizes how well the hospital staff communicated with patients about the help they would need at home after leaving the hospital.
The measure also summarizes how often patients reported that they were given written information about symptoms or health problems to watch for during their recovery. Educating patients on the steps they need to take during their recovery at home reduces the chances that a patient will need to be readmitted to the hospital. A hospital that has a strong culture of safety has a well-functioning team with good leaders who catch errors before they can harm a patient.
Patients are less likely to experience mistakes if hospital staff works together. Staff should also be comfortable speaking up when they sense an error might happen. Hospitals can earn up to points for measuring culture of safety, providing feedback to staff, and creating new plans to prevent errors. Leaders must make sure that all hospital staff knows what they need to work on and that they are held accountable for improvements.
The hospital should also budget money towards improving safety. Hospitals can earn up to points for having leadership structures that increase awareness of patient safety issues and holding leadership accountable for improvements. Patients receive most of their care from nurses, not doctors. Without enough qualified nurses, patients might face more complications, longer hospital stays, and even death.
Hospitals can earn up to points for evaluating nurse staffing levels and their relationship to adverse events, holding leadership accountable for adequate and competent nurse staffing levels, providing staff education, and developing implementation plans for effective nurse staffing levels.
A critical care unit or Intensive Care Unit ICU is a special part of the hospital that provides care for extremely ill patients. Hospitals should have special doctors called intensivists working in the ICU. Intensivists are physicians with advanced training in intensive or critical care.
They learn to manage problems in the ICU and help to reduce errors. There are higher death rates in hospitals where ICU patients are not cared for by intensivists.
Hospitals can earn up to points for staffing their ICUs with intensivists. The Communication with Doctors measure summarizes how well patients feel their doctors explained things clearly, listened carefully to them, and treated them with courtesy and respect. Effective communication between doctors and patients can be reassuring to patients and can help prevent errors like medication mix-ups or misdiagnoses.
The Communication with Nurses measure summarizes how well patients feel that their nurses explained things clearly, listened carefully to them, and treated them with courtesy and respect. Effective communication between nurses and patients can be reassuring to patients and can prevent errors like medication mix-ups or misdiagnoses.
If a patient is in pain, experiencing new symptoms, or cannot reach the bathroom himself, it is important that hospital staff respond quickly to address the situation. Higher scores indicate a faster response time than lower scores. Declined to Report: The hospital was asked to provide this information to the public, but did not. This could be because the measure is related to a service the hospital does not provide. It could also be because the hospital had too few patients or cases to report data for a particular condition or procedure.
The grades are derived from expert analysis of publicly available data using up to 31 evidence-based, national measures of hospital safety. Back to Results. View this hospital's Leapfrog Hospital Survey Results. This Hospital's Grade.
Show Recent Past Grades. Learn how to use the Leapfrog Hospital Safety Grade. This Hospital's Score: 0. MRSA infection Staph bacteria are common in hospitals, but Methicillin-resistant Staphylococcus aureus MRSA is a type of staph bacteria that is resistant to cannot be killed by many antibiotics.
What safer hospitals do: Doctors and nurses should clean their hands after caring for every patient. Hospital rooms and medical equipment should be thoroughly cleaned often.
Safer hospitals will also keep MRSA patients separate from other patients and require providers and visitors to wear gloves and gowns around these patients. Safer hospitals will also keep C. This Hospital's Score: 1. Infection in the blood If a patient is in the hospital, he or she may be given a central line a tube inserted into the body to deliver medication and other treatments. What safer hospitals do: Hospital staff follows special guidelines when inserting central lines, often including a checklist of steps to follow.
Infection in the urinary tract If a patient is in the hospital, he or she may require a urinary catheter. What safer hospitals do: Hospital staff regularly clean and maintain urinary catheters to prevent infection.
They also know when and how to safely remove a catheter. Surgical site infection after colon surgery This infection happens after surgery in the part of the colon where the surgery took place. Along with the medical board, the California Department of Public Health also found deficiencies in the care Demi received from Mercy Hospital Southwest, where Park had had admitting privileges that day. The agency determined the hospital failed to follow its own preeclampsia protocols.
As a result, Mercy Southwest agreed to a corrective plan involving mandatory training for birthing center staff as well as regular chart reviews. Consumer Watchdog patient advocate Michele Monserratt-Ramos, however, said the plan was just a slap on the wrist. The medical board alleged that Park had lacerated her uterus while removing her placenta, then failed to recognize she was in shock.
According to medical board documents, she died of postpartum hemorrhage. Park did not agree to an interview with KVPR. In his statement to KVPR, he claimed the hospital had forced him to resign his privileges.
The U. Department of Health and Human Services also has access to physician admitting privileges as part of the National Practitioner Data Bank. That database, however, is available only to a select few entities, like hospitals. Patient advocate Dr. Sidney Wolfe with the watchdog group Public Citizen has been pushing to make that database more publicly available for years. But according to her mother, she chose what she considered to be the nicest hospital in Bakersfield.
Search Query Show Search. KVPR Classical. Show Search Search Query. Play Live Radio. Next Up:. Available On Air Stations. All Streams. Click here for the latest local storm updates. Facebook Twitter LinkedIn Email. Joshua Yeager. She was also pregnant. Kayla Irene Photography. Kerry Klein. Her work has earned numerous regional Edward R. See stories by Kerry Klein. Related Content. Kern County's mothers and babies are dying and no one seems certain why.
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