Data sources and definitions
How we measure Clinical Quality and Safety
In July 2014, Calvary undertook a comprehensive update of our clinical incident information systems to ensure that our data complied with the most current incident definitions and standards. Here are the definitions and sources of data used to calculate our Clinical Safety and Quality indicators.
Infection rate Staphylococcus aureus Bacteremia (SAB)
Numerator |
Number of healthcare acquired SAB infections identified in multi and same day patients |
Denominator |
10,000 Occupied Bed Days |
Benchmark |
0.87/10,000 Occupied Bed Days |
Reference |
AIHW 2014. SAB in Australian public hospitals 2013–14: Australian hospital statistics. Health services series no. 59. Cat. no. HSE 155. Canberra: AIHW. |
Hand Hygiene
Numerator |
Number of observed (audited) hand hygiene moments that are associated with appropriately performed hand hygiene |
Denominator |
Number of hand hygiene moments observed |
Benchmark |
85% |
Reference |
Hand Hygiene Australia http://www.hha.org.au |
Patient falls
Numerator |
Number of patient/resident falls |
Denominator |
1,000 Occupied Bed Days |
Benchmark |
3.5/1,000 Occupied Bed Days |
Reference |
There is no Australian recommended rate for hospital falls. An “industry rate” 3.5/1000 Occupied Bed Days has been used, based on the references below:
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Medication incidents
Numerator |
All medication errors |
Denominator |
1,000 Occupied Bed Days |
Benchmark |
<5 / 1,000 Occupied Bed Days |
Reference |
Clinical Excellence Commission NSW (2013) clinical incident management Jul-Dec 2013 |
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