Page 75 - Flipbook January Board

Patient Safety Update- BQI - January 2019

• 1 C. Diff- 7M
• 1 CLABSI- 6SW
• 1 CAUTI- 5M
• 2 UTI- 5M
• 4- SSI ( 3organ/space, 1 deep)

Infrastructure Failures:
Service Disruption

• Mobile MRI unit had an electrical problem. Patients rescheduled.

• Brief power outage. Penelac issue.

Criminal/Potentially Criminal or Illegal Activity- 1 Reports

• Combative elderly patient. Assaulted staff.

Physical Plant/Utilities/Service Disruption- 3 Reports

• Elevator malfunctions.

Capacity (Infrastructure Failure)- 50 Reports

• Holding in the ED >6 Hours after Orders

• Treatment in the ED Hallway