Falls assessment rates improve in latest QSM update

30 Jun 2015 | Health Quality Intelligence

The Health Quality & Safety Commission’s latest quality and safety marker (QSM) quarterly data shows falls assessment rates are continuing to improve. The update covers QSM data from January–March 2015.

Three more district health boards (DHBs) have achieved the target of 90 percent for falls assessments of patients aged 75 and older (55+ for Māori and Pacific patients) this quarter. Thirteen DHBs now sit at 90 percent or higher. Nationally, 90 percent of patients at risk of a fall also had an individualised care plan developed, an improvement on the baseline level of 80 percent.

In the 12 months to March 2015, there was an eight percent reduction of falls in hospital resulting in a fractured neck of femur, compared with the baseline year of 2012. While this is very encouraging, it is still too early to treat this as an indication of any major shift.

Reducing perioperative harm

The recorded use of the surgical safety checklist remained above 90 percent in this quarter, an increase of more than 20 percentage points from the baseline. Almost all DHBs showed an improvement in this measurement since 2013.

Compared with the baseline year of 2012, there has been a four percent reduction in postoperative cases of deep vein thrombosis/pulmonary embolism, but an increase in postoperative sepsis.

Hand hygiene

National compliance with the five moments for hand hygiene continues to increase, to 77 percent, two percentage points higher than the 75 percent target. Fourteen DHBs met or exceeded the target and eight achieved a compliance rate of 80 percent or higher.

Surgical site infection

  • The national average for administering an antibiotic in the hour before ‘knife to skin’ dropped two percentage points from the last quarter to 94 percent.
  • The use of 2g or more of cefazolin continues to increase. In the most recent quarter, the national average reached 90 percent. Fourteen DHBs reached the threshold level compared with only three in the baseline quarter.
  • Appropriate skin antisepsis is now routine across DHBs as the national compliance rate of 98 percent attests, an increase from 87 percent at baseline.

View the latest quality and safety markers data.

Last updated 30/06/2015