30 Sep 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, to 93 percent of patients assessed. The update covers QSM data from April to June 2015.
One more district health board (DHB) achieved the target of 90 percent for falls assessments of patients aged 75 and older (55+ for Māori and Pacific patients) this quarter. Fourteen 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.
The recorded use of the surgical safety checklist rose by a further four percentage points to a 97 percent national average this quarter. Almost all DHBs showed an improvement in this measurement since the last quarter.
Compared with the baseline year of 2012, there were an estimated 81 fewer postoperative cases of deep vein thrombosis/pulmonary embolism, but an increase of 225 postoperative sepsis cases.
National compliance with the five moments for hand hygiene continues to increase, to 80 percent, meeting an increased national target. Thirteen DHBs met or exceeded the target while 19 achieved the previous target of 75 percent.
Surgical site infection
The national average for administering an antibiotic in the hour before ‘knife to skin’ rose two percentage points from the last quarter to 96 percent.
The use of 2g or more of cefazolin continues to increase. In the most recent quarter, the national average reached 95 percent, the first time the national average has achieved the target. Sixteen 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 99 percent attests, an increase from 87 percent at baseline.