Quality and safety marker outcome data for individual district health boards
October – December 2013

These Excel sheets and graphs contain individual district health boards' (DHBs’) data on progress made against the quality and safety marker (QSM) process measures and in reducing patient harm from falls, healthcare associated infections and surgery (the outcome data). This complements the release of QSMs in April by providing greater detail including time series data for the outcomes at a local level.

Now this DHB-specific data has been made available to detail where outcomes have improved, and identify areas that may need more work.

The following context is important in understanding and interpreting the DHB-specific outcome data.

  • There is good evidence that patient harm in the areas of falls, healthcare associated infections and surgery can be reduced by putting in place the right interventions. For example, the World Health Organization (WHO) estimated in its 2007-2008 pilot study of the surgical safety checklist that worldwide implementation would prevent at least half a million deaths per year; new studies have now confirmed these results.
  • As you know, the Commission’s national report has data on process measures, which show whether the desired changes in practice have occurred at a local level (eg, giving older patients a falls risk assessment and developing a care plan for them); and outcome measures, which focus on harm and cost that can be avoided, at a national level.
  • The DHB-specific data measure outcomes which indicate progress made in DHBs over time to reduce patient harm from falls, healthcare associated infections and surgery. The data is presented on a timescale so that each DHB can see where it is improving, and where improvements could be made.
  • The data does not compare or rank DHBs’ outcomes as this would be misleading. Such comparisons would not be comparing ‘apples with apples’. For example, one DHB may have less favourable outcomes than another because it provides specialist services, meaning it treats more seriously ill patients from other DHBs, with greater likelihood of complications. We have not attempted to standardise for this which is why we present data by DHB only. These data are designed to show change over time inside individual DHBs not comparison between DHBs.
  • As identified in the national outcomes data released in December 2013, the individual DHB data show an increase in sepsis following surgery in many DHBs. This finding is a prompt for DHBs to investigate the trend in their hospitals, and to take action where sepsis is increasing. Reducing hospital acquired infections and perioperative harm are major work programmes for the Health Quality & Safety Commission, and both are a focus of the Commission’s campaign Open for better care. As well as continuing to work with DHBs to reduce sepsis, we will continue to monitor healthcare-acquired infections data closely.
District health board  
Auckland DHB Download report
Bay of Plenty DHB Download report
Canterbury DHB Download report
Capital & Coast DHB Download report
Counties Manukau DHB Download report
Hawke's Bay DHB Download report
Hutt Valley DHB Download report
Lakes DHB Download report
MidCentral DHB Download report
Nelson Marlborough DHB Download report
Northland DHB Download report
South Canterbury DHB Download report
Southern DHB Download report
Tairawhiti DHB Download report
Taranaki DHB Download report
Waikato DHB Download report
Wairarapa DHB Download report
Waitemata DHB Download report
West Coast DHB Download report
Whanganui DHB Download report


Last updated 29/09/2015