Patient Outcomes
As part of our quality framework, we regularly measure and benchmark ourselves against a range of 'Clinical Indicators'.
In accordance with the National Safety and Quality Health Service Standard 2: Partnering with Consumers, the contents of this page have been reviewed by Healthe Care Australia Hospital Consumer Advisory Committees.
Infection Rate (Staph Aureus Bacteraemia or SAB)
Brisbane Waters Private Infection Rates
Germs can cause an infection known as staphylococcus aureus bacteraemia (SAB) which needs antibiotic treatment if it enters the blood. Some serious strains are resistant to antibiotics.
Brisbane Waters Private's rate of infection is almost zero, well below the national average for hospitals. To reduce the risk of hospital acquired infections, we use best practice infection prevention and control with a focus on hand washing as this is the most effective way to stop germs spreading or entering the blood.
We provide continual education and training to all our caregivers to ensure we keep our infection rate well below the national target.
The graph below shows the number of patients that developed a hospital acquired Staphylococcus Aureus Bacteraemia (SAB) infection. The Brisbane Waters Private rate is lower (better) than the industry benchmark. Brisbane Waters Private has a number of risk mitigation strategies in place to reduce the risk of transmission of Health Care Associated Infections.
The most valuable prevention is for everyone to wash their hands, patients, visitors and health professionals alike.
Clostridium Difficile (C Diff)
Brisbane Waters Private C Diff Rates
C Diff is an infection of the bowel that causes diarrhoea. It can be caused by too many courses of antibiotics or very strong doses of antibiotics. The industry rate varies from 2 to 3 cases per 10,000 days of patient care.
The graph below shows the Clostridium Difficile infection rate at Brisbane Waters Private is well below the industry average, meaning a patient is less likely to develop a C Diff infection at Brisbane Waters Private.
To reduce the risk of hospital acquired infections, we use best practice infection prevention and control with a focus on hand washing as this is the most effective way to stop germs entering the blood. We provide continual education and training to all our healthcare workers to ensure we keep our infection rate well below the national target.
Hand Hygiene
Brisbane Waters Private Hand Hygiene Compliance
Hand hygiene (or hand washing) is one of the best ways to stop infections so, as a priority, we educate and train all caregivers in the World Health Organisation’s (WHO) “five moments” for hand hygiene. We also audit our staff and provide our results to Hand Hygiene Australia (HHA) to compare us against other hospitals.
Brisbane Waters Private ranks significantly higher than national targets for hand hygiene. Our auditors complete compliance audits on a regular basis and submit data three times a year. We also participate in the national hand hygiene strategy to continually improve our rates.
The graph below shows that Brisbane Waters Private's Hand Hygiene compliance rates are above (better) than the Industry benchmark.
Inpatient Fall with Injury Requiring Intervention
Brisbane Waters Private Inpatient Fall Rates
A fall in a hospital is when a patient suddenly and unintentionally falls to the ground. This can happen in a hospital setting for a number of reasons, such as a change in medication, the after effects of an anaesthetic, or just because the surroundings are unfamiliar. Falls can injure patients and affect their recovery and independence.
This graph below shows the number of patients that sustain a fall that caused a significant injury as a percentage of total patient bed-days (the number of days that all patients spend in hospital). Brisbane Waters Private registered a lower rate (better) than the industry benchmark.
We are working to lower our rate even further through an established Falls Prevention and Management Program and an electronic Incident/Risk Management and Reporting System. A variety of best practice tools and prevention intervention guidelines are also utilised to identify those patients/consumers at high risk of having a fall.
Unplanned Re-Admissions
Brisbane Waters Private Unplanned Re-Admissions
The rate of unplanned re-admissions provides an indication of the effectiveness of our planning processes, for when people are discharged from hospital.
The graph below shows the number of patients that were re-admitted to Brisbane Waters Private within 28 days of discharge from hospital, with a diagnosis related to the same condition as the original admission.
Brisbane Waters Private's rate is lower (better) than the industry benchmark. This is achieved, for example, through the presence of dedicated Discharge Planners, Social Workers and other Allied Health staff as part of better discharge planning initiatives, plus pre-admission clinics where patients' discharge needs are identified prior to admission.
Unplanned Returns to Operating Theatre
Brisbane Waters Private Unplanned Returns
Brisbane Waters Private's doctors undertake surgery in many specialty areas, which range from minor procedures to more complex surgery requiring specialised care. We monitor our patient outcomes by comparing any unplanned returns to the operating theatre to other Australian hospitals nationally. The aim is to reduce returns to the operating theatre where possible; however there are many factors which influence this, and in some cases it is necessary to have further surgery to save a life.
Unplanned returns to the operating theatre are frequently due to complications, for example to treat bleeding or other problems occurring early after the operation. Some complications following complex surgery are to be expected due to patients’ pre-existing diseases or conditions and the nature of the disease or condition being treated. Unplanned returns to the operating theatre are reported and clinical outcomes analysed. Recommendations are actioned and monitored to ensure improvements are made where possible.
The graph below shows the number of patients who had a surgical procedure or operation and required an unplanned return for further surgery during the same admission. Brisbane Water Private's rate is lower (better) than the industry benchmark.
Pressure Injuries
Brisbane Waters Private Pressure Injury Rate
A pressure injury is an area of damage to the skin and underlying tissue caused by constant pressure or friction. This can sometimes occur when a patient is in one position and unable to easily move for a long period.
Pressure injuries can be prevented. We also help to reduce the likelihood of our patients developing pressure injuries during their hospital stay, by assessing their individual risk and follow individual care plans.
As part of our clinical care, we inspect skin frequently, keep skin dry, ensure patients have access to the best nutrition and hydration, and help and encourage patients to move frequently.
This is very important in maintaining quality care as pressure injuries can cause significant pain and discomfort that can slow a patient’s recovery.
The graph below shows the number of patients who developed a pressure injury while in Brisbane Waters Private Hospital.
We are working to reduce this rate through our Pressure Injury Prevention Management Program and the reporting and monitoring of every pressure injury for the purposes of identifying areas for improvement.
Functional Independence Measure (FIM)
Brisbane Waters Private FIM Rates
Rehabilitation programs aim to enable the highest level of independence (physically, psychologically and socially) to people with loss of function or ability due to injury or disease.
At the time of admission into the rehabilitation program the patient has a Functional Independence Measure (FIM) rating conducted by a qualified member of the rehabilitation team (light blue bar). The FIM is redone during and at the end of the program to determine the patient’s functional improvement and therefore the level of independence gained in activities of daily living (dark blue bar). Progress in the areas of social interaction and psychological wellbeing are also measured.
The FIM is the industry standardised functional assessment tool that is used by all Rehabilitation facilities. A higher score at discharge indicates that the patient has achieved a higher level of improvement.
Mental Health - Health of The Nation Outcome Score
Brisbane Waters Private Mental Health Improvements
At Healthe Care mental health facilities, we measure the mental health and wellbeing of our patients on admission and again on discharge to assess how their mental health and wellbeing is improving.
We use the internationally recognised Health of the Nation Outcome Scales (HoNOS), a tool which allows clinicians and patients to assess various aspects of a patient's mental health status, such as depression, anxiety or problematic behaviour.
The graph below shows the decrease in reported mental health problems in patients after treatment. The light coloured bars show reported mental health problems on admission to Brisbane Waters Private. The dark coloured bars show mental health problems on discharge.