An independent industry watchdog group recently awarded UC Davis Medical Center an “A” rating for rates of inpatient injuries, infections and medical errors and policies meant to prevent them.
Sutter Davis Hospital received a “B,” while Woodland Memorial Hospital was given a “C” score from the Leapfrog Group, a nonprofit organization that grades hospitals each October and April on the likelihood that patients will be free from preventable harm.
In California, 104 general hospitals received an “A,” 58 received a “B,” 68 a “C” and 23 either a “D” or an “F.”
According to Leapfrog, more than 180,000 Americans die annually from hospital errors and injuries.
A look at the local scores:
* UCD received above-average or perfect scores on all 15 of the management structures and procedures intended to protect patients from errors, accidents and injuries on which hospitals were graded.
UCD received above-average scores on nine of 13 areas for publicly reported errors, accidents and injuries.
It received lower-than-average scores in these categories: foreign objects left inside patients after surgery (0.065 per 1,000 patient discharges); collapsed lung due to medical treatment (0.55 per 1,000 adult patient discharges); postoperative pulmonary embolism/deep vein thrombosis, or blockages of veins after surgery (8.27 per 1,000 adult surgical patient discharges); and accidental cuts or tears from medical treatment (2.86 per 1,000 adult patient discharges).
* Sutter Davis received below-average scores in six of 15 procedural categories: implementing computerized prescription order systems that are meant to catch errors; ICU physician staffing; identification of risks and hazards; nursing workforce, hand hygiene; patients receiving antibiotics prior to surgical incision; and antibiotics not discontinued after 24 hours, increasing chance of side-effects.
Sutter received above-average or perfect scores in eight of the 13 patient outcome categories, with information not available for two categories.
It fell short on a surgical site infection score based on a standardized infection ration, postoperative vein blockages (5.29 per 1,000 adult patient discharges) and accidental cuts or tears from treatment (2.37 per 1,000 adult patient discharges).
* Woodland Memorial received below-average scores in eight of 15 procedural categories: ICU physician staffing; a safety culture, feedback and intervention survey score; teamwork survey score; identification and mitigation of risks and hazards; nursing workforce; medication history procedures; hand hygiene; and care of ventilated patients.
It received above-average or perfect scores in eight of 13 patient outcome categories, with information not available for one category.
Woodland Memorial received below-average scores in patient falls or trauma (1.17 per 1,000 discharges); collapsed lung due to medical treatment (0.43 per 1,000 adult patient discharges); breathing failure after surgery (14.33 per 1,000 adult elective surgery discharges); and postoperative vein blockages (4.15 per 1,000 adult surgical discharges).