Annual Report 2012

BENCHMARKING WITH THE USA

SIGNPOSTS
ON THE PATH
TO EXCELLENCE

EXTERNAL BENCHMARKING COMPARES HEALTHCARE PRACTICES, INCLUDING QUALITY AND SAFETY, WITH THOSE OF ACKNOWLEDGED LEADERS IN THE INDUSTRY.

SEHA Business Entities specify the quality/patient safety core measures that are used to compare performance and improvements with international standards and best practices.

External benchmarking compares healthcare practices, including quality and safety, with those of acknowledged leaders in the industry. By going outside the organization, benchmarking enables measurement of performance against the standards and practices of industry leaders, and pinpoints successful improvements that were shown to be effective.

SEHA is increasingly using benchmark techniques to compare performance with the best in the business – and is totally transparent about the findings. In this way, we can corroborate our progress to world-class standards, or quickly find out if we are falling short and take rapid remedial measures.

A urinary tract infection (UTI) is an infection involving any part of the urinary system, including urethra, bladder, ureters, and kidneys.

UTIs are the most common type of healthcare-associated infection reported to the National Healthcare Safety Network in the USA. Among UTIs acquired in hospital, about 75% are associated with a urinary catheter – a tube inserted into the bladder through the urethra to drain urine.

Between 15 and 25% of hospitalized patients receive urinary catheters, and their prolonged use is the most important risk factor for developing a catheter-associated UTI (CAUTI). Catheters are therefore used only for appropriate indications and are removed as soon as they are no longer needed.

The Centers for Disease Control and Prevention (CDC), a United States federal agency under the Department of Health and Human Services, has developed guidelines for the prevention of catheter-associated UTIs and other types of healthcare-associated infections. Facilities use the guidelines to monitor the rate of CAUTI and assess the effectiveness of prevention efforts.

The CDC is the United States’ national public health institute and is a founding member of the International Association of National Public Health Institutes.

SEHA has adopted CDC procedures in dealing with CAUTI, in conjunction with the American College of Surgeons’ National Surgical Quality Improvement Program (ACS NSQIP). This internationally validated, risk-adjusted, outcomes-based program measures and improves the quality of surgical care in the private sector.

Using these tools, SEHA has achieved impressive results in maintaining a low CAUTI incidence. CAUTI rates are measured per 1,000 ‘Foley days’. The drainage tube that is inserted into the urinary tract is commonly know as a Foley catheter – hence ‘Foley days’ for the number of days that a catheter is in place, multiplied by the number of patients using the device.

Between December, 2011 and September, 2012 the CAUTI incidence at SEHA’s Sheikh Khalifa Medical City was reduced from fifteen to zero per 1,000 Foley days, compared to a benchmark figure of five per thousand. This is attributable to setting up a CAUTI taskforce, dedicated training sessions for physicians and nurses, patient education, and awareness activities at the hospital.

The statistics are also indicative of SEHA’s general level of success in preventing hospital-acquired infections.



Terminology explained

CAUTI
Catheter-associated urinary-tract infection – an infection involving any part of the urinary system, arising from a urinary catheter, a tube inserted into the bladder through the urethra to drain urine.

Foley day
The drainage tube that is inserted into the urinary tract is commonly know as a Foley catheter – hence ‘Foley days’ for the number of days that a catheter is in place, multiplied by the number of patients using the device.

International Association of National Public Health Institutes
The International Association of National Public Health Institutes – IANPHI – is a global initiative that aims to develop stronger and more coordinated public health systems through the development and support of national public health institutes – or NPHIs.

IANPHI is also a professional association for NPHI directors, providing a platform for advocacy and collective action in addressing public health challenges and opportunities.

American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP®)
ACS NSQIP collects data that provides fair, in-depth and insightful analysis, helping surgeons and hospitals better understand their quality of care compared to similar hospitals with similar patients.