Annual Report and Accounts 2012/13 - Royal Bournemouth Hospital

Quality ReportQuality IndicatorDataSourceResults forreporting periodOct-Dec 2012Results forreporting periodJan - Mar 2013NationalaveragevalueHighestvalueLowestvalue% of patients readmittedto hospital within 28 daysof being dischargedHSCIC Q3 2012-201328279 admits1752 readmits6.2% readmit rateQ4 2012-201327779 admits1586 readmits5.7% readmitrateNotavailableNotavailableNotavailable% of patients admittedto hospital who wererisk assessed for venousthromboembolismHSCIC Q3 2012-2013No. Assessed 26291Admitted 2782794.5% AssessedQ4 2012-2013No. Assessed25801Admitted 2744094.0% AssessedNotavailableNotavailableNotavailableC difficile infection rateper 100,000 bed daysHSCIC Q3 2012-201352326 bed days6 C difficileRate =11.5Q4 2012-201353939 bed days13 C difficileRate = 24.1NotavailableNotavailableNotavailableThe Trust considers that this data is asdescribed for the reason of provenanceas the data has been extracted fromavailable Department of Healthinformation sources.Patient safety incidentsThis year is the first time that patientsafety incidents resulting in severeharm or death have been required to beincluded within the Quality Reportalongside comparative data provided,where possible, from the Health andSocial Care Information Centre (HSCIC).The National Reporting and LearningService (NRLS) was established in 2003.The system enables patient safetyincident reports to be submitted to anational database on a voluntary basisdesigned to promote learning. It ismandatory for NHS trusts in England toreport all serious patient safety incidentsto the Care Quality Commission as partof the Care Quality Commissionregistration process. To avoidduplication of reporting, all incidentsresulting in death or severe harm shouldbe reported to the NRLS who then reportthem to the Care Quality Commission.Although it is not mandatory, it iscommon practice for NHS trusts toreport patient safety incidents under theNRLS’s voluntary arrangements.As there is not a nationally establishedand regulated approach to reporting andcategorising patient safety incidents,different trusts may choose to applydifferent approaches and guidance toreporting, categorisation and validationof patient safety incidents. The approachtaken to determine the classification ofeach incident, such as those ‘resulting insevere harm or death’, will often rely onclinical judgement. This judgement may,acceptably, differ between professionals.In addition, the classification of theimpact of an incident may be subject toa potentially lengthy investigation whichmay result in the classification beingchanged. This change may not bereported externally and the data held by atrust may not be the same as that held bythe NRLS. Therefore, it may be difficult toexplain the differences between the datareported by the trusts as this may not becomparable.Annual Report and Accounts 2012/13 93