Infection and Compliance rates

Patient Safety Indicator Reporting

C. Difficile

Last Period - April 2024
Rate Per 1,000 days - 0
Case Count* - 0

Trends

Methicillin-resistant
Staphylococcus aureus (MRSA)

Last Period - April 2024
Rate Per 1,000 days - 0
Case Count* - 0

Trends

Vancomycin-resistant Enterococci (VRE)

Last Period - April 2024
Rate Per 1,000 days - 0
Case Count* - 0

Trends

Hand Hygiene Compliance Rates

Last Period - Apr 2021-Mar 2022
Before initial patient/ patient environment contact rate - 92.10% (98.45% previous year)
After patient/ patient environment contact rate - 96.86% (99.48% previous year)

More info on Infection and Compliance Rates

Ontario hospitals are posting their hand hygiene compliance rates as percentages for time periods identified by the Ministry of Health and Long-Term Care, using the following formula:

# of times hand hygiene performed x 100
# of observed hand hygiene indications

These percentages also reflect:

  • Hand hygiene before initial patient/patient environment contact by combined health care provider type (e.g., nurses, allied health professionals, physicians, etc.);
  • Hand hygiene after patient/patient environment contact by combined health care provider type (e.g., nurses, allied health professionals, physicians, etc.)

Hospitals are to collect at least 200 observations for every 100 in patient beds.

The goal of public reporting hand hygiene compliance is to achieve an overall assessment of whether compliance rates are improving. It is normal for rates to vary from hospital to hospital.

Infection rates

Each infection rate is calculated as a rate per 1,000 patient days. The “total patient days” represents the sum of the number of days during which services were provided to all inpatients during the given time period.

The rate is calculated as follows:

# of new hospital acquired cases in our facility x 1000
Total number of patient days (for one month)

Case count*

If there are less than 5 C. difficile, VRE or MRSA cases, the Ministry of Health and Long-term Care has requested we do not indicate the exact number of cases in order to best preserve patient confidentiality.

Outbreak reporting

The potential for a ward/unit level outbreak will be reported to public health when West Park has three or more cases with onsets within a ward/unit within a week. A ward/unit level outbreak will be declared when West Park has six or more cases with onsets within a ward/unit within a month. However, if these thresholds have not been reached but West Park believes that number of cases is higher than the baseline rates for that unit, the Centre will contact our local public health unit to determine whether this requires further investigation. If an outbreak is confirmed, it will be shared with the public on West Park's website.