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Two Triangle hospitals demoted because of security vulnerabilities



Triangle clinics are one of the nation's safest health facilities year after year, but your local hospital visit may not be as safe as previously thought. The region was hit with surprisingly weaker security ratings in a semi-annual scoring report released Tuesday by the Washington-based non-profit Leapfrog group.

Two hospitals – WakeMed Cary Hospital and Duke University Hospital – unexpectedly dropped leaps from A to C in the Spring 2018 Safety Ranking for Errors, Accidents, and Infections. Up to this round of safety rankings, Duke University's research and teaching hospital in Durham had delivered direct A & # 39; s over the last three years, while WakeMed Cary's got A's and B's since he joined C in spring 201

5 got. [196592002] Triangle A-rated hospitals include UNC Rex in Raleigh, UNC Hospitals in Chapel Hill, Johnston Health in Smithfield, Durham Regional in Durham, and Durham Raleigh Hospital. Grade B went to the flagship of WakeMed Health & Hospitals in Raleigh.

The Leapfrog Safety Grade assesses around 2,500 acute hospitals nationwide on the basis of 27 performance standards and creates a composite letter grade. The group rated 74 hospitals in North Carolina, and gave 42 percent of them an A, and ranked 9th in the nation for percentage of A-rated hospitals.

The safety factor is derived from data compiled by the Centers for Medicare & Medicaid Services, the Agency for Healthcare Research Quality, Centers for Disease Control and Prevention, American Hospital Association, Health Information Technology Supplement and Leapfrog's own survey.

Leapfrog advises the public not to decline the emergency treatment because of a safety outcome, but to consult with a doctor about the best hospital for planned elective procedures. The organization said that hospital errors, injuries, accidents and infections cause up to 440,000 deaths each year, and that one in 25 patients develop a preventable infection during hospitalization.

"We know that hospitals can better prevent mistakes," Leapfrog said in a statement. "We hope that all hospitals will strive to provide this level of dependable care."

Duke University President Thomas Owens, who is also the senior vice president of the Duke University Health System, affirmed the value of leapfrog ratings and vowed to improve hospital safety score.

"While we are disappointed with a" C "in this particular six-month leapfrog evaluation period, we understand the factors driving that particular strain and believe that significant continuous quality improvements will lead to our return to an A-Class We've earned many valuation periods in the past, "Owens said in an e-mail statement. "We value the quality and safety analyzes provided by Leapfrog, as well as the research conducted in many other publicly reported surveys that continue to rate Duke University Hospital as one of the country's best hospitals."

WakeMed also Focuses on Improvements The organization said in a statement, "With our continuous quality improvement initiatives to reduce hospital-acquired infections, injuries and other preventable harms, our goal is to keep our patients safe and curative As a result of these efforts, we strive to achieve direct A & C's from Leap Frog. "

According to Leapfrog, Duke University Hospital had more hospital infections, surgical complications, bed sores and patient falls than an average Hospital on the other side Duke was also below average in "Effective Leadership to Prevent Errors".

Leapfrog recommends that you first review three measures when reviewing hospital safety: hand washing practices, blood infections, and patient falls. In the Triangle, some A-hospitals in the three key areas are below the national average, while some C-Hospitals outperform the country's hospitals.

For example, each Triangle Hospital received a peak scores for hand washing, including two hospitals with a total of C security levels. Johnston Health, an A-rated hospital, was not classified in hand washing because it declined to add data to report in this category.

About half of the Triangle hospitals were better able to prevent patient falls than a typical hospital, with A-rated UNC hospitals ending up in the middle. Those who were worse than the national average were B-ranking WakeMed Raleigh, C-rank Duke University Hospital and A-rank Duke Regional.

Triangle hospitals with below-average performance for blood infections were B-place WakeMed Raleigh, C-space WakeMed Cary, C-space Duke University Hospital, A-rank UNC hospitals and A-rank Duke Raleigh.

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But Leapfrog rates many other areas of hospital performance. There are five categories of hospital infections, including infections of bacteria, urinary tract and surgical procedures. Leapfrog tracks seven surgical complications, including lung collapse, blood clots, dangerous objects in the patient's body and death. Other identified safety issues include bedsores as well as bedsores and air bubbles in the bloodstream. Leapfrog also reviews training, personnel and hospital records.

Not all hospitals make the leapfrog list. Those with incomplete information are excluded. Many do not provide information because they are too small or have no data, such as specialty hospitals and military and veteran hospitals.


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