Created by the Hospital Quality Institute, The Quality Transparency Dashboard
displays the outcome measures and program status of Torrance Memorial.
This allows for a transparent comparison of our patient-safety performance
to the state and national levels of 5 key quality-of-care metrics:
CLABSI - Central line-Associated Blood Stream Infection: A serious infection that occurs when germs enter the bloodstream through
a central line. A central line is a special intravenous catheter (IV)
that allows access to a major vein close to the heart and can stay in
place for weeks or months. The value shown above is a Standardized Infection
Ratio (SIR), which is the ratio of observed-to-expected infections during
the measure period. SIRs below 1.00 indicate that the observed number
of infections during the measure period was lower than would be expected
under normal conditions, whereas values above 1.00 indicate that the observed
number of infections was higher than expected.
Limitations: In the calculation of the Standardized Infection Ratio (SIR), the CDC
adjusts for differences between hospitals. However, patient risk factors
are not taken into account. These patient-specific variables (e.g., poor
skin integrity, immunosuppression) can increase the risk of developing
a central line infection. Hence, the SIR for hospitals that care for more
medically complex or immunosuppressed patients may not be adequately adjusted
to account for those patient-specific risk factors.
Colon SSI - Colon Surgical Site Infection: An infection (usually bacteria) that occurs after a person has colorectal
surgery that occurs at the body site where the surgery took place. While
some involve only the skin, others are more serious and can involve tissues
under the skin, organs, or implanted material. The value shown above is
a Standardized Infection Ratio (SIR), which is the ratio of observed-to-expected
infections during the measure period. SIRs below 1.00 indicate that the
observed number of infections during the measure period was lower than
would be expected under normal conditions, whereas values above 1.00 indicate
that the observed number of infections was higher than expected.
Limitations: Some, but not all patient-specific risk factors are included in the adjustment
of the SIR for these types of infections. However, not all relevant risk
factors are included (e.g., trauma, emergency procedures). Hence, the
SIRs for hospitals performing more complex procedures or with larger volumes
of trauma or emergency procedures may not be adequately adjusted to account
for those patient-specific risk factors.
NTSV - Nulliparous, Term, Singleton, Vertex Cesarean Birth Rate: The percentage of cesarean (surgical) births among first-time mothers
who are at least 37 weeks pregnant with one baby in a head down position
(not breech or transverse). Lower values indicate that fewer cesareans
were performed in the hospital among primarily low risk, first-time mothers.
Limitations: NTSV rates do not take into account certain obstetric conditions, such
as placenta previa, that may make Cesarean delivery the safer route for
both mother and infant.
Sepsis Mortality: Percent of patients, with a severe infection, who die in the hospital.
Most sepsis cases (over 90%) start outside the hospital. Lower percentage
of death indicates better survival.
Limitations: Use of discharge/administrative data is limiting since such data has
lower specificity for diagnoses than clinical data. In addition, without
risk adjustment for differences in patient-specific factors, comparing
rates among hospitals is difficult.
VTE - Venous thromboembolism: The measure of patients who develop deep vein clots who had not received
potentially preventive treatment.
Limitations: Although not adjusted to account for patient-specific risk factors, this
rate is helpful in distinguishing a hospital’s adherence to the
best practice of administration of appropriate VTE prophylaxis to all
Maternity Safety Program
This hospital has a Maternity Safety Program in place. A maternity safety program provides a coordinated approach and emergency
response to risks associated with pregnancy and childbirth.
This hospital has a Sepsis Protocol in place. A sepsis protocol provides guidance for a coordinated approach to identification
and treatment of an infection and inflammatory response which is present
throughout the body.
Respiratory Monitoring Program
This hospital has a Respiratory Monitoring program in place. Respiratory monitoring provides guidance for assessment of risk of respiratory
depression, and includes continuous monitoring of breathing and functioning
of the lungs and circulatory system when indicated.