beth israel deaconess medical center a harvard medical school teaching hospital

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Nursing Care

Average Daily Patient Census in our ICUs*

Quarter MICU
East
TSICU SICU MICU
B
CVICU MICU
A
CCU Neuro
ICU
NICU
Jul-Sep
2017
9.17 8.26 7.18 7.41 11.36 7.32 7.01 6.71 13.38
Apr-Jun
2017
9.55 8.08 7.00 7.41 10.42 7.42 6.99 7.01 13.19
Jan-Mar
2017
9.97 8.23 7.06 7.48 9.81 7.60 7.08 7.20 12.99
Oct-Dec
2016
9.57 8.30 6.92 7.57 10.57 7.46 6.99 6.93 11.47
Jul-Sep
2016
9.41 6.92 5.90 7.13 10.09 6.99 6.77 6.38 14.46
Apr-Jun
2016
9.22 7.75 12.26 7.27 11.35 7.09 6.81 n/a 16.0
Jan-Mar
2016
9.67 8.41 13.58 7.38 12.04 7.44 7.05 n/a  12.45
*Reorganization of ICU beds occurred in June 2016 to accommodate a dedicated Neuro ICU.  

Average Daily Nurse Census in our ICUs

Quarter MICU
East
TSICU SICU MICU
B
CVICU MICU
A
CCU Neuro
ICU
NICU
Jul-Sep
2017
7.34 6.64 5.86 5.60 9.49 5.62 5.58 5.20 8.22
Apr-Jun
2017
7.74 6.73 5.91 5.62 9.26 5.76 5.69 5.43 8.37
Jan-Mar
2017
7.93 6.81 6.00 5.69 8.98 5.81 5.75 5.48 8.28
Oct-Dec
2016
7.63 6.85 5.82 5.67 9.11 5.75 5.72 5.27 6.70
Jul-Sep
2016
7.41 6.26 5.40 5.61 8.78 5.65 5.52 5.22 7.84
Apr-Jun
2016
7.58 6.77 9.91 5.64 18.50 5.70 5.62 n/a 8.16
Jan-Mar
2016
7.75 7.00 18.54 5.59 18.39 5.81 5.72 n/a  7.15

Average Daily Nurse-Patient Staffing Ratio in our ICUs

Quarter MICU
East
TSICU SICU MICU
B
CVICU MICU
A
CCU Neuro
ICU
NICU
Jul-Sep
2017
1:1.3 1:1.2 1:1.2 1:1.3 1:1.2 1:1.3 1:1.3 1:1.3 1:1.6
Apr-Jun
2017
1:1.2 1:1.2 1:1.2 1:1.3 1:1.1 1:1.3 1:1.2 1:1.3 1:1.6
Jan-Mar
2017
1:1.3 1:1.2 1:1.2 1:1.3 1:1.1 1:1.3 1:1.2 1:1.3 1:1.6
Oct-Dec
2016
1:1.3 1:1.2 1:1.2 1:1.3 1:1.2 1:1.3 1:1.2 1:1.3 1:1.7
Jul-Sep
2016
1:1.3 1:1.1 1:1.1 1:1.3 1:1.1 1:1.2 1:1.2 1:1.2 1:1.8
Apr-Jun
2016
1:1.2 1:1.1 1:1.2 1:1.3 1:0.6 1:1.2 1:1.2 n/a 1:1.96
Jan-Mar
2016
1:1.2 1:1.2 1:0.7 1:1.3 1:0.7 1:1.3 1:1.2 n/a  1:1.74

Hand Hygiene

What are we measuring?

Hand hygiene performance in intensive care units (ICUs) and in general medical and medical-surgical units.

Why is this important?

Hand hygiene is the cleaning of the hands with either soap and water or an alcohol-based agent. It is the single most important way to prevent the spread of infection.

What is our most recent performance and trend?
 

*There are no benchmarks for Hand Hygiene. The current internal goal is 90% due to potential inaccuracies in the measurement system.

Note that different hospitals measure hand hygiene performance differently, so that rates may not be directly comparable. BIDMC's hand hygiene performance rate is calculated by observing staffs' usage of soap and water or hand sanitizer before and after patient contact.  While some individual units have achieved or surpassed goal in each period, there are enough sufficient outliers that we have not met our overall goal.  Hand hygiene performance continues to show some improvement in all patient care units, most significantly in the intensive care units, but we won't be satisfied until we reach our goal in all units.

What are we doing to improve our performance?

The specific steps we are taking to improve performance include:

  • Making sure that soap and water, as well as alcohol-based hand cleaners are easily accessible.
  • Educational campaigns

Feedback to all units and recognition for high achieving units

Other Publicly Reported Measures:

Last updated: October 2017

Contact Information

Silverman Institute for Health Care Quality and Safety
Beth Israel Deaconess Medical Center
330 Brookline Ave
Boston, MA 02215
617-667-1325