Lee Memorial Health System has been recognized over the last two years for its excellence in ensuring patient safety.

Hospitals who received this honor are ranked in the top tier in patient safety nationally, based upon a rating system using the Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSIs).

The AHRQ PSIs are a set of measures that were designed as a low cost screening tool for hospitals to use to identify potential problems and screen for adverse events and complications that patients may experience as a result of exposure to the health care system. These AHRQ PSIs provide a focus for further analysis and proven improvement to reduce errors throughout the System.

For a more detailed explanation of each of the Hospital Patient Safety Indicators listed below, visit the ahrq.gov website.

Note: In order to be consistent with current Florida hospital quality benchmarking criteria, the six Patient Safety Indicators presented below are the same six hospital AHRQ PSI measures as those publicly reported on the Florida Agency for Health Care Administration (AHCA) Compare Care consumer web site.

Agency for Healthcare Research & Quality (AHRQ) Patient Safety Indicators (PSIs) **Rates per 1,000 measurement population	AHRQ National Hospital Benchmark	AHCA Florida Hospital Benchmark	April 05 to March 06*
	AHRQ National Hospital Benchmark	AHCA Florida Hospital Benchmark	Lee Memorial Health System
Decubitus Ulcer The number of patients reported as having a decubitus ulcer (a pressure ulcer or bed sore) after being in the hospital four days or longer, per 1,000 discharges with a length of stay greater than 4 days. Lower Rates are better.	25.521	22.6**	23.59
Iatrogenic Pneumothorax The number of patients having a unexpected pneumothorax (a collapsed lung) while being hospitalized for another condition, per 1,000 discharges. Lower Rates are better.	0.408	0.6**	0.73
Selected Infections Due To Medical Care The number of patients reported with an infection, primarily due to intravenous lines or catheter, per 1,000 discharges. Lower Rates are better.	2.468	2.3**	2.47
Post-operative Hip Fracture The number of hip fractures on patients with an operating room procedure following surgery, per 1,000 surgery patients with an operating room procedure. Lower Rates are better.	0.627	0.3**	0.44
Post-operative Pulmonary Embolism or Deep Vein Thrombosis The number of patients reported with postoperative pulmonary embolism (PE) or deep vein thrombosis (DVT) following surgery, per 1,000 surgery patients with an operating room procedure. Lower Rates are better.	10.944	9.4**	10.51
Post-operative Sepsis The number of patients reported with nosocomial postoperative sepsis (blood stream infection) following surgery, after being in the hospital four days or longer, per 1,000 surgery patients with an operating room procedure and a length of stay of 4 days or longer. Lower Rates are better.	17.023	12.6**	11.49

* Based on PSI data prepared quarterly for LMHS by Voluntary Hospitals of America (VHA) Southeast Division

** Converted from a percentage to a rate in order to be consistent with AHRQ (rate-based) data.

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HOSPITAL PATIENT SAFETY INDICATORS (PSI)