Dental Clinic Post Extraction Prevention of Complications and Follow-up Indicators 1Q2015 2Q2015 3Q2015 4Q2015 Total All patients with tooth extractions will be assessed and have teaching post procedure on the following topics, as provided by the Dentist or Dental Assistant: July Oct Jan April Bleeding 100% 100% 100% 100% Swelling 5/5 9/9 4/4 3/3 Pain Aug Nov Feb May Muscle soreness 100% 100% 100% N/A Mouth care 2/2 3/3 6/6 0/0 100% Diet Sept Dec Mar June 42/42 Signs/symptoms of infection 100% 100% 100% 100% The patient, post procedure tooth extraction, 3/3 2/2 4/4 1/1 will verbalize understanding of the above by Total Total Total Total repeating instructions given by Dental 100% 100% 100% 100% Assistant/Hygienist. 10/10 14/14 14/14 4/4 Post dental extraction patients will receive a follow-up phone call from the clinic within 24 hours of procedure to assess for post procedure complications JOINT COMMISSION Healthcare Acquired Infections Monitoring and Management NPSG.07.03.01 Implement evidence-based practices to prevent health care–associated infections due to multidrug-resistant organisms in acute care hospitals. Infection Control Responsible Party: George Davis, MD, Chairperson of Infection Control Committee Kathleen Mitton, RN, Infection Control Nurse Measure Name: Hospital Associated Infection (HAI) Rate Measure Description: Fourth Quarter Review of Hospital Associated Infections Measure Type: Quality Assurance Results Target Unit Baseline Q1 Q2 Q3 Q4 YTD 1 STDV 9 HAI/IC 4 HAI/IC 7 HAI/IC 4 HAI/IC HAI – Hospital FY 2014 within the Rate 1.6 Rate 2.2 Rate 1.1 Rate 0.83 1.4 Associated 1 STDV Mean Infection within the 1 STDV At 1 1 STDV 1 STDV Rate mean within the STDV within the within the Actual
Dental Clinic Post Extraction Prevention of Complications and Follow-up Indicators 1Q2015 2Q2015 3Q2015 4Q2015 Total All patients with tooth extractions will be assessed and have teaching post procedure on the following topics, as provided by the Dentist or Dental Assistant: Bleeding Swelling Pain Muscle soreness Mouth care Diet Signs/symptoms of infection The patient, post procedure tooth extraction, will verbalize understanding of the above by repeating instructions given by Dental Assistant/Hygienist. Post dental extraction patients will receive a follow-up phone call from the clinic within 24 hours of procedure to assess for post procedure complications July 100% 5/5 Aug 100% 2/2 Sept 100% 3/3 Total 100% 10/10 Oct 100% 9/9 Nov 100% 3/3 Dec 100% 2/2 Total 100% 14/14 Jan 100% 4/4 Feb 100% 6/6 Mar 100% 4/4 Total 100% 14/14 April 100% 3/3 May N/A 0/0 June 100% 1/1 Total 100% 4/4 100% 42/42 JOINT COMMISSION Healthcare Acquired Infections Monitoring and Management NPSG.07.03.01 Implement evidence-based practices to prevent health care–associated infections due to multidrug-resistant organisms in acute care hospitals. Infection Control Responsible Party: George Davis, MD, Chairperson of Infection Control Committee Kathleen Mitton, RN, Infection Control Nurse Measure Name: Hospital Associated Infection (HAI) Rate Measure Description: Fourth Quarter Review of Hospital Associated Infections Measure Type: Quality Assurance Results Target Unit Baseline Q1 Q2 Q3 Q4 YTD 1 STDV within the Mean Hospital Associated Infection Rate FY 2014 1 STDV within the mean 9 HAI/IC Rate 1.6 4 HAI/IC Rate 2.2 7 HAI/IC Rate 1.1 4 HAI/IC Rate 0.83 HAI – 1.4 Actual 1 STDV within the At 1 STDV 1 STDV within the 1 STDV within the
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