Measurement is essential to monitoring success and helps guide your team towards your specific intervention goal. Measurement also tells us what’s working and what’s not, and provides evidence to inspire other healthcare providers to improve the quality of patient safety.
Patient Safety Metrics Training Manual
Falls (Acute Care) Measures
| Falls-Acute 1 - Falls Rate per 1000 Patient Days |
Reduce 40% |
Outcome |
| Falls-Acute 2 - Percentage of Falls Causing Injury |
Reduce 40% |
Outcome |
| Falls-Acute 3 - Percentage of Patients with Completed Falls Risk Assessment on Admission |
100% |
Process |
| Falls-Acute 4 - Percentage of Patients with Completed Falls Risk Assessment Following a Fall or Change in Medical Status |
100% |
Process |
| Falls-Acute 5 - Percentage of "At Risk" Patients with a Documented Falls Prevention/Injury Reduction Plan |
100% |
Process |
Falls (Home Care) Measures
| Falls-HC 1 - Falls Rate per 1000 Home Care Clients |
Reduce 40% |
Outcome |
| Falls-HC 2 - Percentage of Falls Causing Injury |
Reduce 40% |
Outcome |
| Falls-HC 3 - Percentage of Clients with Completed Falls Risk Screening on Admission |
100% |
Process |
| Falls-HC 4 - Percentage of Clients with Falls Risk Reassessed Following a Fall or Change in Medical Status |
100% |
Process |
| Falls-HC 5 - Percentage of "At Risk" Clients with a Documented Falls Prevention/Injury Reduction Plan |
100% |
Process |
Falls (Long Term Care) Measures
| Falls-LTC - Prevention of Falls in Long-Term Care Monthly Report |
N/A |
Information |
| Falls-LTC 1 - Falls Rate per 1000 Resident Days |
Reduce 40% |
Outcome |
| Falls-LTC 2 - Percentage of Falls Causing Injury |
Reduce 40% |
Outcome |
| Falls-LTC 3 - Percentage of Residents with Completed Falls Risk Assessment on Admission |
100% |
Process |
| Falls-LTC 4 - Percentage of Residents with Completed Falls Risk Assessment Following a Fall or Change in Medical Status |
100% |
Process |
| Falls-LTC 5 - Percentage of "At Risk" Residents with a Documented Falls Prevention/Injury Reduction Plan |
100% |
Process |
Safer Healthcare Now! (SHN) has two types of measures for each of the interventions: process measures, outcome measures. Some interventions also have balancing measures. Below are examples of each.
Outcome measures - answers whether the team is achieving what it is trying to accomplish and articulates the picture of success. For example, if the team wants to reduce falls it should measure the number of falls.
Process measures - Processes which directly affect the outcome are measured to ensure that all key changes are being implemented to impact the outcome measure. For example, the delivery of timely prophylactic antibiotics to reduce surgical site infection.
Balancing measures - answer the question whether improvements in one part of the system were made at the expense of other processes in other parts of the system. For example, in a project to reduce the average length of stay for a group of patients, the team should also monitor the percent of readmissions within 30 days for the same group.
Information measures - collect general details relative to the intervention.