Falls are up in benchmarks released by quality group

In the Quality Report released by the ASC Quality Collaboration, falls in ambulatory surgery centers (ASCs) have increased for the first quarter 2012 to 0.153 per 1,000 admissions. This number is higher than the second, third, or fourth quarters of 2011, the group reports.

"Falls are an important issue for patients having outpatient procedures or surgery because virtually all patients receive sedatives, anesthetics, and/or pain medications as a routine part of their care," the report says. "The use of these medications increases the likelihood of a fall."

This report presents aggregated performance data for six ASC facility-level quality measures developed by the ASC Quality Collaboration and endorsed by the National Quality Forum. For first quarter 2012, the results are:

  • rate of wrong site, side, patient, procedure, implant events, 0.039 per 1,000 admissions;
  • rate of patient burns, 0.021 per 1,000 admissions;
  • rate of hospital transfers/admissions, 1.193 per 1,000 admissions;
  • percentage of ASC admissions with antibiotics ordered who received prophylactic IV antibiotics on time, 97%;
  • percentage of ASC admissions with appropriate surgical site hair removal, 99%.

The first quarter data was collected from 1,349 ASCs, including 889 multispecialty ASCs and 460 single-specialty ASCs. They represent every state except Vermont. The organizations that collected and submitted clinical quality data were the Ambulatory Surgery Center Association, Ambulatory Surgical Centers of America (ASCOA), AmSurg, Healthcare Facilities Accreditation Program (HFAP), Health Inventures, HCA Ambulatory Surgery Division, Nueterra, Surgical Care Affiliates (SCA), Symbion, and United Surgical Partners International (USPI). (For the full results, go to http://www.ascquality.org/qualityreport.cfm. For more information, contact Donna Slosburg, executive director, ASC Quality Collaboration, at donnaslosburg@ascquality.org.)