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Summary of Hospital Quality Measures

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St. Peter's University Hospital
http://www.saintpetersuh.com

Hospital is not licensed to perform CABG surgery.

Recommended Care/Process of Care Measures
Higher Score is Better
  Hospital
Overall Score
State Median State Top 10%
Heart Attack (detail) 86 ^ 95 100
Pneumonia (detail) 96 99 100
Surgical Care Improvement (detail) 100 99 100
Heart Failure (detail) 100 100 100

^ Hospital score for this measure is based on a small number of patients (less than 25). Interpret data with caution.



Outcome of Care Measures: Mortality Inpatient Quality Indicator (IQI)
Lower Rate is Better
Hospital Rate National Average Rate (2012) Statewide Average Rate (2014)
Heart Attack 6.2 5.6 5.4
Pneumonia 3.5 3.5 2.3
Heart Failure 1.6 3.1 2.6
Stroke 3.7 8.3 7.3


Patient Safety Indicators
Lower Rate is Better
Hospital Rate National average rate (2012) Statewide number of adverse events (2014) Statewide average rate (2014)
Retained Surgical Item or Unretrieved Device Fragment 3 973 32 NA
Iatrogenic pneumo thorax 0.4 0.3 206 0.3
Post-operative hip fracture 0 0 4 0
Post-operative hemorrhage or hematoma 4.3 5.1 870 4.8
Post-operative pulmonary embolism (PE) or deep vein thrombosis (DVT) 10.2 5 1164 6.1
Post-operative sepsis 17.4 9.6 156 10.4
Post-operative wound dehiscence 0 1.9 42 1.4
Accidental puncture or laceration 1.4 1.9 807 1.4
Transfusion reaction 0 38 1 NA
Birth Trauma+ 0.4 1.9 151 1.5
Obstetric trauma - vaginal delivery with instrument+ 151.7 133.2 410 112.6
Obstetric trauma - vaginal delivery without instrument+ 19.6 21 962 16.4

+ Observed rate (not risk-adjusted)

Not applicable - Rate is not applicable for "Retained Surgical Item or Unretrieved Device Fragment Count" and "Transfusion Reaction". Both indicators are measured using volume instead of rate.




Healthcare Associated Infections (HAIs)
  Hospital to
National Comparison‡
Standardized Infection Ratio (SIR) NJ Statewide to
National Comparison
Abdominal Hysterectomy Surgical Site Infections, 2014 Similar 1.013 Similar
Catheter-Associated Urinary Tract Infections (CAUTI), 2014 Similar 1.236 Higher
Central Line-Associated Bloodstream Infections (CLABSI), 2014 Lower 0.25 Lower
Colon Surgical Site Infections, 2014 Similar 0.711 Lower
Knee Arthroplasty Surgical Site Infections, 2014 Similar 0 Lower
Overall Surgical Site Infections, 2014 Similar 0.658 Lower

‡ Each hospital is compared to the National Ratio=1. The National Ratio is derived using the CDCs NHSN data from 2009 for CAUTI due to a definition change (AJIC, 2010).


Outpatient measures for all hospitals [pdf 20k]
Healthcare Associated Infections (HAI) for all hospitals