Cardinal Health

Preventing Venous Thromboembolism: A Healthcare Professional Guide to Intervention 7 Prevalence & Cost. Australian Commission on Safety and Quality in Health Care. The Australian Commission on Safety and Quality in Health Care and Independent Hospital Pricing Authority established a Joint Working Party in 2012 to consider potential approaches to pricing for safety and quality in public hospital services in Australia. This led to the development of the Hospital Acquired Complications (HACs) list. The HACs list below details 16 agreed, high-priority complications which clinicians, managers and others can work together to address and drive improvements in healthcare safety and quality. Hospital-Acquired Complication Rate a 1 Pressure injury 10 2 Falls resulting in fracture or intracranial injury 4 3 Healthcare-associated infections 135 4 Surgical complications requiring unplanned return to theatre 20 5 Unplanned intensive care unit admission NA b 6 Respiratory complications 24 7 Venous thromboembolism 8 8 Renal failure 2 9 Gastrointestinal bleeding 14 10 Medication complication 30 11 Delirium 51 12 Persistent incontinence 8 13 Malnutrition 12 14 Cardiac complications 69 15 Third and fourth degree perineal laceration during delivery (per 10 000 births) 358 16 Neonatal birth trauma (per 10 000 births) 49 Incidence of VTE in Different Patient Groups without Prophylaxsis. 7 Patient Group Stroke 56% Myocardial infarction 22% Elective hip replacement 51% Abdominal vascular surgery 19% Multiple trauma 50% Isolated lower limb injuries 17% Total knee replacement 47% Peripheral vascular surgery 15% Hip fracture 44% Elective spinal surgery 15% Spinal cord Injury 35% Gynaecological surgery for benign disease 14% Retro pubic prostatectomy 32% Burns 12% ICU patients 25% Transurethral prostatectomy 9% General surgery 25% Geriatric patients >65 9% Neurosurgery 22% General medicine 8% Gynaecological surgery for malignancy 22% Knee arthroscopy 8% 30,000 Around 30,000 hospital-acquired episodes of VTE occur each year in Australian Hospitals. +21.4 Patients with this HAC require 21.4 extra days in hospital compared to those who don’t. +44,384 Each episodes of care for this HAC could cost the hospital an additional $44,384. a per 10,000 hospitalisations except where indicated. b na = national data not available.