13. Monthly Performance Report - Southern Health and Social Care ...

Health Care Acquired Infection – Related DeathsMonitoring of HCAI deaths SHSCT, is now based on the date the death is registered and is fully aligned with the CentralServices Agency / NI Stats & Research Agency reporting.As part of the review of arrangements for monitoring death related data, processes have been established with AssociateMedical Directors to take forward issues arising from the morbidity & mortality meetings, including providing assurances thatcases where HCAI was recorded on the death certificate are discussed.Clostridium Difficile – Annual trend by hospital site and breakdown by Quarter for 2009No deaths were recorded for Jan 2010Number of SHSCT deaths with MRSA mentioned and recorded as the underlying causeof death certificate, 2002 – 2008 (validated)Number of SHSCT deaths with Clostridium Difficile mentioned and recorded as theunderlying cause on death certificate:Jan – Dec 2009 P& 1st – 31st Jan 2010 P (unvalidated)January – December 2009 P (unvalidated)12104Primary1a Primary1b Primary1c SecondaryClassification of C.DIFF on death certificate836241200Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4200220032004200520062007200820092010200220032004200520062007200820092010200220032004200520062007200820092010200220032004200520062007200820092010200220032004200520062007200820092010200220032004200520062007200820092010200220032004200520062007200820092010Craigavon Area Daisy Hill Hospital Lurgan Hospital Mullinure Hospital South Tyrone St Luke's Hospital All Other PlacesHospitalHospitalP – Provisional data pending publication of the Registrar General’s Annual Report for 2009 & 2010.NB Excludes deaths in all other places between 2002 – 2008, as this information is aggregated regionally in the Registrar General’s Annual Report.CAH(n=7) DHH(n=4) Lurgan(n=0) Mullinure(n=0) STH(n=1) SLH(n=0) All othern=12P – Provisional data pending publication of the Registrar General’s Annual Report for 2009Source: NI Stats & Research Agency and Central Services Agency combined weekly submission of HCAI death related dataplaces(n=0)This graph shows a significant drop in the number of deaths with Clostridium Difficile mentioned on the death certificate in 2009 (n=12), incomparison to 19 hospital CDI deaths in 2008, as demonstrated in the following graph.42