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

% Bundle Compliance100%90%80%70%60%50%40%30%20%Table 3 - SHSCT VAPTarget95%Days Between VAPs400300200100Days Be tw e e n VAP's10%0%Feb-09Mar-09Apr-09May-09Jun-09Jul- Aug-09 09MonthSep-09Oct-09Nov-09Dec-09Jan-100Feb-09Mar-09A pr-09May-09Jun-09Jul- A ug-09 09M onthSep-09Oct-09Nov-09Dec-09Jan-10Second time in 09/10 that the Trust has exceeded its target of 300 Vent Days between VAP'sTable 4 - SHSCT Central LineInfection Rates% Bundle Compliance100%90%80%70%60%50%40%30%20%Target95%% Infection Rate6%5%4%3%2%1%Target1.1710%0%Feb-09CAHMar- Apr-09 09DHHMay-09Jun-09Jul- Aug-09 09MonthSep-09Oct-09Nov-09Dec-09Jan-100%Feb-09CAHMar-09Apr-09DHHMay-09Jun-09Jul-09Aug-09MonthSep-09Oct-09Nov-09Dec-09Jan-10CAH -Joint highest Overall Bundle Compliance since auditing commenced. Non-Compliant Elements - Subclavian Site not used/contraindicated in2/10 patients, Daily Review not completed in 3/10 patients. DHH - 2nd highest Overall Bundle Compliance since auditing commenced. Preferredmethod of Skin Prep not undertaken 1/5 pts. It is now 5 months since the last Central Line Infection.45