Patient Safety Indicators
The Ontario Ministry of Health and Long-Term Care established patient safety indicators that all hospitals publicly report. Click on any one to see our current results.
- Clostridium difficile (C. difficile) Rates
- Methicillan-resistant Staphylococcus aureus (MRSA) Rates
- Vancomycin-Resistant Enterococci (VRE) Rates
- Hand Hygiene Compliance
- Hospital Standardized Mortality Ratio (HSMR)
- Surgical Site Infection Prevention Rate
- Surgical Safety Checklist Compliance
Clostridium difficile (C difficile) Rates
Clostridium difficile is a bacterium that is commonly found in the bowel. C. difficile infection occurs when other good bacteria are eliminated or reduced in numbers, allowing the c. difficile bacteria to grow and produce a toxin. This can cause diarrhea. C. difficile is one of the most common infections in hospitals and long-term care facilities. Ontario hospitals report C. difficile rates monthly.
C. difficile Rates at Kemptville District Hospital
| Reporting Period | Number of new cases of C. difficile | C. difficile rate |
|---|---|---|
| Fiscal Year 2024/25 | ||
| April 2024 | 0 | 0.00 per 1000 patient days |
| May 2024 | 0 | 0.00 per 1000 patient days |
| June 2024 | 0 | 0.00 per 1000 patient days |
| July 2024 | 0 | 0.00 per 1000 patient days |
| August 2024 | – | — per 1000 patient days |
| September 2024 | 0 | 0.00 per 1000 patient days |
| October 2024 | 0 | 0.00 per 1000 patient days |
| November 2024 | – | — per 1000 patient days |
| December 2024 | – | — per 1000 patient days |
| January 2025 | – | — per 1000 patient days |
| February 2025 | – | — per 1000 patient days |
| March 2025 | – | — per 1000 patient days |
| Fiscal Year 2023/24 | ||
| April 2023 | 1 | 1.77 per 1000 patient days |
| May 2023 | 0 | 0.00 per 1000 patient days |
| June 2023 | 0 | 0.00 per 1000 patient days |
| July 2023 | 0 | 0.00 per 1000 patient days |
| August 2023 | 0 | 0.00 per 1000 patient days |
| September 2023 | 0 | 0.00 per 1000 patient days |
| October 2023 | 1 | 2.34 per 1000 patient days |
| November 2023 | 0 | 0.00 per 1000 patient days |
| December 2023 | 0 | 0.00 per 1000 patient days |
| January 2024 | 0 | 0.00 per 1000 patient days |
| February 2024 | 0 | 0.00 per 1000 patient days |
| March 2024 | 0 | 0.00 per 1000 patient days |
| Fiscal Year 2022/23 | ||
| April 2022 | 0 | 0.00 per 1000 patient days |
| May 2022 | 0 | 0.00 per 1000 patient days |
| June 2022 | 1 | 1.75 per 1000 patient days |
| July 2022 | 0 | 0.00 per 1000 patient days |
| August 2022 | 0 | 0.00 per 1000 patient days |
| September 2022 | 0 | 0.00 per 1000 patient days |
| October 2022 | 0 | 0.00 per 1000 patient days |
| November 2022 | 1 | 1.72 per 1000 patient days |
| December 2022 | 0 | 0.00 per 1000 patient days |
| January 2023 | 0 | 0.00 per 1000 patient days |
| February 2023 | 0 | 0.00 per 1000 patient days |
| March 2023 | 0 | 0.00 per 1000 patient days |
Methicillan-Resistant Staphylococcus aureus (MRSA) Rates
Staphylococcus aureus is a bacterium normally found on the skin and nose of healthy people. Sometimes it can cause an infection. It can also develop resistance to antibiotics; it is then called MRSA. MRSA is spread from one person to another by contact, usually on the hands of caregivers. Ontario hospitals report MRSA rates at the end of every quarter.
MRSA Rates at Kemptville District Hospital
| Reporting Period | Number of new cases of MRSA | MRSA rate |
|---|---|---|
| Fiscal Year 2024/25 | ||
| April 2024 | 0 | 0.00 per 1000 patient days |
| May 2024 | 0 | 0.00 per 1000 patient days |
| June 2024 | 0 | 0.00 per 1000 patient days |
| July 2024 | 0 | 0.00 per 1000 patient days |
| August 2024 | – | — per 1000 patient days |
| September 2024 | 0 | 0.00 per 1000 patient days |
| October 2024 | 0 | 0.00 per 1000 patient days |
| November 2024 | – | — per 1000 patient days |
| December 2024 | – | — per 1000 patient days |
| January 2025 | – | — per 1000 patient days |
| February 2025 | – | — per 1000 patient days |
| March 2025 | – | — per 1000 patient days |
| Fiscal Year 2023/24 | ||
| April 2023 | 0 | 0.00 per 1000 patient days |
| May 2023 | 0 | 0.00 per 1000 patient days |
| June 2023 | 0 | 0.00 per 1000 patient days |
| July 2023 | 0 | 0.00 per 1000 patient days |
| August 2023 | 0 | 0.00 per 1000 patient days |
| September 2023 | 0 | 0.00 per 1000 patient days |
| October 2023 | 0 | 0.00 per 1000 patient days |
| November 2023 | 0 | 0.00 per 1000 patient days |
| December 2023 | 0 | 0.00 per 1000 patient days |
| January 2024 | 0 | 0.00 per 1000 patient days |
| February 2024 | 0 | 0.00 per 1000 patient days |
| March 2024 | 0 | 0.00 per 1000 patient days |
| Fiscal Year 2022/23 | ||
| April 2022 | 0 | 0.00 per 1000 patient days |
| May 2022 | 0 | 0.00 per 1000 patient days |
| June 2022 | 0 | 0.00 per 1000 patient days |
| July 2022 | 0 | 0.00 per 1000 patient days |
| August 2022 | 0 | 0.00 per 1000 patient days |
| September 2022 | 0 | 0.00 per 1000 patient days |
| October 2022 | 0 | 0.00 per 1000 patient days |
| November 2022 | 0 | 0.00 per 1000 patient days |
| December 2022 | 0 | 0.00 per 1000 patient days |
| January 2023 | 0 | 0.00 per 1000 patient days |
| February 2023 | 0 | 0.00 per 1000 patient days |
| March 2023 | 0 | 0.00 per 1000 patient days |
Vancomycin-Resistant Enterococci (VRE) Rates
Enterococci are bacteria that live in the intestines of most people and usually do not cause illness. VRE are strains of enterococci that are resistant to the antibiotic vancomycin. VRE is spread by contact from person to person, usually on the hands of caregivers. It can survive for weeks in the environment but is easily killed with disinfectants and hand hygiene. Ontario hospitals report VRE rates at the end of every quarter.
VRE Rates at Kemptville District Hospital
| Reporting Period | Number of new cases of VRE | VRE rate |
|---|---|---|
| Fiscal Year 2024/25 | ||
| April 2024 | 0 | 0.00 per 1000 patient days |
| May 2024 | 0 | 0.00 per 1000 patient days |
| June 2024 | 0 | 0.00 per 1000 patient days |
| July 2024 | 0 | 0.00 per 1000 patient days |
| August 2024 | – | — per 1000 patient days |
| September 2024 | 0 | 0.00 per 1000 patient days |
| October 2024 | 0 | 0.00 per 1000 patient days |
| November 2024 | – | — per 1000 patient days |
| December 2024 | – | — per 1000 patient days |
| January 2025 | – | — per 1000 patient days |
| February 2025 | – | — per 1000 patient days |
| March 2025 | – | — per 1000 patient days |
| Fiscal Year 2023/24 | ||
| April 2023 | 0 | 0.00 per 1000 patient days |
| May 2023 | 0 | 0.00 per 1000 patient days |
| June 2023 | 0 | 0.00 per 1000 patient days |
| July 2023 | 0 | 0.00 per 1000 patient days |
| August 2023 | 0 | 0.00 per 1000 patient days |
| September 2023 | 0 | 0.00 per 1000 patient days |
| October 2023 | 0 | 0.00 per 1000 patient days |
| November 2023 | 0 | 0.00 per 1000 patient days |
| December 2023 | 0 | 0.00 per 1000 patient days |
| January 2024 | 0 | 0.00 per 1000 patient days |
| February 2024 | 0 | 0.00 per 1000 patient days |
| March 2024 | 0 | 0.00 per 1000 patient days |
| Fiscal Year 2022/23 | ||
| April 2022 | 0 | 0.00 per 1000 patient days |
| May 2022 | 0 | 0.00 per 1000 patient days |
| June 2022 | 0 | 0.00 per 1000 patient days |
| July 2022 | 0 | 0.00 per 1000 patient days |
| August 2022 | 0 | 0.00 per 1000 patient days |
| September 2022 | 0 | 0.00 per 1000 patient days |
| October 2022 | 0 | 0.00 per 1000 patient days |
| November 2022 | 0 | 0.00 per 1000 patient days |
| December 2022 | 0 | 0.00 per 1000 patient days |
| January 2023 | 0 | 0.00 per 1000 patient days |
| February 2023 | 0 | 0.00 per 1000 patient days |
| March 2023 | 0 | 0.00 per 1000 patient days |
Hand Hygiene Compliance
Hand hygiene is the most important and effective infection prevention and control measure to prevent the spread of hospital-acquired infections. At KDH we audit healthcare workers’ compliance with hand hygiene using Public Health Ontario’s program, “Just Clean Your Hands”. Ontario hospitals report hand hygiene compliance annually on April 1st for the previous year.
Hand Hygiene Compliance at Kemptville District Hospital
| Reporting Period | Type of indications | % Compliance |
|---|---|---|
| As of March 31, 2025 | Before patient/patient environment contact | — |
| After patient/patient environment contact | — | |
| As of March 31, 2024 | Before patient/patient environment contact | 78.86% |
| After patient/patient environment contact | 90.20% | |
| As of March 31, 2023 | Before patient/patient environment contact | 74.43% |
| After patient/patient environment contact | 84.68% | |
| As of March 31, 2022 | Before patient/patient environment contact | 91.92% |
| After patient/patient environment contact | 92.28% | |
| As of March 31, 2021 | Before patient/patient environment contact | 89.20% |
| After patient/patient environment contact | 93.12% |
Hospital Standardized Mortality Ratio
HSMR is a measure of patient safety that compares a hospital’s mortality rate with a national standard. It has been proven useful in identifying areas that can be changed to improve patient safety and the quality of care. HSMR is a ratio of “observed” to “expected” deaths, multiplied by 100. A ratio greater than 100 means more deaths occurred than expected, while a ratio less than 100 suggests fewer deaths occurred than expected. Note that HSMR is adjusted for factors affecting mortality (e.g., age, sex, length of stay) and is based on diagnosis groups that account for 80% of deaths.
HSMR at Kemptville District Hospital
| Reporting Period | KDH | Ontario Small Hospital Average |
|---|---|---|
| Fiscal Year 2024/25 | – | – |
| Fiscal Year 2023/24 | 129 | 104 |
| Fiscal Year 2022/23 | 138 | 110 |
| Fiscal Year 2021/22 | 131 | 107 |
To see the full report or for more information, please visit the Canadian Institute for Health Information (CIHI) website.
Surgical Site Infection Prevention Rate
A surgical site infection is an infection that occurs at the site of a surgical incision, caused by bacteria getting into the wound. This can occur from a few days after surgery to much later. Antibiotics are given just before some operations (e.g., joint replacements) to reduce the risk of infection. This indicator ensures that this process is being followed at KDH for hip and knee joint replacements. Ontario hospitals report surgical site infection prevention rates at the end of every quarter.
Surgical Site Infection Prevention Rates at Kemptville District Hospital
| Reporting Period | Combined Rate |
|---|---|
| Fiscal Year 2024/25 | |
| April 2024 | 97.44% |
| May 2024 | 100.00% |
| June 2024 | 100.00% |
| July 2024 | 82.76% |
| August 2024 | – |
| September 2024 | 100.00% |
| October 2024 | 100.00% |
| November 2024 | – |
| December 2024 | – |
| January 2025 | – |
| February 2025 | – |
| March 2025 | – |
| Fiscal Year 2023/24 | |
| April 2023 | 86.36% |
| May 2023 | 90.00% |
| June 2023 | 93.10% |
| July 2023 | 92.31% |
| August 2023 | 92.86% |
| September 2023 | 96.30% |
| October 2023 | 88.24% |
| November 2023 | 100.00% |
| December 2023 | 77.78% |
| January 2024 | 85.00% |
| February 2024 | 50.00% |
| March 2024 | 94.74% |
| Fiscal Year 2022/23 | |
| April 2022 | 93.75% |
| May 2022 | 87.10% |
| June 2022 | 79.41% |
| July 2022 | 0 surgeries in July |
| August 2022 | 58.33% |
| September 2022 | 76.67% |
| October 2022 | 60.87% |
| November 2022 | 93.94% |
| December 2022 | 95.45% |
| January 2023 | 96.00% |
| February 2023 | 100.00% |
| March 2023 | 92.59% |
Surgical Safety Checklist Compliance
The Surgical Safety Checklist is a set of tasks that the Operating Room team completes at three key phases: before the patient is given anesthesia; before skin incision; and before closing the incision. The checklist ensures that the entire surgical team is ready and confident about proceeding, as well as ensuring the surgical process is complete. We report this indicator quarterly.
Surgical Safety Checklist Compliance at Kemptville District Hospital
| Reporting Period | Compliance Rate |
|---|---|
| Fiscal Year 2024/25 | |
| April – June 2024 | 100.00% |
| July – September 2024 | 98.19% |
| October – December 2024 | — |
| January – March 2025 | — |
| Fiscal Year 2023/24 | |
| April – June 2023 | 99.61% |
| July – September 2023 | 99.78% |
| October – December 2023 | 100.00% |
| January – March 2024 | 100.00% |
| Fiscal Year 2022/23 | |
| April – June 2022 | 94.84% |
| July – September 2022 | 95.33% |
| October – December 2022 | 98.43% |
| January – March 2023 | 99.81% |
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“This letter is written to express my utmost appreciation and heartfelt thanks to the Emergency Team at KDH. Last Tuesday morning I received a phone call from my teenage son Markus’s school informing me that he had inadvertently eaten a cookie containing peanuts. As he has a life-threatening peanut allergy, this was an immediate cause for concern. Markus was taken to the ER and immediately given a dose of norepinephrine, followed by an infusion after he had a second reaction. Markus was transferred to CHEO by ambulance later in the afternoon. As you can imagine, this was an incredibly impactful experience for Markus and my entire family. We have such respect for the wonderful work of the Emergency Team at KDH, to whom Markus owes his life. Everyone was caring, kind and professional. Special thanks go to Dr. Pelletier, Dr. Jones, and nurses Catherine, Heather, and Melissa."
