Critical Care safety, quality and outcomes

Our safety and quality reports help families and partner providers make the most informed health care decisions for the benefit of their children and patients. We follow the Institute of Medicine's Six Dimensions of Care to structure our quality improvement efforts.

To provide feedback, or for more information on our quality data, email us or call (414) 266-6556.

Volumes and outcomes

We want our patients and families to have the best care experience possible. To continue to provide excellent care, we ask our guests to fill out a survey rating their care experience. The rating scale ranges from 0 to 10 where 0 is the worst experience and 10 is the best. We strive to achieve a 9 or 10 rating from every patient and family that chooses our care which is represented in the graph below.

More patients are seen in the Pediatric Intensive Care Unit at Children's Hospital of Wisconsin than other VPS PICUs.The data below shows the number of patients sent home or transferred from the PICU each quarter from Children's compared to the average number from the VPS reference group.

The standardized mortality ratio shows the number of deaths in a critical care unit relative to the degree of illness of the patients. A ratio greater than 1 says that there are more deaths than expected based on their degree of illness and a ratio less than 1 says that there are fewer deaths than expected. The calculation of standardized mortality ratio uses a validated tool (PIM 2) to predict mortality for a group of patients and is then compared to the actual number of deaths. The data show the standardized mortality rate for the Children's Hospital of Wisconsin PICU compared other children's hospitals around the country that are part of the VPS database reference group.

Central venous catheters or central lines are commonly used in the pediatric intensive care unit to administer medications and fluids. A central line bloodstream infection can occur when bacteria enters the blood stream causing a patient to become sick. The likelihood of acquiring a bloodstream infection is calculated by the number of infections that occur for every 1,000 days a central line is in place. This graph uses data from the Children's Hospital infection control database. Infections are identified and confirmed weekly. Confirmations are made based on National Healthcare Safety Network/CDC criteria. Line days are counted by audit using the National Association of Children's Hospitals and Related Institutions' (NACHRI) BSI Collaborative instructions. The NACHRI comparison group includes 26 pediatric hospitals nationwide.

Prevention and early identification of potential pressure ulcers is an important part of providing quality care. Any child that is hospitalized is at risk of getting a pressure ulcer (bed sore), and children who are critically ill are at an even higher risk. The two lines represent two groups of pressure ulcers reported from 2013 through Q2 2014. Stage 1 or 2 pressure ulcers are more mild and are watched very carefully to prevent more serious injury. Stage 3 or 4 pressure ulcers are more serious skin injury.
Unplanned readmissions to the PICU can occur when children become sicker after they return home after being discharged from the hospital or during a transfer to another unit. In some instances, readmissions can be prevented if problems are reviewed and improvements are made. The data show the percent of unplanned readmissions to the PICU within 24 hours of PICU discharge. The rate is based on the total number of unplanned readmissions within 24 hours divided by the total number of discharges times 100. We compare our results with other children's hospitals around the country that are part of the VPS database reference group.