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New York, NY - Which NYC Hospitals Have Best, Worst Infection Rates?

Published on:   Jul 03, 2009 at 07:47 AM
News Source:  Crain's NY
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New York, NY - A number of New York’s top academic medical centers have higher than average rates of infections compared to other hospitals in the state, according to a New York state Department of Health report.

Statewide, New York hospitals have lower rates of surgical-site infections than the rest of the nation, but the same or higher rates of central line-associated (or catheter-associated) bloodstream infections in intensive care units.

A 'central line' is a flexible tube that during a hospital stay is inserted near the patient’s heart, veins or arteries. A central line can be used to give fluids or medications, but because of its location, the tube also can be the cause of dangerous or fatal bloodstream infections.

The report is the first to publicly identify infection rates by hospital name for surgical-site infections after colon, coronary artery bypass graft, and hip-replacement surgeries. It also identified, by hospital, central line-associated bloodstream infections in adult, pediatric and neonatal intensive care units.

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The decision to name names for the first time will help arm patients with information they need to choose hospitals by infection rates.

In New York City, a number of hospitals including the city’s big teaching hospitals had higher than average rates in at least one category.

The list includes Bellevue Hospital Center, Beth Israel’s Petrie division, Jacobi Medical Center, Lenox Hill Hospital, Long Island College Hospital, Long Island Jewish Medical Center, Montefiore Medical Center, Mount Sinai Hospital, New York Hospital-Queens, NYU Langone Medical Center, North Central Bronx Hospital, North General Hospital, New York Hospital Queens, St. Luke’s-Roosevelt Hospital Center, and Saint Vincent’s Hospital-Manhattan.

There also are stars among New York City hospitals, with rates of infection that were lower than the state average in at least one category. They are Beth Israel-Petrie Division, Lincoln Medical and Mental Health Center, Hospital for Special Surgery, Long Island Jewish Medical Center, Maimonides Medical Center, New York Hospital-Queens, North Shore University Hospital, St. Luke’s-Roosevelt, and Staten Island University Hospital.

For their part, hospitals are tackling the issue of infection, said a spokesman for the Healthcare Association of New York state.

The report shows that we must continue to do better, he said. For hospital administrators and the front-line staff who treat patients every day, one incident is too many.


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1

 Jul 03, 2009 at 08:04 AM Anonymous Says:

what does mimonidies do with their books? fabricate them?

they are soooo "SHREKLECH" when it come to infection....let alone nursing.

if only hatzolah would stop taking there things will become better ...but some of the coordinators are making a living from them.

2

 Jul 03, 2009 at 08:00 AM Anonymous Says:

I'm sure you can find a report that states otherwise

3

 Jul 03, 2009 at 08:16 AM Boomie Says:

Maimonides uses the absolute BEST central lines at preventing infections. I know. I sell it to them. Might cost a little more, but it's the better for the patients, and in the long run for the hospital.

4

 Jul 03, 2009 at 08:22 AM Dov Says:

There are Hospitals on BOTH lists. Huh?

5

 Jul 03, 2009 at 09:37 AM Anonymous Says:

Reply to #4  
Dov Says:

There are Hospitals on BOTH lists. Huh?

That means that in some things they are better than average and in others they are worse.

6

 Jul 03, 2009 at 09:15 AM Anonymous Says:

Reply to #3  
Boomie Says:

Maimonides uses the absolute BEST central lines at preventing infections. I know. I sell it to them. Might cost a little more, but it's the better for the patients, and in the long run for the hospital.

At least for once I hear a good word on Maimonides.. my experience with them is quite different.

7

 Jul 03, 2009 at 09:09 AM Anonymous Says:

This is getting to be like the olden days, People only went to the hospital to die!! My cousins were born at home!

8

 Jul 03, 2009 at 10:20 AM Shulamit Says:

and NY Hospital Queens is on the "bad" list twice...does that mean it's twice as bad?

9

 Jul 03, 2009 at 12:10 PM Ms Boro Parker Says:

I was treated at Maimonides OB division and had to be admitted for an emergency. They took me to a room where there were blood stained sheets lying on the floor and equipment used for some procedure covered with blood resting on the worktop surface. There were even specimens laying there waiting for collection.

Awful experience - and I NEVER went back - I switched doctors and hospitals right away.

10

 Jul 03, 2009 at 12:46 PM Anonymous Says:

Reply to #1  
Anonymous Says:

what does mimonidies do with their books? fabricate them?

they are soooo "SHREKLECH" when it come to infection....let alone nursing.

if only hatzolah would stop taking there things will become better ...but some of the coordinators are making a living from them.

good point...... where do u suppose they should transport patients??? maybe you have some place in your living room? it is the closest hospital and if it isn't a special case then that's were they're going to transport to.

11

 Jul 03, 2009 at 01:04 PM Anonymous Says:

The oilem should be very careful especially now as every July 1 new interns/residents come in and it is a very confusing and stressful time in the hospitals and mistakes can happen very easily. Always ask nurse which drug your taking and why you need it.

13

 Jul 03, 2009 at 01:51 PM Anonymous Says:

Reply to #10  
Anonymous Says:

good point...... where do u suppose they should transport patients??? maybe you have some place in your living room? it is the closest hospital and if it isn't a special case then that's were they're going to transport to.

there are other hospitals within our neighborhood...
methodist
lutheran
if Hatzolah would just stop taking pt to mimonidies for 6 months you bet things will change very quickly.
90-95% of Hatzolah transports are NOT critical enough for mimonidies to be the choice.
we as a community are being cheated out of proper care.
it is an unfortunate situation.

14

 Jul 03, 2009 at 04:07 PM Anonymous Says:

Reply to #13  
Anonymous Says:

there are other hospitals within our neighborhood...
methodist
lutheran
if Hatzolah would just stop taking pt to mimonidies for 6 months you bet things will change very quickly.
90-95% of Hatzolah transports are NOT critical enough for mimonidies to be the choice.
we as a community are being cheated out of proper care.
it is an unfortunate situation.

To the people of the west.....
Stop bad mouthing a hospital which has just opened a magnificient obstetric floor, five star nurseries, with a beautiful view, for our olam. We will use it most.

Why don't we congratulate them for their brand new modern, neonatal ICU which serves so many of our heimishe kinder with wonderful accomodations for parents to feed the new born babies, in a castle like surroundings.

Hakaros hatov is a yiddishe middah, which we should also live with.

If we want our suggestions and complaints to be taken seriously we need to support the hospital when they get it right.

Where is a round of applause for a brand new Cardiac unit on the second floor, new OR's on the fourth, new ICU's on seventh and eight floor?

Plus, its the only GLATT kosher hospital facility outside of Eretz Yisroel!!

From a family member who has been there recently and witnessed the great upgrades at maimo! Go Maimo Go, get better, greater, stronger and be there for us in times of illness chas vshulom and happiness!

15

 Jul 03, 2009 at 04:24 PM Anonymous Says:

Reply to #14  
Anonymous Says:

To the people of the west.....
Stop bad mouthing a hospital which has just opened a magnificient obstetric floor, five star nurseries, with a beautiful view, for our olam. We will use it most.

Why don't we congratulate them for their brand new modern, neonatal ICU which serves so many of our heimishe kinder with wonderful accomodations for parents to feed the new born babies, in a castle like surroundings.

Hakaros hatov is a yiddishe middah, which we should also live with.

If we want our suggestions and complaints to be taken seriously we need to support the hospital when they get it right.

Where is a round of applause for a brand new Cardiac unit on the second floor, new OR's on the fourth, new ICU's on seventh and eight floor?

Plus, its the only GLATT kosher hospital facility outside of Eretz Yisroel!!

From a family member who has been there recently and witnessed the great upgrades at maimo! Go Maimo Go, get better, greater, stronger and be there for us in times of illness chas vshulom and happiness!

Hey, your right whoever you are! I was there recently after b"h not being there for many years and I was astounded what has acheived at
Maimonides in the last couple of years. Let's cheer for success and a job well done.

16

 Jul 03, 2009 at 04:51 PM nurse Says:

Reply to #3  
Boomie Says:

Maimonides uses the absolute BEST central lines at preventing infections. I know. I sell it to them. Might cost a little more, but it's the better for the patients, and in the long run for the hospital.

Boomie, the type of central line is the LEAST of the causes for infection. Its how the nurses take care of it. Do the nurses ALWAYS swab with alcohol WITHOUT contaminating the insertion site before administering medications? Do the nurses ALWAYS close the end of the tube?

17

 Jul 03, 2009 at 04:48 PM Anonymous Says:

Reply to #15  
Anonymous Says:

Hey, your right whoever you are! I was there recently after b"h not being there for many years and I was astounded what has acheived at
Maimonides in the last couple of years. Let's cheer for success and a job well done.

Although I'm not a fan of MMC due to my professional affilation with. a Center in the city. One thing I need to point out, which I know first hand that the people at MMC took some of the best guys in the city and put together a great cancer center for the borough of Brooklyn which is really picking up in terms of patient volume and expansion of services. This was a prudent investment on their part because we in the city are begining to feel some pressure and are watching this with interest.
A frum yiddishe doctor

18

 Jul 03, 2009 at 05:47 PM Anonymous Says:

Reply to #17  
Anonymous Says:

Although I'm not a fan of MMC due to my professional affilation with. a Center in the city. One thing I need to point out, which I know first hand that the people at MMC took some of the best guys in the city and put together a great cancer center for the borough of Brooklyn which is really picking up in terms of patient volume and expansion of services. This was a prudent investment on their part because we in the city are begining to feel some pressure and are watching this with interest.
A frum yiddishe doctor

you can have the best dr's in the world (which I agree mimonidies has some good ones)...
but if the nursing staff doesn't give a hooooot about pt's...your dr's aren't wourth anything.

19

 Jul 03, 2009 at 05:53 PM Anonymous Says:

Reply to #15  
Anonymous Says:

Hey, your right whoever you are! I was there recently after b"h not being there for many years and I was astounded what has acheived at
Maimonides in the last couple of years. Let's cheer for success and a job well done.

u must be lying or be bling to say they are great...
I don't care what the media says....
this hospital should be closed.
the nurses (except for the ones on the 8th floor) are the worst.
I see them in action on a "daily" basis.
I wouldn't suggest anyone (except those with special protexia) to leave a relative on their own...
one hand doesn't know what the other does...nobody cares

20

 Jul 04, 2009 at 09:50 PM Anonymous Says:

Does everyone realize that maimonides makes announcements all night.. Patients in critical condition are bli guzmah woken up every 40 minutes.. Hashem gave us sleep for a reason and that helps cure the body. I complained to the vp of patient relations he answered, "When you have 50,000 dollars to give us for a new system then we will change it. I complained to the president.. Every other hospital does not wake up patients so that nurses can get their phone calls, please put a stop to it. He did. After he left they started doing it again.. They dont care about their patients. Bring to Methodist.. The Rambam is rolling in his grave that they are named after him

21

 Jul 04, 2009 at 09:51 PM Anonymous Says:

they need to train the nurses to be nice and not obnoxious but we are also very demanding and obnoxious and that is part of the biggest problem

22

 Jul 04, 2009 at 11:28 PM Anonymous Says:

To # 13- don't ever think that Lutheran is better than MMC. Hatzoloh should re-think taking patients there. Poorly trained doctors; illiterate nursing staff; unsanitary. It is not fit for a dog.

23

 Jul 05, 2009 at 12:55 AM Anonymous Says:

I have been to Maimonides recently overnight as a companion for a patient and I haven't heard any of these anouncements that the blogger #20 has heard. We had a very pleasant nurse and hard working pct and I don't understand why many are looking to undermine the hospital, they saved my patients life!!!!

24

 Jul 05, 2009 at 12:37 AM Anonymous Says:

Reply to #22  
Anonymous Says:

To # 13- don't ever think that Lutheran is better than MMC. Hatzoloh should re-think taking patients there. Poorly trained doctors; illiterate nursing staff; unsanitary. It is not fit for a dog.

I here your point, but the only way to fix mimonidies is to boycot them for a couple of months.
if hatzolah would only put personal gains and politics aside we would have corrected the problem long ago.

25

 Jul 05, 2009 at 10:04 AM Anonymous Says:

Reply to #9  
Ms Boro Parker Says:

I was treated at Maimonides OB division and had to be admitted for an emergency. They took me to a room where there were blood stained sheets lying on the floor and equipment used for some procedure covered with blood resting on the worktop surface. There were even specimens laying there waiting for collection.

Awful experience - and I NEVER went back - I switched doctors and hospitals right away.

this is a fraction of the junk that goes on there

26

 Jul 05, 2009 at 09:25 AM Anonymous Says:

Reply to #24  
Anonymous Says:

I here your point, but the only way to fix mimonidies is to boycot them for a couple of months.
if hatzolah would only put personal gains and politics aside we would have corrected the problem long ago.

Your probably from the "west" to talk this way. Where else do we hatzolah guys have so much pull and can get things done quietly and professionally on behalf of choleh yisroel, as in mmc. Its frightening to read your comments, it seems that you don't know the facts on the ground.

Regarding the above mentioned issue with nursing staff, the facts are that when a family is polite with the nurse every thing works out, its only when we storm the hospital nursing staff with demands instead of asking, ordering them around instead of suggesting, that we have issues.
Thank You
Hatzala Member

27

 Jul 05, 2009 at 09:02 PM Anonymous Says:

Reply to #26  
Anonymous Says:

Your probably from the "west" to talk this way. Where else do we hatzolah guys have so much pull and can get things done quietly and professionally on behalf of choleh yisroel, as in mmc. Its frightening to read your comments, it seems that you don't know the facts on the ground.

Regarding the above mentioned issue with nursing staff, the facts are that when a family is polite with the nurse every thing works out, its only when we storm the hospital nursing staff with demands instead of asking, ordering them around instead of suggesting, that we have issues.
Thank You
Hatzala Member

its interesting to see how you have your interest in mind (getting out of the hospital as quickly as possible).
of course you get ur way (sometimes) in the ER. once addmitted the pt is at the mercy of the auful staff upstairs. infection, staff that don't care for pt's as well as medical mistakes goes on all day up there. who cares if they have a new building when a nurse can walk into a room and turn the "this pt was turned at" clock and walk out without turning the pt.
the loud laughter from these nurses at 2-3 in the morning makes it sound as if we are in a african jungle.
the protexia (yes private rooms, getting beds ahead of ppl waiting is only the tip of the iceberg) you as a hatzolah mmbr might get at the expense of the rest of us.
and by the way mr hatzolah guy...what does MOS mean when you respond to a call? isn't every jew a member?
once hatzolahs leadership realises that hatzolah belongs to the "whole tzibbur" and that jobs or other perks the hospital throws to the hatzolah leadership in order to cover up for the churban of a hospital they are...and these corrupt guys would throw it back in their faces, then only will we see change.
but unfortunatly this won't happen when we as a tzibbur have an org run by such incompetent ppl.
BOYCOT MIMO

28

 Jul 06, 2009 at 12:57 AM matzahlocal101 Says:

The 132 page report should be read in its entirety here:
http://www.nyhealth.gov/statistics/facilities/hospital/hospital_acquired_infections/2008/docs/hospital-acquired_infection.pdf.

To quote from the original Crain's story "Among the three types of surgical procedures monitored in New York State in 2008, surgical-site infection rates were highest for colon surgery (5%), followed by coronary artery bypass graft surgery (2.2% for chest infections and 1.1% for donor-site infections), and hip-replacement surgery (1.2%)."

Now follow the logic. There have been 7 cases of ALLEGED neonatal HSV-1 infections
Due to metziztah bipeh in the new York City area in the last 70 years, therefore the NYC dept of health wanted to ban metzitzah bipeh. (Seven cases out 100,000 plus procedures?) Yet 5% infection in colon surgery is acceptable and the NYC Dept of health is closing hospitals or banning surgical procedures.

As a Side note, in June 2008 presentation at the International society of STD researchers (ISSTDR) conference NYC Dept of Health Asst commisioner Dr. Julia Schillinger was a coauthor of the latest analysis of NYC neonatal herpes which revealed that 39% of cases (2 out of every 5)were HSV-1, and out of three fatalities, two were girls with HSV-1 infections. Dr. Schillinger maintains that HSV-1 indicates that the mohel must have been the source of the infection despite the fact that DNA testing, the standard method of verifying transmission since 1977, was never done and desoite the fact her own research shows HSV-1 neonatal infection is fairly common. Despite the predictions of hundreds of orthodox babies getting sick and dying due to MBP, since the city and state made neonatal herpes a reportable disease, there has not been one single case linked to MBP. These facta are detailed in length in a soon to be released book on the incompetence, ineptitude and dereliction of duty of the NYC dept of health in investigating the cases allegedly linked to MBP.

29

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