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Hawaii hospital care among worst in U.S.

By Erika Engle

LAST UPDATED: 07:36 a.m. HST, May 06, 2014

Hawaii ranks among the bottom 10 states in the U.S. for patient safety according to a new study.

The CareChex study, rating the quality of U.S. hospital care, reviewed care in each state according to 12 patient safety indicators.

The indicators represent preventable patient safety events including post-operative hip fracture, post-operative hemorrhage and post-operative respiratory failure.

The highest-ranked state offering the best patient care and safety, is Delaware, while the worst-ranked on the list is the District of Columbia.

Out of all 50 states plus the District of Columbia (no. 51), Hawaii ranks 42nd.

CareChex is a division of South Carolina-based Comparion Medical Analytics, a healthcare information services company.


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XML808 wrote:
Any comment from Queens, Kapiolani or Straub?
on May 6,2014 | 07:45AM
false wrote:
How come you left out Kaiser. Every hospital has its problems. Human environments mean there will human failure. Noticeably different is the hospitality of Kaiser staff. They have been trained well. Still there has to be a patient family member to be that patient's advocate for care. Just never allow for human failure. Be another set of eyes.
on May 6,2014 | 07:56AM
hilopango wrote:
My husband had three hospital stays within four months last year at Kaiser. From past experiences at other hospitals, Kaiser Moanalua has the greatest nursing staff ever!
on May 6,2014 | 10:48AM
joseph007 wrote:
Having been to Queens, Kapiolani and Straub, then I was seen at a hospital - Emory - in Atlanta. The change was astounding! The professionalism - from medical personnel in the hallways asking if I was lost and needed help - to the receptionists, nurses, doctors- everyone there was so professional. So different from the staff at our local hospitals. While I think the population of Hawaii is more courteous than on the mainland mostly to big cities, the unprofessionalism shown in their jobs is sad.
on May 6,2014 | 07:57AM
awahana wrote:
Big city medicine cannot exist in a 'hillbilly' state.
Everything is affected.
Target, Walmart, everyone, has to add an extra week of orientation and training, for new employees, compared to what they do on the mainland.
This is to be expected.
Much, much worse, in places like Guam.
on May 6,2014 | 08:28AM
beachbum11 wrote:
What does Walmart, Target hve to do with this hospital report? Please explain.
on May 6,2014 | 09:00AM
lokela wrote:
Probably comes down to management. The facilities here at most of the Hospitals are pretty decent. I feel we shouldn't be ranked near the last. Middle of the pack maybe. I'm sure pay has a lot to do with some attitudes.
on May 6,2014 | 08:32AM
entrkn wrote:
This "study" sounds like it is subjective, narrow in scope, and skewed.
on May 6,2014 | 10:07AM
Dolphin743 wrote:
When the state pushes for everyone to be insured, and then pushes the insurers to keep costs down, lower quality will be the end result. If you want cheap, universal healthcare, you will get your money's worth. This article doesn't even get into the language gap created by the high number of (cheaper) foreign health care staff brought in. That language gap can mean the difference between a patient being able to call appropriate attention to an emerging issue or letting it fester until it becomes an "adverse outcome".
on May 6,2014 | 10:27AM
KaneoheSJ wrote:
This is a big secret of Hawaii's health care, poor hospital care. Hospitals are such big corporations now that everything is run with the dollar sign at the top. Hospital workers work under a lot of high stress to meet their quota and to meet requirements. All to line the pockets of big CEO's. Hospitals even charge insurance companies and patients huge amounts for simple things a saline solution. Not long ago an insurance company blew the whistle on Queen's exorbitant rate for procedures that were being done for a whole lot less at another hospital. And the highway robbery goes on.
on May 6,2014 | 11:05AM
lookup wrote:
Good points Dolphin743 and KaneoheSJ... work load has a lot to do with how much time and effort can be put into hospitality and care! $ is the #1 concern.
on May 6,2014 | 12:09PM
Maneki_Neko wrote:
As a State we should be leveraging all the wonderful parts of Hawaii to encourage medical tourism which is hugely profitable and which can fund high level improvements to our hospital facilities that, in turn, would benefit residents.

But noooooo....

on May 6,2014 | 11:22AM
fiveo wrote:
I have been told by a doctor that Queens has a very high rate of post operative infections. From my own observations nurses and doctors do not always practice good hygiene practices such as washing their hands. While they do don gloves its almost as if this is done to protect themselves from the patient rather than to prevent spreading germs/infections to the patient. It is what you could call ass backwards. The other thing that I have always disliked is that nurses and other hospital staff are allowed to wear their uniforms to work rather than changing to their uniforms after they get to the hospital. This means of course that they then bring in germs and other infectious material into the hospital and of course to the patients they have contact with. I do not understand why this is allowed. This to me does not make sense. You would think you would want to keep the work environment such as a hospital as clean as possible. Overall, our local hospitals could do a lot more to improve the care they provide.
on May 6,2014 | 11:26AM
hikine wrote:
The study does not indicate the contributing factors such as underlying medical conditions and patient mental, physical condition at the time of an event.
on May 6,2014 | 11:43AM
Mana07 wrote:
There sure is a lot of blue states on the bottom lists....
on May 6,2014 | 12:06PM
samidunn wrote:
I had a one week stay in the ICU at Kaiser Moanalua. The nursing staff left a lot to be desired. But that was ten years ago.
on May 6,2014 | 12:54PM
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