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Tidelands Georgetown Memorial Hospital

606 Black River Rd
Georgetown, SC 29440-3304
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This Hospital's Grade
Grade c
Spring 2024

Outcomes measures include errors, accidents, and injuries that this hospital has publicly reported.

Measure The Hospital's Score Worst Performing Hospital Avg. Performing Hospital Best Performing Hospital Data Source Time Period Covered
Dangerous object left in patient’s body What's This? 0.000 0.336 0.014 0.000 CMS 07/01/2020 - 06/30/2022
Air or gas bubble in the blood What's This? 0.000 0.308 0.001 0.000 CMS 07/01/2020 - 06/30/2022
Patient falls and injuries What's This? 0.437 2.006 0.428 0.000 CMS 07/01/2020 - 06/30/2022
Infection in the blood What's This? Not Available 2.944 0.730 0.000 CMS 04/01/2022 - 03/31/2023
Infection in the urinary tract What's This? Not Available 2.482 0.627 0.000 CMS 04/01/2022 - 03/31/2023
Surgical site infection after colon surgery What's This? Not Available 3.207 0.845 0.000 CMS 04/01/2022 - 03/31/2023
MRSA Infection What's This? Not Available 2.908 0.793 0.000 CMS 04/01/2022 - 03/31/2023
C. diff. Infection What's This? 0.374 1.791 0.455 0.000 CMS 04/01/2022 - 03/31/2023
Death from treatable serious complications What's This? Not Available 222.70 168.38 86.68 CMS 07/01/2020 - 6/30/2022
Harmful Events What's This? 1.15 2.74 1.01 0.55 CMS 07/01/2020 - 6/30/2022
      Dangerous bed sores What's This? * 0.56 6.31 0.58 0.05 CMS 07/01/2020 - 6/30/2022
      Collapsed lung What's This? * 0.35 0.51 0.25 0.12 CMS 07/01/2020 - 6/30/2022
      Falls causing broken hips What's This? * 0.09 0.13 0.09 0.06 CMS 07/01/2020 - 6/30/2022
      Blood Leakage What's This? * 2.28 6.10 2.50 1.10 CMS 07/01/2020 - 6/30/2022
      Kidney injury after surgery What's This? * 1.49 4.55 1.57 0.47 CMS 07/01/2020 - 6/30/2022
      Serious breathing problem What's This? * 13.18 49.00 9.19 2.73 CMS 07/01/2020 - 6/30/2022
      Dangerous blood clot What's This? * 4.74 7.51 3.61 1.61 CMS 07/01/2020 - 6/30/2022
      Sepsis infection after surgery What's This? * 4.70 13.49 5.33 2.17 CMS 07/01/2020 - 6/30/2022
      Surgical wound splits open What's This? * 1.94 4.40 2.01 0.89 CMS 07/01/2020 - 6/30/2022
      Accidental cuts and tears What's This? * 1.00 3.43 1.10 0.35 CMS 07/01/2020 - 6/30/2022
* This measure is a part of the Harmful Events Composite and is not used for scoring.

Process measures include the management structures and procedures a hospital has in place to protect patients from errors, accidents, and injuries.

Measure The Hospital's Score Worst Performing Hospital Avg. Performing Hospital Best Performing Hospital Data Source Time Period Covered
Doctors order medications through a computer What's This? 100 15 91.81 100 Imputation Model Applied Not Applicable
Safe medication administration What's This? 75 25 93.42 100 Imputation Model Applied Not Applicable
Specially trained doctors care for ICU patients What's This? 5 5 63.29 100 Imputation Model Applied Not Applicable
Effective leadership to prevent errors What's This? Declined to Report 64.62 117.59 120.00 2023 Leapfrog Hospital Survey 2023
Staff work together to prevent errors What's This? Declined to Report 0.00 117.08 120.00 2023 Leapfrog Hospital Survey 2023
Nursing and Bedside Care for Patients What's This? Declined to Report 15 74.69 100 2023 Leapfrog Hospital Survey 2023
Handwashing What's This? 100 15 78.65 100 Imputation Model Applied Not Applicable
Communication with nurses What's This? 88 77 89.67 96 CMS 04/01/2022 - 03/31/2023
Communication with doctors What's This? 91 77 89.52 98 CMS 04/01/2022 - 03/31/2023
Responsiveness of hospital staff What's This? 77 61 81.14 94 CMS 04/01/2022 - 03/31/2023
Communication about medicines What's This? 74 56 74.09 91 CMS 04/01/2022 - 03/31/2023
Communication about discharge What's This? 88 63 84.90 94 CMS 04/01/2022 - 03/31/2023