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UT Southwestern Zale Lipshy Pavilion at William P. Clements Jr. University Hospital

5151 Harry Hines Boulevard
Dallas, TX 75390-9265
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This Hospital's Grade
Grade a
Fall 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 0.327 0.014 0.000 CMS 07/01/2021 - 06/30/2023
Air or gas bubble in the blood What's This? 0.000 2.890 0.002 0.000 CMS 07/01/2021 - 06/30/2023
Patient falls and injuries What's This? 0.461 1.942 0.385 0.000 CMS 07/01/2021 - 06/30/2023
Infection in the blood What's This? Not Available 2.534 0.687 0.000 2024 Leapfrog Hospital Survey 01/01/2023 - 12/31/2023
Infection in the urinary tract What's This? Not Available 2.550 0.577 0.000 2024 Leapfrog Hospital Survey 01/01/2023 - 12/31/2023
Surgical site infection after colon surgery What's This? Not Available 3.534 0.852 0.000 2024 Leapfrog Hospital Survey 01/01/2023 - 12/31/2023
MRSA Infection What's This? Not Available 2.696 0.746 0.000 2024 Leapfrog Hospital Survey 01/01/2023 - 12/31/2023
C. diff. Infection What's This? Not Available 1.699 0.418 0.000 2024 Leapfrog Hospital Survey 01/01/2023 - 12/31/2023
Death from treatable serious complications What's This? 139.11 222.68 168.34 86.68 CMS 07/01/2020 - 6/30/2022
Harmful Events What's This? 1.10 2.74 1.01 0.55 CMS 07/01/2020 - 6/30/2022
      Dangerous bed sores What's This? * 0.72 6.31 0.58 0.05 CMS 07/01/2020 - 6/30/2022
      Collapsed lung What's This? * 0.24 0.51 0.25 0.12 CMS 07/01/2020 - 6/30/2022
      Falls causing broken hips What's This? * 0.07 0.13 0.09 0.06 CMS 07/01/2020 - 6/30/2022
      Blood Leakage What's This? * 2.60 6.10 2.50 1.10 CMS 07/01/2020 - 6/30/2022
      Kidney injury after surgery What's This? * 1.88 4.55 1.57 0.47 CMS 07/01/2020 - 6/30/2022
      Serious breathing problem What's This? * 7.85 49.00 9.19 2.73 CMS 07/01/2020 - 6/30/2022
      Dangerous blood clot What's This? * 5.35 7.51 3.62 1.61 CMS 07/01/2020 - 6/30/2022
      Sepsis infection after surgery What's This? * 5.39 13.49 5.33 2.17 CMS 07/01/2020 - 6/30/2022
      Surgical wound splits open What's This? * 2.10 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 79.04 100 2024 Leapfrog Hospital Survey 2024
Safe medication administration What's This? 100 25 80.51 100 2024 Leapfrog Hospital Survey 2024
Specially trained doctors care for ICU patients What's This? 100 5 64.45 100 2024 Leapfrog Hospital Survey 2024
Effective leadership to prevent errors What's This? 110.77 27.69 117.40 120.00 2024 Leapfrog Hospital Survey 2024
Staff work together to prevent errors What's This? 120.00 0.00 116.60 120.00 2024 Leapfrog Hospital Survey 2024
Nursing and Bedside Care for Patients What's This? 100 15 76.10 100 2024 Leapfrog Hospital Survey 01/01/2023 - 12/31/2023
Handwashing What's This? 100 15 72.43 100 2024 Leapfrog Hospital Survey 2024
Communication with nurses What's This? 93 76 90.04 97 CMS 10/01/2022 - 09/30/2023
Communication with doctors What's This? 93 77 89.80 99 CMS 10/01/2022 - 09/30/2023
Responsiveness of hospital staff What's This? 86 55 81.48 96 CMS 10/01/2022 - 09/30/2023
Communication about medicines What's This? 79 55 74.33 93 CMS 10/01/2022 - 09/30/2023
Communication about discharge What's This? 90 64 85.14 98 CMS 10/01/2022 - 09/30/2023