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Despite being a leading cause of hospital mortality, sepsis is excluded from the Centers for Medicare & Medicaid Services’ (CMS’) targeted readmission metrics — an omission that raises critical concerns given sepsis’ profound impact on health care outcomes. 

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Safety in hospitals is often centered on patients — but it is equally important to consider the risks faced by others, like visitors. To identify and correct blind spots, it is critical that hospitals report all injuries that occur on site, even those that do not involve patients.  

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HQI’s Signal Detection Program produces quarterly reports on unusual shifts in diagnostic and patient safety events, providing a statewide snapshot of hospital quality and safety trends. In 2024, after analyzing varying sets of data — one rooted in practice breakdowns, the other in diagnostic data — HQI staff identified several persistent challenges for hospitals:

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According to new research from HQI, the number of gout cases treated in California emergency departments increased in 2023, particularly among men aged 60-74. Gout — arthritis from high uric acid, causing joint pain and swelling — is often triggered by red meat, seafood; treatment involves diet changes and medication.   

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Following significant disruption in patient care during the COVID-19 pandemic, prostate cancer discharges have rebounded to the highest level in nearly a decade. After a drop of 7% in 2020, discharges bounced back in 2021 and 2022. In 2023, however, discharges increased 11% above the previous average (excluding 2020). 

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Recent updates to the Hospital Quality Improvement Platform (HQIP) have made it even more useful for member hospitals. HQIP now includes: