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  • Patient Safety Indicators

  • Accessibility Info

  • Research

  • Freedom of Information

As a way of being more open and accountable to the public, all Ontario hospitals, including Guelph General Hospital, are reporting their Patient Safety Indicators. Our hospital strongly supports this public reporting system because we believe it will inspire improved performance, enhance patient safety and strengthen the public’s confidence in Ontario’s hospitals.

At the same time, it’s important to understand that the reporting of these rates is not the overall solution to reducing the rates of healthcare associated infections. The reports are tools to provide hospitals with good information to assist us in understanding where patient safety issues exist and help us to take action to improve our safety standards.

Our patients at Guelph General Hospital should know that their hospital is safe and every effort is made to ensure we provide quality patient-centred care.

Listed below are the nine indicators. Click on the link for more information on the specific indicator. To find the indicator scores for any Ontario hospital, please click here.

If you have any questions about the information posted or about our hospital’s infection prevention and control program, please call 519 837-6481 and leave a detailed message. Or, please email This email address is being protected from spambots. You need JavaScript enabled to view it. . If you have any concerns relating to a specific personal health issue, please contact your family physician or call Telehealth Ontario at 1 866 797-0000.


Reporting Period


Clostridium difficile

February 1 - 28, 2015

Rate per 1,000 days: 0.69
Case Count <5

Staphylococcus aureus (MRSA) Bacteremia 

Oct. - Dec. 2014

Rate per 1,000 days: 0.00
Case Count <5

Enterococci(VRE) Bacteremia

Oct. - Dec. 2014

Rate per 1,000 days: 0.00
Case Count <5

Hospital Standardized Mortality Ratio (HSMR)

2013 - 2014


Ventilator-Associated Pneumonia

Oct. - Dec. 2014 

Rate per 1,000 vent days: 2.96
Case Count <5

Central Line Infections

Oct. - Dec. 2014

Rate per 1,000 central line days: 0.00
Case Count <5

Surgical Site Infection Prevention

Oct. - Dec. 2014


Surgical Safety Checklist Compliance

July - December 2014


Hand hygiene compliance*
Before or After Contact with Patient or Patient Environment

*based on audited observations


Before - 70.18%
After - 88.60%



At Guelph General Hospital we’re working hard to meet everyone’s accessibility needs. Listed below are all our Policies and Procedures regarding accessibility. In addition, there's a feedback form should you have any accessibility suggestions. Just click on the document name below and a PDF version will open in a new window. Should you require the document in another form, please contact our Patient Representative at 519 837-6440 ext. 2402.
Multi Year Accessibility Plan 2013/2017

Accessibility Standard Policy
Accessibility Standards for Customer Service Policy
Assistive Devices Policy
Barrier Free Policy

Customer Service Training Policy
Disruption of Service Policy
Emergency Response Planning for Employees with Disabilities
Feedback Policy
Procurement Guidelines for Kiosks Policy
Procurement of Services Policy
Service Animals Policy
Support Person Policy

Thank you for your interest in conducting research at Guelph General Hospital. The Hospital participates in research projects on an ongoing basis. Highly valued, research helps the Hospital develop staff, strengthen linkages to healthcare partners as well as contribute to healthcare as a whole. 

Below are documents outlining how research may be conducted as well as application forms. If you have any questions, please contact Michelle Bott at 519 837-6440 ext  2831.

Administrative Approval of Research Proposals (Procedure) Feb 2012

Guidelines for Research Ethics Board Application (Procedure) Dec 2013 
Guidelines for Research Ethics Board Record Retention (Procedure) Dec 2011 
Guidelines for Review of Research Applications 
Research Information Sharing Agreement 
Administrative Approval of Research Proposals Form

Research Studies being conducted at GGH

2014/15 Q1
2013/14 Q4
2013/14 Q3
2013/14 Q2
2013/14 Q1

On January 1, 2012, all Ontario hospitals became subject to the Freedom of Information and Protection of Privacy Act. Click here for more information.


Volunteer of the Year 2015 named

April 21 – At its annual volunteer appreciation luncheon to mark National Volunteer Week, Guelph General Hospital named its Mary Hales “Volunteer of the Year.”
This year’s winner was Ruth Thatcher.


Hospital doing away with restricting visiting hours

March 25 – Every night at 8 p.m. in Guelph General Hospital (GGH) there’s an overhead announcement, “Visiting hours are now over.” This will soon be a thing of the past when on March 30 GGH joins a growing number of Canadian hospitals that are doing away with traditional, restricted visiting hours. Instead, there will be a flexible, patient and family-friendly approach.