• Volunteers and baby
  • Two MRI techs
  • Volunteer
  • Hospitalists
  • Collage 2
  • OBs
  • -

  • Patient Safety Indicators

  • Accessibility Info

  • Research

  • Privacy 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

March 2016

Rate per 1,000 days: 0.6
Case Count <5

Staphylococcus aureus (MRSA) Bacteremia 

January - March 2016

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

Enterococci(VRE) Bacteremia

January - March 2016

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

Hospital Standardized Mortality Ratio (HSMR)

2014 - 2015


Ventilator-Associated Pneumonia

January - March 2016

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

Central Line Infections

January - March 2016

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

Surgical Site Infection Prevention

January - March 2016


Surgical Safety Checklist Compliance

January - June 2015


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

*based on audited observations


Before - 77.21%
After - 87.74%



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

Administrative Approval of Research Proposals (Procedure) Feb 2012 (Word document)
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

2015/16 Q3
2015/16 Q2
2015/16 Q1

2014/15 Q4

Important Privacy Information for Patients and Families

We are committed to protecting the privacy and confidentiality of your personal health information. We collect and use personal health information to provide the highest quality of care to our patients. We only collect and use information as permitted by our privacy policy and provincial legislation.

What is Personal Health Information?

  • Your physical or mental health including family health history
  • The care and treatment you receive
  • A plan of service for long-term care
  • Your health card number
  • Payment or eligibility for health care

How Do We Collect Your Personal Health Information?

We collect your personal health information from you, your substitute decision maker (if applicable) and health care providers involved in your care.

How Do We Use Your Personal Health Information?

  • To provide you with health care
  • To make our services better
  • To support research and teaching
  • To receive payment for your treatment

It’s your Choice! Sharing Your Personal Health Information

We will share your personal health information with your Family Doctor, Specialists and other health care providers who are involved in your care.

You may request the hospital does not share your personal health information with health care providers.  To do this, please contact us at 519 837-6440 ext. 2719.

We need your consent to share your personal health information with third parties, including Insurance Companies, Lawyers and Police.

If we become aware that the handling of your personal health information was not consistent with our privacy policy, we will contact you.  

If you have any questions or concerns about your privacy, please contact our Chief Privacy Officer at (519) 837-6440 ext. 2273 or review the Privacy Frequently Asked Questions.

When you are admitted to the hospital, you will be given a copy of our Privacy Pamphlet.

For additional Privacy resources, you may visit the Information & Privacy Commissioner of Ontario’s Website.

How do I obtain a copy of my Health Record?

You can contact Clinical Information Services to obtain a copy of your personal health record or to request records to be sent outside of the hospital.

You can call us Monday to Friday from 7 a.m. to 4 p.m. at 519-837-6440 ext. 2719. If you are leaving a message, please provide the following:

  • Your full name
  • Your Health card number
  • The records you are requesting (including the date of your visit)
  • Your daytime telephone number

You can also make a request in person during office hours. We are located on level 2, at the top of the stairs when you enter the hospital from the main lobby.

We will contact you when the records are ready for pick up. You will be asked to sign a consent form before you receive the records.

If you are requesting records for continuing care, there is no fee. If your request is for another purpose, a fee will apply. Please see the fee schedule below.

Fee Schedule


Award-winning doctors at Guelph General Hospital

 May 6Recently, two doctors at Guelph General Hospital were recognized for their work in medical education.


Removing distractions helps reduce medication errors

May 4 – There are times when a nurse is interrupted or distracted when getting patient medication from the computerized drug cabinets located throughout patient care areas of the hospital. To reduce the risk of a medication error being made, Guelph General Hospital recently rolled out “Anywhere RN.” This software allows a nurse to pre-order the needed medications from any computer in the building. Once at the drug cabinet, the nurse simply logs in and the correct drugs at the proper dosage are made available. The software designed to increase patient safety was the result of a generous donation.