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Infection data may not be comparable across hospitals, study shows
Date:9/18/2012

on-Woods. "We found very little evidence of this. We did find that doctors were fine with making a clinical decision that a patient might have a central line infection for purposes of treating them, but they wanted better evidence if they were going to report an infection externally. That meant that sometimes a patient who was treated as having an infection while in hospital was not counted as having an infection when data were reported. Doctors also varied in how many blood samples they sent off for laboratory analysis".

Professor Bion commented that these findings have important lessons for those involved in improving the quality of patient care. He said: "The study shows that if we are going to use data produced by hospitals to guide quality improvement, data collection systems must be carefully designed and operated, fully integrated with clinical priorities, and impose minimum burden. We need data that clinicians and organizations believe in. And until we have that, we need to be very careful about comparing performance across hospitals. We certainly need to avoid basing pay-for-performance schemes on central line data, because it's now becoming clear that these schemes have many unintended consequences."

Dr Elaine Maxwell, Assistant Director at the Health Foundation, commented: " This research highlights the very real difficulties in measuring safety in healthcare. Adverse events such as infections are increasingly being used in performance management. This study demonstrates that accurate data collection is more complex than may have at first been imagined. The Health Foundation is continuing to support the development of reliable and sensitive safety measures to reflect sustained improvement."


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Contact: Professor Mary Dixon-Woods
md11@le.ac.uk
44-011-622-97262
University of Leicester
Source:Eurekalert  

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