Navigation Links
Uniform Methods Urged for Grading Hospital Report Cards
Date:11/9/2010

TUESDAY, Nov. 9 (HealthDay News) -- Differences in hospital surveillance methods affect the quality of public reporting of bloodstream infections on hospital report cards, researchers have found.

"Public reporting of hospital-specific infection rates is widely promoted as a means to improve patient safety. Central line [central venous catheter]-associated bloodstream infection [BSI] rates are considered a key patient safety measure because such infections are frequent, lead to poor patient outcomes, are costly to the medical system and are preventable," Dr. Michael Y. Lin, of Rush University Medical Center in Chicago, and colleagues wrote in the Nov. 10 issue of the Journal of the American Medical Association.

"Publishing infection rates on hospital report cards, which is increasingly required by regulatory agencies, is intended to facilitate interhospital comparisons that inform health care consumers and provide incentive for hospitals to prevent infections. Interhospital comparisons of infection rates, however, are valid only if the methods of surveillance are uniform and reliable across institutions," the researchers explained.

In the study, Lin's team assessed central line-associated BSI rates in 20 intensive care units at four medical centers between 2004 and 2007. During that time, hospital infection control specialists conducted routine surveillance using U.S. Centers for Disease Control and Prevention definitions. The researchers later calculated infection rates with a computer algorithm that used the same CDC surveillance definitions.

According to infection control specialists' surveillance, the median rate of central line-associated BSI was 3.3 infections per 1,000 central line-days; however, the median rate determined by the computer algorithm was nine infections per 1,000 central line-days.

Further analysis revealed a weak overall correlation between rates determined by computer algorithm and infection control specialists. The researchers also found major differences among medical centers in the relationship between computer algorithm and infection control specialist rates.

"The medical center that had the lowest rate by traditional surveillance [2.4 infections per 1,000 central line-days] had the highest rate by computer algorithm [12.6 infections per 1,000 central line-days]," the study authors wrote.

"In this study, we found strong evidence of institutional variation in central line-associated BSI surveillance performance among medical centers. Inconsistent surveillance practice can have a significant effect on the relative ranking of hospitals, which threatens the validity of the metric used by both funding agencies and the public to compare hospitals," they concluded in the report. "As central line-associated BSI rates gain visibility and importance . . . we should seek and test surveillance measures that are as reliable and objective as possible."

More information

The U.S. Department of Health and Human Services has a Web site for those seeking to compare hospitals.

-- Robert Preidt

SOURCE: Journal of the American Medical Association, news release, Nov. 9, 2010


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Uniform, national measures should define HIV/AIDS care
2. New Polycarbonate Sign Face Material Eliminates Hot Spots, Optimizes Light Uniformity in LED Back-Lit Signs
3. MyNursingUniforms Adds Skechers Brand Name Shoes and Scrubs to Store
4. Experts present new testing methods at international meeting in New Orleans, Nov. 14-18
5. Effective methods for detecting early signs of tremor
6. Study of bloodstream infections reveals inconsistent surveillance methods and reporting
7. OHM Cheers End of the "Build it Bigger" Directive: Metropolitan Communities Look to New Methods to Evaluate, Rehabilitate Aging Sewer Systems
8. Investigators examine colorectal cancer screening methods among diverse populations
9. Allsup Outlines Quick-Processing Methods for Social Security Disability Claims
10. University of Miami College of Engineering to develop new methods for data analysis
11. FDA, FSIS, CDC Collaborate on Methods to Measure Success of Food Safety Programs
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Uniform Methods Urged for Grading Hospital Report Cards 
(Date:5/25/2016)... (PRWEB) , ... May 25, 2016 , ... ... Institute (WCRI) compare outcomes of injured workers across 15 states. The outcomes ... work, earnings recovery, access to medical care, and satisfaction with medical care. , ...
(Date:5/25/2016)... ... May 25, 2016 , ... ... - “Advancing Drug Development through Molecular Imaging.” The focus of ADDMI-IG will be ... drug discovery and development pipeline issues. Through ADDMI-IG WMIS will provide a platform ...
(Date:5/25/2016)... , ... May 25, 2016 , ... ... to industries ranging from medical and pharmaceutical, to food and HVAC facilities. Their ... as on-site training. , For medical applications, Afrimesure offers a variety of ...
(Date:5/25/2016)... ... May 25, 2016 , ... The University of San Francisco (USF) has named ... lead a team of more than 100 full-time faculty and staff, and serve as ... in late August. , Baker comes to USF from the University of Washington in ...
(Date:5/25/2016)... CA (PRWEB) , ... May 25, 2016 , ... "FCPX ... the quality of your footage," said Christina Austin - CEO of Pixel Film Studios. ... editors can quickly and easily add stylish color grades to their footage. A LUT ...
Breaking Medicine News(10 mins):
(Date:5/24/2016)... LAWRENCE, Mass. , May 24, 2016  NxStage ... medical technology company focused on advancing renal care, today ... Officer, plans to participate in the following schedule of ... will be made available at http://ir.nxstage.com/ . ... Jefferies Healthcare Conference NY, NY           Friday, ...
(Date:5/24/2016)... , May 24, 2016 ... ™ , la première endoprothèse ... cathéters destinés à l,intervention portant sur les ...   OrbusNeich, entreprise mondiale spécialisée ... de changer la vie, a élargi son ...
(Date:5/23/2016)... India , May 23, 2016 ... spread across 163 pages, profiles 12 companies and the ... tables and figures on the industry and its players. ... that is comprehensive in nature, details the current state ... the industry including definitions, classifications, applications and industry chain ...
Breaking Medicine Technology: