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:6/26/2016)... ... June 26, 2016 , ... PawPaws brand pet supplements ... that was developed to enhance the health of felines. The formula is all-natural and ... main herbs in the PawPaws Cat Kidney Support Supplement Soft Chews are ...
(Date:6/25/2016)... ... , ... Austin residents seeking Mohs surgery services, can now turn to Dr. ... Russell Peckham for medical and surgical dermatology. , Dr. Dorsey brings specialization to include ... in Mohs Micrographic Surgery completed by Dr. Dorsey was under the direction of Glenn ...
(Date:6/25/2016)... CA (PRWEB) , ... June 25, 2016 , ... As ... with Magna Cum Laude and his M.D from the David Geffen School of Medicine ... and returned to Los Angeles to complete his fellowship in hematology/oncology at the UCLA-Olive ...
(Date:6/24/2016)... ... June 24, 2016 , ... A recent article published June 14 ... The article goes on to state that individuals are now more comfortable seeking to ... operations such as calf and cheek reduction. The Los Angeles area medical group, Beverly ...
(Date:6/24/2016)... ... June 24, 2016 , ... The Pulmonary Hypertension Association (PHA) ... will receive two significant new grants to support its work to advance research ... anniversary by recognizing patients, medical professionals and scientists for their work in fighting ...
Breaking Medicine News(10 mins):
(Date:6/26/2016)... 2016 Jazz Pharmaceuticals plc (Nasdaq: ... Hart-Scott-Rodino Antitrust Improvements Act of 1976, as amended ("HSR"), ... Inc. ("Celator"; Nasdaq: CPXX ) expired effective ... As previously announced on May 31, 2016, ... agreement under which Jazz Pharmaceuticals has commenced a tender ...
(Date:6/24/2016)... FRANCISCO, Calif. , June 24, 2016 /PRNewswire/ ... ), a biopharmaceutical company developing novel therapeutics for ... unmet needs, today announced the closing of its ... of common stock, at the public offering price ... in the offering were offered by GBT. GBT ...
(Date:6/24/2016)... Dehaier Medical Systems Ltd. (NASDAQ: ... and sells medical devices and wearable sleep respiratory products ... cooperation agreement with Hongyuan Supply Chain Management Co., Ltd. ... 20, 2016, to develop Dehaier,s new Internet medical technology ... will leverage Hongyuan Supply Chain,s sales platform to reach ...
Breaking Medicine Technology: