Standardized Infection Ratio for Surgical Site Infection after Colon Surgery: Discord in Models Measuring Healthcare Quality

Author:

Chinn Raymond,Lempp Jason M.,Huang Susan S.,Murthy Rekha,Torriani Francesca J.,Daley Jacqueline,Dekker Elaine,Goss-Bottorff Barbara,Kaler Wendy,Meyer Karen,Myers Frank,Nichols Amy,Kathleen Quan ,Birnbaum David

Abstract

The government publishes 3 different public report surgical site infection (SSI) metrics, all called standardized infection ratios (SIRs), that impact perceived hospital quality. We conducted a non-random cross-sectional observational pilot study of 20 California hospitals that voluntarily submitted colon surgery and SSI data. Discordant SIR values, leading to contradictory conclusions, occurred in 35% of these hospitals.Infect Control Hosp Epidemiol2016;1–5

Publisher

Cambridge University Press (CUP)

Subject

Infectious Diseases,Microbiology (medical),Epidemiology

Reference16 articles.

1. Acute Inpatient PPS. Centers for Medicare & Medicaid Services website. https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/index.html?redirect=/acuteinpatientpps/. Updated 2016. Accessed July 5, 2016.

2. Assessing Medicare’s Hospital Pay-For-Performance Programs And Whether They Are Achieving Their Goals

3. Surgical Site Infection in Elective Operations for Colorectal Cancer After the Application of Preventive Measures

4. National Health Safety Network e-News newsletter. Your Guide to the Standardized Infection Ratio (SIR). Centers for Disease Control and Prevention website. http://www.cdc.gov/nhsn/PDFs/Newsletters/NHSN_NL_OCT_2010SE_final.pdf. Published 2010. Accessed July 5, 2016.

5. Minami CA , Dahke AR , Barnard C , et al. Association between hospital characteristics and performance on the new hospital-acquired condition reduction surgical site infection measures. JAMA Surg Published online April 6, 2016. doi:10.1001/jamasurg.2016.0408.

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