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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Haley, Valerie B. Van Antwerpen, Carole Tserenpuntsag, Boldtsetseg Gase, Kathleen A. Hazamy, Peggy Doughty, Diana Tsivitis, Marie Stricof, Rachel L. |
| Spatial Coverage | New York |
| Description | Country affiliation: United States Author Affiliation: Haley VB ( New York State Department of Health, Bureau of Healthcare Associated Infections, Albany, NY 12237, USA. vbh03@health.state.ny.us) |
| Abstract | OBJECTIVE: To efficiently validate the accuracy of surgical site infection (SSI) data reported to the National Healthcare Safety Network (NHSN) by New York State (NYS) hospitals. DESIGN: Validation study. SETTING: 176 NYS hospitals. METHODS: NYS Department of Health staff validated the data reported to NHSN by review of a stratified sample of medical records from each hospital. The four strata were (1) SSIs reported to NHSN; (2) records with an indication of infection from diagnosis codes in administrative data but not reported to NHSN as SSIs; (3) records with discordant procedure codes in NHSN and state data sets; (4) records not in the other three strata. RESULTS: A total of 7,059 surgical charts (6% of the procedures reported by hospitals) were reviewed. In stratum 1, 7% of reported SSIs did not meet the criteria for inclusion in NHSN and were subsequently removed. In stratum 2, 24% of records indicated missed SSIs not reported to NHSN, whereas in strata 3 and 4, only 1% of records indicated missed SSIs; these SSIs were subsequently added to NHSN. Also, in stratum 3, 75% of records were not coded for the correct NHSN procedure. Errors were highest for colon data; the NYS colon SSI rate increased by 7.5% as a result of hospital audits. CONCLUSIONS: Audits are vital for ensuring the accuracy of hospital-acquired infection (HAI) data so that hospital HAI rates can be fairly compared. Use of administrative data increased the efficiency of identifying problems in hospitals' SSI surveillance that caused SSIs to be unreported and caused errors in denominator data. |
| File Format | HTM / HTML |
| ISSN | 0899823X |
| Issue Number | 6 |
| Volume Number | 33 |
| e-ISSN | 15596834 |
| Journal | Infection Control & Hospital Epidemiology |
| Language | English |
| Publisher | Cambridge University Press |
| Publisher Date | 2012-06-01 |
| Publisher Place | United States |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Communicable Diseases Discipline Epidemiology Cross Infection Epidemiology Hospitals, State Standards Infection Control Medical Audit Methods Surgical Wound Infection Prevention & Control Humans Medical Records New York Journal Article Research Support, U.s. Gov't, P.h.s. Validation Studies |
| Content Type | Text |
| Resource Type | Article |
| Subject | Infectious Diseases Epidemiology Microbiology (medical) |
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