当前位置： SCI文献检索 > AMERICAN JOURNAL OF INFECTION CONTROL期刊下所有文献 > Association of hospital-area deprivation with hospital performance on health care associated infection rates in 2018.

Association of hospital-area deprivation with hospital performance on health care associated infection rates in 2018.

Abstract：

BACKGROUND AND OBJECTIVE:Healthcare-associated infections (HAIs) are common and often preventable complications of care, with reduction emphasized in national policy. The Centers for Medicare and Medicaid Services introduced an HAI-focused Hospital Acquired Condition Reduction Program in 2015 to penalize poor-performing hospitals. Standardized infection ratios (SIRs) are used for comparisons between healthcare organizations, though they are not adjusted for socioeconomic risks known to impact infection. The objectives of this study were to assess the relationship between hospital-area deprivation with reported SIRs and reimbursement penalties. METHODS:This was a cohort study using 2018 Hospital Compare, as well as area deprivation data and other hospital characteristics. Multivariable regression models were used to evaluate associations between hospital-area deprivation and SIR reporting as well as payment reduction, adjusting for case mix index and hospital ownership. RESULTS:Of the 2102 unique hospitals in our study, 12.8% reported at least one worse than national benchmark SIR and 23.7% had a payment reduction. After adjustment, there was a 17% increased risk of reporting worse than benchmarked SIRs with quartile increases in deprivation (95% confidence interval: 5%-30%, P = .004). Despite this, there were no significant relationships between reimbursement penalties and ADI (risk ratio: 1.00, 95% confidence interval: 0.997-1.005, P = .567). CONCLUSIONS:This study documented a significant relationship between hospital-area deprivation and the risk of reporting worse than national benchmark SIRs. Though this did not appear to translate to Hospital Acquired Condition Reduction Program penalties in this dataset, it reinforces problems with the current use of SIRs for interhospital comparisons.

journal_name

Am J Infect Control

journal_title

American journal of infection control

authors

Wiemken TL,Wright MO,Johnston KJ

doi

10.1016/j.ajic.2020.05.038

subject

Has Abstract

pub_date

2020-12-01 00:00:00

pages

1478-1484

issue

12

eissn

0196-6553

issn

1527-3296

pii

S0196-6553(20)30353-9

journal_volume

48

pub_type

杂志文章

相关文献

AMERICAN JOURNAL OF INFECTION CONTROL文献大全
  • Unintended consequences of infection prevention and control measures during COVID-19 pandemic.

    abstract：BACKGROUND:In the current COVID-19 pandemic, aggressive Infection Prevention and Control (IPC) measures have been adopted to prevent health care-associated transmission of COVID-19. We evaluated the impact of a multimodal IPC strategy originally designed for the containment of COVID-19 on the rates of other hospital-ac...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/j.ajic.2020.10.019

    authors： Wee LEI,Conceicao EP,Tan JY,Magesparan KD,Amin IBM,Ismail BBS,Toh HX,Jin P,Zhang J,Wee EGL,Ong SJM,Lee GLX,Wang AE,How MKB,Tan KY,Lee LC,Phoon PC,Yang Y,Aung MK,Sim XYJ,Venkatachalam I,Ling ML

    更新日期：2020-11-04 00:00:00

  • Understanding factors that impact on public and patient's risk perceptions and responses toward Clostridium difficile and other health care-associated infections: a structured literature review.

    abstract：BACKGROUND:Clostridium difficile is the most common health care-associated infection and a major cause of death and increased morbidity. It is vital that patients and the public are provided with the right information and communication to assist them to understand their role in preventative measures. Successful impleme...

    journal_title：American journal of infection control

    pub_type： 杂志文章,评审

    doi：10.1016/j.ajic.2012.05.026

    authors： Burnett E,Johnston B,Kearney N,Corlett J,MacGillivray S

    更新日期：2013-06-01 00:00:00

  • Impact of a mandated provincial hand hygiene program: messages from the field.

    abstract：BACKGROUND:The British Columbia Provincial Hand Hygiene Working Group was formed in September 2010 and tasked with the development and implementation of a provincial hand hygiene (HH) program for health care. METHODS:As part of an evaluation of the provincial HH program, qualitative key informant interviews of program...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/j.ajic.2014.04.004

    authors： Bryce E,Islam S,Nelson B,Gamage B,Wilson R,Welsh P,Han G,British Columbia Provincial Hand Hygiene Working Group.

    更新日期：2014-07-01 00:00:00

  • Washer disinfector and alkaline detergent efficacy against C. difficile on plastic bedpans.

    abstract：BACKGROUND:Clostridioides difficile is a major cause of infectious antibiotic resistant diarrhea. C. difficile spores are shed in patient stool, are hearty and difficult to kill. Bedpans are often used by patients with C. difficile infections and require proper handling and cleaning or disposal to prevent the transmiss...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/j.ajic.2019.11.028

    authors： Hatt S,Schindler B,Bach D,Greene C

    更新日期：2020-07-01 00:00:00

  • Nosocomial infection control: scope and implications for health care--a historical view.

    abstract：:Knowing where we have come from helps to decide where we should be going. Many principles and practices of modern infection control were developed in the nineteenth and early twentieth century. The story is one of halting, yet relentless, progress. The history of these discoveries and their application to infection co...

    journal_title：American journal of infection control

    pub_type： 历史文章,杂志文章

    doi：10.1016/s0196-6553(81)80064-8

    authors： White FM

    更新日期：1981-08-01 00:00:00

  • Do we know how best to disinfect child care sites in the United States? A review of available disinfectant efficacy data and health risks of the major disinfectant classes.

    abstract：BACKGROUND:Children in child care settings have a high infectious burden. They are frequently exposed to sanitizing and disinfecting agents, whose toxicities have not been studied in these settings. Current guidance on the preferred disinfection agents for child care is vague. METHODS:This article combines 2 different...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/j.ajic.2018.06.013

    authors： Holm SM,Leonard V,Durrani T,Miller MD

    更新日期：2019-01-01 00:00:00

  • A critical evaluation of current protocols for self-sterilizing surfaces designed to reduce viral nosocomial infections.

    abstract：BACKGROUND:Biocidal high-touch surfaces contact surfaces can be used to help reduce healthcare-acquired infections (HAIs). While the bactericidal protocols are well developed, there remains high variability in the methods used to evaluate the virucidal properties of such surfaces. This paper seeks to identify the most ...

    journal_title：American journal of infection control

    pub_type： 杂志文章,评审

    doi：10.1016/j.ajic.2020.02.008

    authors： Walji SD,Aucoin MG

    更新日期：2020-10-01 00:00:00

  • Skin flora of patients in Thailand.

    abstract：BACKGROUND:Studies taken from different hospitalized patient populations, environments, and geographic regions reveal differences in the numbers and species of organisms colonizing the skin. Our aim was to determine the types and amounts of skin flora, and examine the factors associated with variations in microbial ski...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1067/mic.2003.64

    authors： Thamlikitkul V,Santiprasitkul S,Suntanondra L,Pakaworawuth S,Tiangrim S,Udompunthurak S,Danchaivijitr S

    更新日期：2003-04-01 00:00:00

  • Does health care role and experience influence perception of safety culture related to preventing infections?

    abstract：:Growing evidence reveals the importance of improving safety culture in efforts to eliminate health care-associated infections. This multisite, cross-sectional survey examined the association between professional role and health care experience on infection prevention safety culture at 5 hospitals. The findings suggest...

    journal_title：American journal of infection control

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.ajic.2012.09.006

    authors： Braun BI,Harris AD,Richards CL,Belton BM,Dembry LM,Morton DJ,Xiao Y

    更新日期：2013-07-01 00:00:00

  • Efficacy and safety of a novel skin cleansing formulation versus chlorhexidine gluconate.

    abstract：BACKGROUND:This study evaluated whether a multi-ingredient surfactant colloidal silver technology was noninferior to a 4% chlorhexidine gluconate (CHG) antiseptic on immediate and persistent antimicrobial activity. METHODS:The inguinal regions of 81 healthy adults were demarcated into 4 quadrants, and 3 were used for ...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/j.ajic.2018.04.232

    authors： Paulson DS,Topp R,Boykin RE,Schultz G,Yang Q

    更新日期：2018-11-01 00:00:00

  • Lookback investigation of patients potentially exposed to HIV type 1 after a nurse-to-patient transmission.

    abstract：:A nurse-to-patient transmission of HIV type 1 was recently documented in a French hospital. The origin of the transmission remained unclear. To inform patients who may have been exposed to the nurse while they had received care, a lookback investigation that included mailings and a viral screening was conducted for 75...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1067/mic.2002.119926

    authors： Astagneau P,Lot F,Bouvet E,Lebascle K,Baffoy N,Aggoune M,Brücker G

    更新日期：2002-06-01 00:00:00

  • Cleaning, resistant bacteria, and antibiotic prescribing in residential aged care facilities.

    abstract：:Residents of residential aged care facilities (RACFs) are at risk of colonization and infection with multidrug-resistant bacteria, and antibiotic prescribing is often inappropriate and not based on culture-proven infection. We describe low levels of resident colonization and environmental contamination with resistant ...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/j.ajic.2015.09.034

    authors： Cowan RU,Kishan D,Walton AL,Sneath E,Cheah T,Butwilowsky J,Friedman ND

    更新日期：2016-03-01 00:00:00

  • Patient perspectives on indwelling urinary catheter use in the hospital.

    abstract：:Urinary tract infections are one of the most common hospital-acquired infections, with 70%-80% resulting from catheter-associated urinary tract infections (CAUTIs). We undertook a qualitative study to assess patient perspectives of indwelling urinary catheters using a semistructured interview. We found that patient aw...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/j.ajic.2015.10.011

    authors： Safdar N,Codispoti N,Purvis S,Knobloch MJ

    更新日期：2016-03-01 00:00:00

  • Predictors of mortality in patients infected with carbapenem-resistant Acinetobacter baumannii: A systematic review and meta-analysis.

    abstract：BACKGROUND:Carbapenem-resistant Acinetobacter baumannii (CRAB) tops the list of threats to human health. Studies exploring predictors of mortality in patients with CRAB infection produced conflicting results. METHODS:A systematic search of the PubMed, Embase, and the Cochrane Library databases was performed from incep...

    journal_title：American journal of infection control

    pub_type： 杂志文章,meta分析

    doi：10.1016/j.ajic.2019.03.003

    authors： Du X,Xu X,Yao J,Deng K,Chen S,Shen Z,Yang L,Feng G

    更新日期：2019-09-01 00:00:00

  • National prevalence of methicillin-resistant Staphylococcus aureus in inpatients at United States health care facilities, 2010.

    abstract：BACKGROUND:Methicillin-resistant Staphylococcus aureus (MRSA) remains one of the most prevalent multidrug-resistant organisms causing health care-associated infections. Limited data are available about how the prevalence of MRSA has changed over the past several years and what MRSA prevention practices have been implem...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/j.ajic.2012.02.001

    authors： Jarvis WR,Jarvis AA,Chinn RY

    更新日期：2012-04-01 00:00:00

  • Beyond the abacus: Leveraging the electronic medical record for central line day surveillance.

    abstract：:Manual counting is considered the gold standard for device day recording by the National Health Safety Network. We describe the development of a process for an electronic count of central line days across our ten-hospital health care system. Our validation process identified discordance between the electronic count an...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/j.ajic.2019.05.013

    authors： Burke PC,Eichmuller L,Messam M,Duffy DA,Borkowski RG,Gordon SM,Fraser TG

    更新日期：2019-11-01 00:00:00

  • Validation of quality assurance criteria for rectal surveillance cultures.

    abstract：:We aimed to validate quality assurance (QA) criteria for rectal surveillance cultures (RSCs) for extended-spectrum β-lactamase-producing Enterobacteriaceae. QA for RSCs were tested by observing the presence or absence of fecal soiling and by examining the growth of Enterobacteriaceae on MacConkey agar. Extended-spectr...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/j.ajic.2017.02.036

    authors： Amar M,Adler A

    更新日期：2017-09-01 00:00:00

  • Hospital-acquired infections and thermally injured patients: chlorhexidine gluconate baths work.

    abstract：BACKGROUND:Thermally injured patients are at high risk for infections, including hospital acquired infections (HAIs). We modeled a twice-daily chlorhexidine gluconate (CHG) bath protocol aimed at decreasing HAIs. METHODS:Bathing with a 0.9% CHG solution in sterile water was provided twice daily as part of routine care...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/j.ajic.2013.08.015

    authors： Popp JA,Layon AJ,Nappo R,Richards WT,Mozingo DW

    更新日期：2014-02-01 00:00:00

  • Zinc pyrithione in alcohol-based products for skin antisepsis: persistence of antimicrobial effects.

    abstract：:Alcohol-based products for skin antisepsis have a long history of safety and efficacy in the United States and abroad. However, alcohol alone lacks the required antimicrobial persistence to provide for the sustained periods of skin antisepsis desired in the clinical environment. Therefore, alcohol-based products must ...

    journal_title：American journal of infection control

    pub_type： 杂志文章,评审

    doi：10.1016/j.ajic.2004.07.012

    authors： Guthery E,Seal LA,Anderson EL

    更新日期：2005-02-01 00:00:00

  • APIC State-of-the-Art Report: the role of the infection preventionist in emergency management.

    abstract：BACKGROUND:This report summarizes the scope and role of infection preventionists in emergency management for all types of disasters. Preventing the transmission of infectious agents during a disaster is an essential component of emergency management. Previous disasters have illustrated the need for better infection pre...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/j.ajic.2008.12.002

    authors： Rebmann T,2008 APIC Emergency Preparedness Committee.

    更新日期：2009-05-01 00:00:00

  • Extended-spectrum β-lactamase-producing Enterobacteriaceae in healthy companion animals living in nursing homes and in the community.

    abstract：BACKGROUND:Animals could be reservoirs of extended-spectrum β-lactamases (ESBL) strains, but epidemiologic data on ESBL-producing bacteria in healthy pets are missing. We determined the prevalence of ESBL-producing Enterobacteriaceae in pets living in nursing homes and in households to investigate the potential role of...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/j.ajic.2012.11.013

    authors： Gandolfi-Decristophoris P,Petrini O,Ruggeri-Bernardi N,Schelling E

    更新日期：2013-09-01 00:00:00

  • Decrease in Candida bloodstream infections in veterans in Atlanta.

    abstract：:Despite the recent focus on prevention of health care-associated infections, rates of Candida bloodstream infections in adults have remained unchanged until recently. We report a decline of Candida bloodstream infections, not explained by changes in broad-spectrum antibiotic use, but coinciding with infection control ...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/j.ajic.2015.11.003

    authors： Kabbani S,Jacob JT,Gaynes RP,Rimland D

    更新日期：2016-04-01 00:00:00

  • New interventions to increase influenza vaccination rates in health care workers.

    abstract：BACKGROUND:The most effective strategy for avoiding nosocomial influenza outbreaks is through vaccination of health care workers (HCWs). In Spain, HCW vaccination coverage rarely exceeds 25%. The objective of this study was to determine whether an active vaccination campaign promoting communication among HCWs increased...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/j.ajic.2010.01.013

    authors： Llupià A,García-Basteiro AL,Olivé V,Costas L,Ríos J,Quesada S,Varela P,Bayas JM,Trilla A

    更新日期：2010-08-01 00:00:00

  • Comparison of hand contamination rates and environmental contamination levels between two different glove removal methods and distances.

    abstract：BACKGROUND:Gloves are a necessary contact precaution to prevent transmission of infectious pathogens that spread by direct or indirect contact with an infected person or a contaminated environment. This article reports a study investigating hand and environmental contamination levels when health care workers (HCWs) fol...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/j.ajic.2010.06.007

    authors： Lai JY,Guo YP,Or PP,Li Y

    更新日期：2011-03-01 00:00:00

  • Facilitators and barriers to a family empowerment strategy to improve healthcare worker hand hygiene in a resource-limited setting.

    abstract：OBJECTIVES:The World Health Organization recommends empowering patients/families to remind healthcare workers (HCWs) to perform hand hygiene (HH). We sought to understand acceptability of a family empowerment strategy in a Vietnamese pediatric intensive care unit (PICU). METHODS:With end-user input, we designed a tool...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/j.ajic.2020.05.030

    authors： Campbell JI,Pham TT,Le T,Dang TTH,Chandonnet CJ,Truong TH,Duong H,Nguyen DD,Le TH,Tran TH,Nguyen TKO,Ho TMT,Le KN,Pollack TM,Sandora TJ

    更新日期：2020-12-01 00:00:00

  • Effects of handwashing agent, handwashing frequency, and clinical area on hand flora.

    abstract：:Six hundred twenty-two isolates from 554 samples taken from hands of 103 hospital personnel and 50 controls were obtained over a mean period of 35 days. Eighty-five were obtained immediately before and after handwashing (HW), the remainder after HW only. The relationship of HW agent used, clinical area and job, and fr...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/0196-6553(84)90020-8

    authors： Larson E

    更新日期：1984-04-01 00:00:00

  • Preventive effect of meningococcal vaccination in Israeli military recruits.

    abstract：BACKGROUND:Meningococcal disease remains a major concern in populations living under crowded conditions. Following the 1995 report of several cases of meningococcal disease in Israeli soldiers, the Department of Epidemiology of the Army Health Branch, Israel Defense Forces (IDF) adopted an immunization policy for all r...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/j.ajic.2009.04.290

    authors： Mimouni D,Bar-Zeev Y,Huerta M,Balicer RD,Grotto I,Ankol O

    更新日期：2010-02-01 00:00:00

  • Successful implementation of the CDC recommendations during the care of 2 patients with Candida auris in in-patient rehabilitation and intensive care settings.

    abstract：:Candida auris presents a unique challenge to practitioners and infection control teams worldwide because of its virulence, alarming resistance profile, environmental fitness, and risk of nosocomial transmission. We describe 2 cases of Candida auris infection managed with the CDC recommendations with no evidence of in-...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/j.ajic.2020.08.027

    authors： Reimer-McAtee M,Corsi G,Reed E,Boston KM,Yalamanchili H,Burnazian G,Bassett S,Butler J,McGinnis-Cole T,Chavez V,Wanger A,Ostrosky-Zeichner L

    更新日期：2020-08-20 00:00:00

  • Comparison of infection control practices in a Dutch and US hospital using the infection risk scan (IRIS) method.

    abstract：BACKGROUND:The infection risk scan (IRIS) is a tool to measure the quality of infection control (IC) and antimicrobial use in a standardized way. We describe the feasilibility of the IRIS in a Dutch hospital (the Netherlands, NL) and a hospital in the United States (US). METHODS:Cross-sectional measurements were perfo...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/j.ajic.2019.09.020

    authors： Willemsen I,Jefferson J,Mermel L,Kluytmans J

    更新日期：2020-04-01 00:00:00

  • Estimation of hand hygiene opportunities on an adult medical ward using 24-hour camera surveillance: validation of the HOW2 Benchmark Study.

    abstract：BACKGROUND:We previously published a formula to estimate the number of hand hygiene opportunities (HHOs) per patient-day using the World Health Organization's "Five Moments for Hand Hygiene" methodology (HOW2 Benchmark Study). HHOs can be used as a denominator for calculating hand hygiene compliance rates when product ...

    journal_title：American journal of infection control

    pub_type： 杂志文章

    doi：10.1016/j.ajic.2014.02.020

    authors： Diller T,Kelly JW,Blackhurst D,Steed C,Boeker S,McElveen DC

    更新日期：2014-06-01 00:00:00