Comparison of hospital surgical site infection rates and rankings using claims versus National Healthcare Safety Network surveillance data

2018 ◽  
Vol 40 (2) ◽  
pp. 208-210 ◽  
Author(s):  
Chanu Rhee ◽  
Rui Wang ◽  
Maximilian S. Jentzsch ◽  
Carly Broadwell ◽  
Heather Hsu ◽  
...  
Keyword(s):  
Surgical Site Infection ◽  
Colon Surgery ◽  
Surveillance Data ◽  
Site Infection ◽  
Infection Rates ◽  
Medical Claims ◽  
National Healthcare ◽  
National Healthcare Safety Network ◽  
Network Surveillance ◽  
Healthcare Associated

AbstractNational policies target healthcare-associated infections using medical claims and National Healthcare Safety Network surveillance data. We found low concordance between the 2 data sources in rates and rankings for surgical site infection following colon surgery in 155 hospitals, underscoring the limitations in evaluating hospital quality by claims data.

scholarly journals Incidence of Surgical Site Infection Following Mastectomy With and Without Immediate Reconstruction Using Private Insurer Claims Data

2015 ◽  
Vol 36 (8) ◽  
pp. 907-914 ◽  
Author(s):  
Margaret A. Olsen ◽  
Katelin B. Nickel ◽  
Ida K. Fox ◽  
Julie A. Margenthaler ◽  
Kelly E. Ball ◽  
...  
Keyword(s):  
Surgical Site Infection ◽  
Claims Data ◽  
Diverse Population ◽  
Site Infection ◽  
Immediate Reconstruction ◽  
National Healthcare ◽  
National Healthcare Safety Network ◽  
Diagnosis Codes ◽  
Unilateral Mastectomy ◽  
Procedure Type

OBJECTIVEThe National Healthcare Safety Network classifies breast operations as clean procedures with an expected 1%–2% surgical site infection (SSI) incidence. We assessed differences in SSI incidence following mastectomy with and without immediate reconstruction in a large, geographically diverse population.DESIGNRetrospective cohort studyPATIENTSCommercially insured women aged 18–64 years with ICD-9-CM procedure or CPT-4 codes for mastectomy from January 1, 2004 through December 31, 2011METHODSIncident SSIs within 180 days after surgery were identified by ICD-9-CM diagnosis codes. The incidences of SSI after mastectomy with and without immediate reconstruction were compared using the χ2 test.RESULTSFrom 2004 to 2011, 18,696 mastectomy procedures among 18,085 women were identified, with immediate reconstruction in 10,836 procedures (58%). The incidence of SSI within 180 days following mastectomy with or without reconstruction was 8.1% (1,520 of 18,696). In total, 49% of SSIs were identified within 30 days post-mastectomy, 24.5% were identified 31–60 days post-mastectomy, 10.5% were identified 61–90 days post-mastectomy, and 15.7% were identified 91–180 days post-mastectomy. The incidences of SSI were 5.0% (395 of 7,860) after mastectomy only, 10.3% (848 of 8,217) after mastectomy plus implant, 10.7% (207 of 1,942) after mastectomy plus flap, and 10.3% (70 of 677) after mastectomy plus flap and implant (P<.001). The SSI risk was higher after bilateral compared with unilateral mastectomy with immediate reconstruction (11.4% vs 9.4%, P=.001) than without (6.1% vs 4.7%, P=.021) immediate reconstruction.CONCLUSIONSSSI incidence was twice that after mastectomy with immediate reconstruction than after mastectomy alone. Only 49% of SSIs were coded within 30 days after operation. Our results suggest that stratification by procedure type facilitates comparison of SSI rates after breast operations between facilities.Infect Control Hosp Epidemiol 2015;36(8):907–914

scholarly journals Clinical implications of restrictions in criteria for defining surgical site infections after mastectomy

2020 ◽  
pp. 1-3
Author(s):  
Antoinette A. A. Bediako-Bowan ◽  
David K. Warren ◽  
Katelin B. Nickel ◽  
Victoria J. Fraser ◽  
Margaret A. Olsen
Keyword(s):  
Surgical Site Infection ◽  
Surgical Site Infections ◽  
Adverse Outcomes ◽  
Clinical Implications ◽  
Site Infection ◽  
National Healthcare ◽  
National Healthcare Safety Network

Abstract More than 50% of women with clinically apparent infection after mastectomy did not meet the 2020 National Healthcare Safety Network (NHSN) definition for surgical site infection (SSI). Implant loss was similar whether the 2020 NHSN SSI definition was met or not, suggesting equivalent adverse outcomes regardless of restriction to the surveillance definition.

scholarly journals Risk Adjustment of Surgical Site Infection Rates Following Colon Surgery

2016 ◽  
Vol 3 (suppl_1) ◽  
Author(s):  
Teresa Childers ◽  
Mini Kamboj ◽  
Jessica Sugalski ◽  
Donna Antonelli ◽  
Juliane Bingener-Casey ◽  
...  
Keyword(s):  
Surgical Site Infection ◽  
Risk Adjustment ◽  
Colon Surgery ◽  
Site Infection ◽  
Infection Rates

French National Program for Prevention of Healthcare-Associated Infections and Antimicrobial Resistance, 1992–2008: Positive Trends, But Perseverance Needed

2009 ◽  
Vol 30 (8) ◽  
pp. 737-745 ◽  
Author(s):  
Jean Carlet ◽  
Pascal Astagneau ◽  
Christian Brun-Buisson ◽  
Bruno Coignard ◽  
Valérie Salomon ◽  
...  
Keyword(s):  
Antibiotic Resistance ◽  
Infection Control ◽  
Surgical Site Infection ◽  
Second Phase ◽  
Healthcare Associated Infections ◽  
Site Infection ◽  
National Program ◽  
Infection Rates ◽  
Process Indicators ◽  
Healthcare Associated

Objective.To describe the French program for the prevention of healthcare-associated infections and antibiotic resistance and provide results for some of the indicators available to evaluate the program. In addition to structures and process indicators, the 2 outcome indicators selected were the rate of surgical site infection and the proportion of methicillin-resistant Staphylococcus aureus (MRSA) isolates among the S. aureus isolates recovered.Design.Descriptive study of the evolution of the national structures for control of healthcare-associated infections since 1992. Through national surveillance networks, process indicators were available from 1993 to 2006, surgical site infection rates were available from 1999 to 2005, and prevalence rates for MRSA infection were available from 2001 to 2007.Results.A comprehensive national program has gradually been set up in France during the period from 1993 to 2004, which included strengthening of organized infection control activities at the local, regional, and national levels and developing large networks for surveillance of specific infections and antibiotic resistance. These achievements were complemented by instituting mandatory notification for unusual nosocomial events, especially outbreaks. The second phase of the program involved the implementation of 5 national quality indicators with public reporting. Surgical site infection rates decreased by 25% over a 6-year period. In France, the median proportion of MRSA among S. aureus isolates recovered from patients with bacteremia decreased from 33.4% to 25.7% during the period from 2001 to 2007, whereas this proportion increased in many other European countries.Conclusions.Very few national programs have been evaluated since the Study on the Efficacy of Nosocomial Infection Control. Although continuing efforts are required, the French program appears to have been effective at reducing infection rates.

Sign in / Sign up

Export Citation Format

Share Document