Hostname: page-component-586b7cd67f-tf8b9 Total loading time: 0 Render date: 2024-11-28T18:33:36.686Z Has data issue: false hasContentIssue false

The Impact of Observation Units on the Rate of Hospital-Acquired Infection

Published online by Cambridge University Press:  02 January 2015

Anna Dow Sheahan*
Affiliation:
Department of Medicine, Infection Control, Memorial Sloan-Kettering Cancer Center, New York, New York
Kent A. Sepkowitz
Affiliation:
Department of Medicine, Infection Control, Memorial Sloan-Kettering Cancer Center, New York, New York
*
Department of Medicine, Infection Control, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY 10065 ([email protected])

Abstract

Using Clostridium difficile as an example, we calculated the impact that reduced inpatient-day denominators resulting from implemen¬tation of hospital observation units would have on hospital-acquired infection rates. Using proposed scenarios of reduced inpatient-days, we estimated an increase in the hospital-acquired C. difficile infection rate of up to 12%.

Type
Concise Communication
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2013

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Baugh, CW, Venkatesh, AK, Hilton, JA, Samuel, PA, Schuur, JD, Bohan, JS. Making greater use of dedicated hospital observation units for many short-stay patients could save $3.1 billion a year. Health Aff (Millwood) 2012;31:23142323.Google Scholar
2.Wiler, JL, Ross, MA, Ginde, AA. National study of emergency department observation services. Acad Emerg Med 2011;18:959965.Google Scholar
3.Mace, SE, Graff, L, Mikhail, M, Ross, M. A national survey of observation units in the United States. Am J Emerg Med 2003;21:529533.Google Scholar
4.Huffman, A. Use of observation units growing but variable billing practices sometimes leave patients on the financial hook. Ann Emerg Med 2013;61:21a23a.Google Scholar
5.Cohen, AL, Calfee, D, Fridkin, SK, et al. Recommendations for metrics for multidrug-resistant organisms in healthcare settings: SHEA/HICPAC position paper. Infect Control Hosp Epidemiol 2008;29:901913.CrossRefGoogle ScholarPubMed
6.Datta, R, Kuo King, M, Kim, D, et al. What is nosocomial? large variation in hospital choice of numerators and denominators affects rates of hospital-onset methicillin-resistant Staphylococcus aureus. Infect Control Hosp Epidemiol 2012;33:11661169.Google Scholar
7.Feng, Z, Wright, B, Mor, V. Sharp rise in Medicare enrollees being held in hospitals for observation raises concerns about causes and consequences. Health Aff (Millwood) 2012;31:12511259.Google Scholar