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Moving to a More Level Playing Field: The Need for Risk Adjustment of Publicly Reported Hospital CLABSI Performance

Published online by Cambridge University Press:  25 August 2017

Thomas R. Talbot*
Affiliation:
Departments of Medicine and Health Policy, Vanderbilt University School of Medicine, Nashville, Tennessee
*
Address correspondence to Thomas R. Talbot, MD, MPH, Vanderbilt University School of Medicine, Department of Medicine, Division of Infectious Diseases, A2200 Medical Center North, 1161 21st Ave South, Nashville, TN 37232 ([email protected]).

Abstract

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Type
Commentary
Copyright
© 2017 by The Society for Healthcare Epidemiology of America. All rights reserved 

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References

REFERENCES

1. Pronovost, P, Needham, D, Berenholtz, S, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med 2006;355:27252732.Google Scholar
2. NHSN Standardized Infection Ratio (SIR): A guide to the SIR. Centers for Disease Control and Prevention website. https://www.cdc.gov/nhsn/pdfs/ps-analysis-resources/nhsn-sir-guide.pdf. Accessed June 23, 2017.Google Scholar
3. HAI Data and Statistics. Centers for Disease Control and Prevention website. https://www.cdc.gov/hai/surveillance/index.html. Accessed June 23, 2017.Google Scholar
4. Jackson, SS, Leekha, S, Magder, LS, et al. The effect of adding comorbidities to current CDC central line-associated bloodstream infection (CLABSI) risk adjustment methodology. Infect Control Hosp Epidemiol 2017. doi: 10.1017/ice.2017.129.Google Scholar
5. Harris, AD, Pineles, L, Anderson, D, et al. Which comorbid conditions should we be analyzing as risk factors for healthcare-associated infections? Infect Control Hosp Epidemiol 2017;38:449454.CrossRefGoogle ScholarPubMed
6. van Mourik, MS, van Duijn, PJ, Moons, KG, Bonten, MJ, Lee, GM. Accuracy of administrative data for surveillance of healthcare-associated infections: a systematic review. BMJ Open 2015;5:e008424.Google Scholar
7. Rajaram, R, Chung, JW, Kinnier, CV, et al. Hospital characteristics associated with penalties in the Centers for Medicare & Medicaid Services Hospital-Acquired Condition Reduction Program. JAMA 2015;314:375383.CrossRefGoogle ScholarPubMed
8. Jackson, SS, Leekha, S, Magder, LS, et al. Electronically available comorbidities should be used in surgical site infection risk adjustment. Clin Infect Dis 2017. doi: 10.1093/cid/cix431.Google Scholar