Skip to main content Accessibility help
×
Home

Harnessing Claims to Improve Detection of Surgical Site Infections following Hysterectomy and Colorectal Surgery

  • Alyssa R. Letourneau (a1), Michael S. Calderwood (a1) (a2), Susan S. Huang (a3), Dale W. Bratzler (a4) (a5), Allen Ma (a4) and Deborah S. Yokoe (a2)...

Abstract

Surgical site infection (SSI) surveillance is performed using a variety of methods with unclear performance characteristics. We used claims data to identify records for review following hysterectomy and colorectal surgery. Claims-enhanced screening identified SSIs missed by routine surveillance and could be used for targeted chart review to improve SSI detection.

Copyright

Corresponding author

Division of Infectious Diseases, Brigham and Women's Hospital, 181 Longwood Avenue, MCP Building, 5th Floor, Boston, MA 02115 (dyokoe@partners.org)

References

Hide All
1.Scott, RD. The Direct Medical Costs of Healthcare-Associated Infections in U.S. Hospitals and the Benefits of Prevention. March 2009. http://www.cdc.gov/hai/pdfs/hai/scott_costpaper.pdf. Accessed July 23, 2013.
2.Klevens, RM, Edwards, JR, Richards, CL Jr, et al. Estimating health care-associated infections and deaths in U.S. hospitals, 2002. Public Health Rep 2007;122(2):160166.
3.National Healthcare Safety Network. Centers for Disease Control and Prevention website, http://www.cdc.gov/nhsn. Accessed July 23, 2013.
4.Centers for Medicare and Medicaid Services. Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long Term Care Hospital Prospective Payment System and Proposed Fiscal Year 2014 Rates; Quality Reporting Requirements for Specific Providers; Hospital Conditions of Participation. http://www.gpo.gov/fdsys/pkg/FR-2013-05-10/pdf/2013-10234.pdf. Accessed July 26, 2013.
5.Rosenthal, R, Weber, WP, Marti, WR, et al. Surveillance of surgical site infections by surgeons: biased underreporting or useful epidemiological data? J Hosp Infect 2010;75(3):178182.
6.Yokoe, DS, Noskin, GA, Cunnigham, SM, et al. Enhanced identification of postoperative infections among inpatients. Emerg Infect Dis 2004;10(11):19241930.
7.Calderwood, MS, Ma, A, Khan, YM, et al. Use of Medicare diagnosis and procedure codes to improve detection of surgical site infections following hip arthroplasty, knee arthroplasty, and vascular surgery. Infect Control Hosp Epidemiol 2012;33(1):4049.
8.Yokoe, DS, Khan, Y, Olsen, MA, et al. Enhanced surgical site infection surveillance following hysterectomy, vascular, and colorectal surgery. Infect Control Hosp Epidemiol 2012;33(8):768773.
9.Farmer, SA, Black, B, Bonow, RO. Tension between quality measurement, public quality reporting, and pay for performance. JAMA 2013;309(4):349350.
10.HAI measures in the Hospital Inpatient Quality Reporting (IQR) Program to be validated for the FY 2015 payment determination and subsequent years, (ii) targeting SSI for validation. Fed Register 2012;77(170):5354553547. http://www.gpo.gov/fdsys/pkg /FR-2012-08-31/pdf/FR-2012-08-31.pdf. Accessed July 26,2013.

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed