Hostname: page-component-8448b6f56d-wq2xx Total loading time: 0 Render date: 2024-04-24T17:24:41.081Z Has data issue: false hasContentIssue false

Public Reporting of Hospital-Acquired Infections Is Not Associated with Improved Processes or Outcomes

Published online by Cambridge University Press:  02 January 2015

Darren R. Linkin*
Affiliation:
Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania Division of Infectious Diseases, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania
Neil O. Fishman
Affiliation:
Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania Division of Infectious Diseases, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania
Judy A. Shea
Affiliation:
Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania Division of General Internal Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania
Wei Yang
Affiliation:
Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania Department of Biostatistics and Epidemiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania
Mark S. Cary
Affiliation:
Department of Biostatistics and Epidemiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania
Ebbing Lautenbach
Affiliation:
Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania Division of Infectious Diseases, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania Department of Biostatistics and Epidemiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania
*
Assistant Professor of Medicine, Division of Infectious Diseases, Perelman School of Medicine, University of Pennsylvania, Philadelphia VAMC, Department of Medicine, 3900 Woodland Avenue, Philadelphia, PA 19104 (dlinkin@gmail.com)

Abstract

Most US states have enacted or are considering legislation mandating hospitals to publicly report hospital-acquired infection (HAI) rates. We conducted a survey of infection control professionals and found that state-legislated public reporting of HAIs is not associated with perceived improvements in infection prevention program process measures or HAI rates.

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.National Conference of State Legislatures. Methicillin-resistant Staphylococcus aureus (MRSA) and other healthcare-associated infections, http://www.ncsl.org/default.aspx?tabid=14084. Accessed March 20, 2013.Google Scholar
2.McKibben, L, Horan, T, Tokars, JI, et al.Guidance on public reporting of healthcare-associated infections: recommendations of the Healthcare Infection Control Practices Advisory Committee. Am J Infect Control 2005;33(4):217226. doi:10.1016/j.ajic.2005.04.001.Google Scholar
3.Society for Healthcare Epidemiology of America. SHEA research network. http://www.shea-online.org/Research/SHEAResearchNetwork.aspx. Accessed March 20, 2013.Google Scholar
4.Centers for Disease Control and Prevention. State-based HAI prevention. http://www.cdc.gov/HAI/state-based/index.html. Accessed March 20, 2013.Google Scholar
5. Committee to Reduce Infection Deaths. State legislation and initiatives on healthcare-associated infections, http://www.hospitalinfection.org/legislation.shtml. Updated October 2011. Accessed November 9, 2012.Google Scholar
6.Schneider, EC, Epstein, AM. Influence of cardiac-surgery performance reports on referral practices and access to care: a survey of cardiovascular specialists. N Engl J Med 1996;335(4):251256. doi:10.1056/NEJM199607253350406.Google Scholar
7.Edwards, JR, Peterson, KD, Mu, Y, et al.National Healthcare Safety Network (NHSN) report: data summary for 2006 through 2008, issued December 2009. Am J Infect Control 2009;37(10): 783805. doi: 10.1016/j.ajic.2009.10.001.CrossRefGoogle ScholarPubMed
8.Burton, DC, Edwards, JR, Horan, TC, Jernigan, JA, Fridkin, SK. Methicillin-resistant Staphylococcus aureus central line-associated bloodstream infections in US intensive care units, 1997-2007. JAMA 2009;301(7):727736. doi:10.1001/jama.2009.153.Google Scholar
9.Lin, MY, Hota, B, Khan, YM, et al.Quality of traditional surveillance for public reporting of nosocomial bloodstream infection rates. JAMA 2010;304(18):20352041. doi:10.1001/jama.2010.1637.Google Scholar
10.Sexton, DJ, Chen, LF, Anderson, DJ. Current definitions of central line-associated bloodstream infection: is the emperor wearing clothes? Infect Control Hosp Epidemiol 2010;31(12):12861289. doi:10.1086/657583.CrossRefGoogle ScholarPubMed