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Surgical site infections in outpatient surgeries: Less invasive procedures contribute substantially to the overall burden

Published online by Cambridge University Press:  20 August 2019

Katherine Linsenmeyer ,
Westyn Branch-Elliman ,
Emily Kalver  and
Hillary J. Mull
Katherine Linsenmeyer*
Affiliation:
Veterans Affairs Boston Healthcare System, Boston, Massachusetts Boston University School of Medicine, Boston, Massachusetts
Westyn Branch-Elliman
Affiliation:
Veterans Affairs Boston Healthcare System, Boston, Massachusetts Center for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System, Boston, Massachusetts Harvard Medical School, Boston, Massachusetts
Emily Kalver
Affiliation:
Center for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System, Boston, Massachusetts
Hillary J. Mull
Affiliation:
Veterans Affairs Boston Healthcare System, Boston, Massachusetts Boston University School of Medicine, Boston, Massachusetts
*
Author for correspondence: Katherine Linsenmeyer, VA Boston Healthcare System, 150 S Huntington Avenue (152M), Boston, MA 02130. E-mail: Katherine.Linsenmeyer@va.gov
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Abstract

More than 50% of outpatient surgeries predicted to have an increased likelihood of an adverse event were excluded from surgical site infection (SSI) surveillance based on Veterans Affairs Surgical Quality Improvement Program (VASQIP) eligibility criteria, defined by clinician determination of invasiveness. Burden of SSI for eligible versus ineligible surgeries was similar; thus, surveillance activities in the outpatient setting need to be re-evaluated.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 40 , Issue 10 , October 2019 , pp. 1191 - 1193
Creative Commons
This work is classified, for copyright purposes, as a work of the U.S. Government and is not subject to copyright protection within the United States.
Copyright
© 2019 by The Society for Healthcare Epidemiology of America. All rights reserved.

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References

Zimlichman, E, Henderson, D, Tamir, O, et al. Healthcare-associated infections: a meta-analysis of costs and financial impact on the US health care system. JAMA Intern Med 2013;173:2039–2046.CrossRefGoogle ScholarPubMed
de Lissovoy, G, Fraeman, K, Hutchins, V, Murphy, D, Song, D, Vaughn, BB. Surgical site infection: incidence and impact on hospital utilization and treatment costs. Am J Infect Control 2009;37:387–397.CrossRefGoogle ScholarPubMed
Hall, MJ, Schwartzman, A, Zhang, J, Liu, X. Ambulatory surgery data from hospitals and ambulatory surgery centers: United States, 2010. Natl Health Stat Report 2017;102:1–15.Google Scholar
Schaefer, MK, Jhung, M, Dahl, M, et al. Infection control assessment of ambulatory surgical centers. JAMA 2010;303:2273–2279.CrossRefGoogle ScholarPubMed
Irani, JL. Participation in quality measurement nationwide. Clin Colon Rectal Surg 2014;27:14–18.Google ScholarPubMed
Khuri, SF, Daley, J, Henderson, W, et al. The Department of Veterans’ Affairs NSQIP: the first national, validated, outcome-based, risk-adjusted, and peer-controlled program for the measurement and enhancement of the quality of surgical care. National VA Surgical Quality Improvement Program. Ann Surg 1998;228:491–507.CrossRefGoogle Scholar
Mull, HJ, Itani, KMF, Charns, MP, et al. The nature and severity of adverse events in select outpatient surgical procedures in the Veterans’ Health Administration. Qual Manag Health Care 2018;27:136–144.CrossRefGoogle Scholar
Amici, JM, Rogues, AM, Lasheras, A, et al. A prospective study of the incidence of complications associated with dermatological surgery. Br J Dermatol 2005;153:967–971.CrossRefGoogle ScholarPubMed
Surgical Services Homepage. VA National Surgery Office (NSO) website. https://vaww.dushom.va.gov/surgery/index.asp. Published 2015. Accessed July 12.Google Scholar
Mull, HJ, Borzecki, AM, Hickson, K, Itani, KM, Rosen, AK. Development and testing of tools to detect ambulatory surgical adverse events. J Patient Saf 2013;9:96–102.CrossRefGoogle ScholarPubMed
Barie, PS. Infection control practices in ambulatory surgical centers. JAMA 2010;303:2295–2297.CrossRefGoogle ScholarPubMed
Mull, HJ, Itani, KMF, Pizer, SD, et al. Development of an adverse event surveillance model for outpatient surgery in the Veterans’ Health Administration. Health Serv Res 2018;53:4507–4528.CrossRefGoogle Scholar