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Standardized Infection Ratio for Surgical Site Infection after Colon Surgery: Discord in Models Measuring Healthcare Quality

Published online by Cambridge University Press:  30 August 2016

Raymond Chinn
Affiliation:
Infection Prevention and Clinical Epidemiology, Sharp Metropolitan Medical Campus, San Diego, California
Jason M. Lempp
Affiliation:
Healthcare Associated Infections Program Office of Communicable Disease Epidemiology Washington State Department of Health, Shoreline, Washington
Susan S. Huang
Affiliation:
Division of Infectious Diseases and Health Policy Research Institute University of California Irvine School of Medicine, Orange, California
Rekha Murthy
Affiliation:
Hospital Epidemiology, Cedars-Sinai Medical Center, Los Angeles, California
Francesca J. Torriani
Affiliation:
Infection Prevention and Clinical Epidemiology Unit, University of California, San Diego Health, San Diego, California
Jacqueline Daley
Affiliation:
Infection Prevention and Clinical Epidemiology, Sharp Metropolitan Medical Campus, San Diego, California
Elaine Dekker
Affiliation:
Infection Prevention, San Francisco General Hospital, San Francisco, California
Barbara Goss-Bottorff
Affiliation:
Infection Prevention, Hoag Hospital System, Newport Beach, California
Wendy Kaler
Affiliation:
Infection Prevention, Dignity Health, Saint Francis Memorial Hospital, San Francisco, California
Karen Meyer
Affiliation:
Epidemiology Surveillance, Scripps Health, San Diego, California
Frank Myers
Affiliation:
Infection Prevention and Clinical Epidemiology Unit, University of California, San Diego Health, San Diego, California
Amy Nichols
Affiliation:
Hospital Epidemiology and Infection Control, University of California San Francisco Health, San Francisco, California
Kathleen Quan
Affiliation:
Epidemiology and Infection Prevention University of California Irvine Health, Orange, California
David Birnbaum
Affiliation:
School of Population and Public Health University of British Columbia, Principal Applied Epidemiology British Columbia, Canada.
Corresponding
E-mail address:

Abstract

The government publishes 3 different public report surgical site infection (SSI) metrics, all called standardized infection ratios (SIRs), that impact perceived hospital quality. We conducted a non-random cross-sectional observational pilot study of 20 California hospitals that voluntarily submitted colon surgery and SSI data. Discordant SIR values, leading to contradictory conclusions, occurred in 35% of these hospitals.

Infect Control Hosp Epidemiol 2016;1–5

Type
Concise Communications
Copyright
© 2016 by The Society for Healthcare Epidemiology of America. All rights reserved 

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References

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Supplementary material: File

Chinn supplementary material

Appendix A-B

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