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

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...

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Bibliographic Details
Published in:Infection control and hospital epidemiology 2016-11, Vol.37 (11), p.1378-1382
Main Authors: Chinn, Raymond, Lempp, Jason M., Huang, Susan S., Murthy, Rekha, Torriani, Francesca J., Daley, Jacqueline, Dekker, Elaine, Goss-Bottorff, Barbara, Kaler, Wendy, Meyer, Karen, Myers, Frank, Nichols, Amy, Kathleen Quan, Birnbaum, David
Format: Article
Language:English
Subjects:
California - epidemiology
Centers for Disease Control and Prevention (U.S.)
Colon - surgery
Colorectal surgery
Concise Communications
Cross Infection - epidemiology
Cross Infection - etiology
Cross-Sectional Studies
Digestive System Surgical Procedures - adverse effects
Fines & penalties
Hospitals
Humans
Internet
Joint surgery
Medicaid
Medicare
Nursing
Patient safety
Pilot Projects
Population Surveillance
Prospective payment systems
Public health
Quality Indicators, Health Care - standards
Surgical site infections
Surgical Wound Infection - epidemiology
Surveillance
Teaching hospitals
United States
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Description
Summary: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
ISSN:0899-823X
1559-6834
DOI:10.1017/ice.2016.167