PMID- 19474727
OWN - NLM
STAT- MEDLINE
DCOM- 20090826
LR  - 20120131
IS  - 1473-6527 (Electronic)
IS  - 0951-7375 (Linking)
VI  - 22
IP  - 4
DP  - 2009 Aug
TI  - Use of surveillance data for prevention of healthcare-associated infection: risk 
      adjustment and reporting dilemmas.
PG  - 359-63
LID - 10.1097/QCO.0b013e32832d04c0 [doi]
AB  - PURPOSE OF REVIEW: Healthcare-associated or nosocomial infection (HCAI) is of 
      increasing importance to healthcare providers and the public. Surveillance is 
      crucial but must be adjusted for risk, especially when used for interhospital 
      comparisons or for public reporting. RECENT FINDINGS: Surveillance data are 
      increasingly adjusted for risk factors for HCAI if meaningful comparisons are 
      made between institutions or across national boundaries. Postdischarge 
      surveillance is important in detecting those infections that may not present to 
      the institution in which the original procedure occurred. Caution is urged when 
      comparing data from two sources, for example, an active surveillance program and 
      administrative datasets. The public reporting of HCAI rates can assist in 
      improving the quality of healthcare, but to date there is little evidence that 
      this is happening. In the United States, a number of states have introduced 
      mandatory reporting of HCAIs, but there is considerable variation in what data 
      are released, how these are reported and the rigor of the validation of the 
      dataset. SUMMARY: The consumerization of healthcare requires a response from 
      healthcare providers to engage with the public on how, when and what 
      risk-adjusted surveillance data to release. Information campaigns are required to 
      ensure the public understand any publicly released data and its limitations.
FAU - O'Neill, Eoghan
AU  - O'Neill E
AD  - Department of Clinical Microbiology, Royal College of Surgeons in Ireland, 
      Dublin, Ireland.
FAU - Humphreys, Hilary
AU  - Humphreys H
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Review
PL  - United States
TA  - Curr Opin Infect Dis
JT  - Current opinion in infectious diseases
JID - 8809878
SB  - IM
MH  - Cross Infection/*epidemiology/*prevention & control
MH  - Disease Notification
MH  - *Health Facilities
MH  - Humans
MH  - Risk Adjustment
MH  - *Sentinel Surveillance
MH  - United States
RF  - 26
EDAT- 2009/05/29 09:00
MHDA- 2009/08/27 09:00
CRDT- 2009/05/29 09:00
PHST- 2009/05/29 09:00 [entrez]
PHST- 2009/05/29 09:00 [pubmed]
PHST- 2009/08/27 09:00 [medline]
AID - 10.1097/QCO.0b013e32832d04c0 [doi]
PST - ppublish
SO  - Curr Opin Infect Dis. 2009 Aug;22(4):359-63. doi: 10.1097/QCO.0b013e32832d04c0.