PMID- 19783072 OWN - NLM STAT- MEDLINE DCOM- 20100112 LR - 20100908 IS - 1532-2939 (Electronic) IS - 0195-6701 (Linking) VI - 73 IP - 3 DP - 2009 Nov TI - Hospital adverse events and control charts: the need for a new paradigm. PG - 225-31 LID - 10.1016/j.jhin.2009.07.026 [doi] AB - Control charts are being increasingly used to summarise sequential rates of hospital adverse events (AEs). They are designed to detect departures from stable, predictable processes and are therefore appropriate when information about the mean value and variability of the relevant time-series data is available, from when the process is or has been in a stable, predictable state. This is often the case with binary data AEs such as surgical site infections and surgical mortality. However, it may not always be possible to determine the stable predictable rate at which events such as patient falls, pressure ulcers, medication errors or new isolates of a multiresistant organism (MRO) occur. Furthermore, such a rate may sometimes not exist, as is frequently the case with antibiotic usage and MRO prevalence data. It may then be better to employ time-series methods to analyse and present the data. A convenient approach is to employ spline-regression or a generalised additive model. FAU - Morton, A AU - Morton A AD - Infection Management Services, The Princess Alexandra Hospital, Brisbane, Queensland, Australia. amor5444@bigpond.net.au FAU - Clements, A AU - Clements A FAU - Whitby, M AU - Whitby M LA - eng PT - Journal Article DEP - 20090926 PL - England TA - J Hosp Infect JT - The Journal of hospital infection JID - 8007166 SB - IM CIN - J Hosp Infect. 2010 Oct;76(2):178. PMID: 20547431 MH - Cross Infection/epidemiology/prevention & control MH - Data Collection/instrumentation/methods MH - Drug Resistance, Multiple MH - Humans MH - Iatrogenic Disease/epidemiology/prevention & control MH - Medical Errors/prevention & control/statistics & numerical data MH - Medication Errors/prevention & control/statistics & numerical data MH - Risk Management/*methods/*statistics & numerical data MH - Surgical Wound Infection/epidemiology/prevention & control MH - Time Factors EDAT- 2009/09/29 06:00 MHDA- 2010/01/13 06:00 CRDT- 2009/09/29 06:00 PHST- 2009/02/01 00:00 [received] PHST- 2009/07/30 00:00 [accepted] PHST- 2009/09/29 06:00 [entrez] PHST- 2009/09/29 06:00 [pubmed] PHST- 2010/01/13 06:00 [medline] AID - S0195-6701(09)00340-5 [pii] AID - 10.1016/j.jhin.2009.07.026 [doi] PST - ppublish SO - J Hosp Infect. 2009 Nov;73(3):225-31. doi: 10.1016/j.jhin.2009.07.026. Epub 2009 Sep 26.