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- Title
Preventing Hospital-Acquired Infections: A National Survey of Practices Reported by U.S. Hospitals in 2005 and 2009.
- Authors
Krein, Sarah; Kowalski, Christine; Hofer, Timothy; Saint, Sanjay
- Abstract
BACKGROUND: Hospital-acquired infection (HAI) is common, costly, and potentially lethal. Whether initiatives to reduce HAI-such as the Centers for Medicare and Medicaid Services (CMS) no payment rule-have increased the use of preventive practices is not known. OBJECTIVE: To examine the use of infection prevention practices by U.S. hospitals and trends in use between 2005 and 2009. DESIGN, SETTING, AND PARTICIPANTS: Surveys of infection preventionists at non-federal general medical/surgical hospitals and Department of Veterans Affairs (VA) hospitals, which are not subject to the CMS no payment rule, in 2005 and 2009. MAIN MEASURES: Percent of hospitals using practices to prevent central line-associated bloodstream infection (CLABSI), ventilator-associated pneumonia (VAP), and catheter-associated urinary tract infection (CAUTI). KEY RESULTS: Survey response was approximately 70%. More than 1/2 of non-federal hospitals reported a moderate or large increase in CLABSI, VAP and CAUTI prevention as a facility priority due to the non-payment rule; over 60% of VA hospitals reported no change in priority. However, both non-federal and VA hospitals reported significant increases in use of most practices to prevent CLABSI, VAP and CAUTI from 2005 to 2009, with 90% or more using certain practices to prevent CLABSI and VAP in 2009. In contrast, only one CAUTI prevention practice was used by at least 50% of hospitals. CONCLUSIONS: Since 2005, use of key practices to prevent CLABSI, VAP and CAUTI has increased in non-federal and VA hospitals, suggesting that despite its perceived importance, the non-payment rule may not be the primary driver. Moreover, while 65% of non-federal hospitals reported a moderate or large increase in preventing CAUTI as a facility priority, prevention practice use remains low.
- Subjects
UNITED States; INFECTION prevention; HOSPITALS; PATIENT safety; HEALTH surveys
- Publication
JGIM: Journal of General Internal Medicine, 2012, Vol 27, Issue 7, p773
- ISSN
0884-8734
- Publication type
Article
- DOI
10.1007/s11606-011-1935-y