New York State Hospital-acquired Infection Reporting System: Neonatal Intensive Care (NICU) Central Line Infection Rates, New York State Rate

OBJECTIVETo compare central line use and central line–associated bloodstream infection in newborn infants before and after the introduction of a central line infection prevention bundle in order to determine the effectiveness of the bundle and to identify areas for further improvement.DESIGNRetrospective cohort analysis of prospectively collected data.SETTINGLevel 5 neonatal intensive care unit in Sydney, Australia.PATIENTSNewborn infants admitted to the Royal Prince Alfred Hospital Neonatal Intensive Care Unit who had a central venous catheter (CVC) inserted.METHODSData regarding clinical characteristics, CVC use, and infection were collected before and after the introduction of a bundle of interventions. The bundles encompassed (1) insertion of CVC, (2) maintenance of CVC, (3) an education program, and (4) ongoing surveillance and feedback.RESULTSBaseline and intervention groups were comparable in clinical characteristics. The number of CVCs inserted was reduced in the intervention group (central line utilization rate, 0.16 vs 0.2, P<.0001). Overall CVC dwell time was reduced, resulting from significant reduction in peripherally inserted CVC dwell time (6 days [95% CI, 5.0–11.8 days] vs 7.3 days [4.0–10.4 days], P=.0004). Central line–associated bloodstream infections were significantly reduced, predominantly secondary to decreased peripherally inserted CVC–related bloodstream infections (1.2/1,000 central line–days vs 11.5/1,000 central line–days, P<.0001).CONCLUSIONThis central line infection bundle was effective in reducing CVC use, dwell time, and central line–associated bloodstream infections.Infect Control Hosp Epidemiol 2016;37:1029–1036

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Can Emergency Department Wait Times Predict Rates of Hospital-Acquired Clostridioides difficile Infection? A Study of Acute Care Facilities in New York State

Journal of Patient Safety ◽

10.1097/pts.0000000000000858 ◽

2021 ◽

Vol Publish Ahead of Print ◽

Author(s):

Danielle J. Durant ◽

Claudia Guerrazzi Young

Keyword(s):

Emergency Department ◽

New York ◽

New York State ◽

Wait Times ◽

York State ◽

Clostridioides Difficile ◽

Care Facilities ◽

Clostridioides Difficile Infection ◽

Acute Care Facilities ◽

Hospital Acquired

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Use of Administrative Data in Efficient Auditing of Hospital-Acquired Surgical Site Infections, New York State 2009–2010

Infection Control and Hospital Epidemiology ◽

10.1086/665710 ◽

2012 ◽

Vol 33 (6) ◽

pp. 565-571 ◽

Cited By ~ 27

Author(s):

Valerie B. Haley ◽

Carole Van Antwerpen ◽

Boldtsetseg Tserenpuntsag ◽

Kathleen A. Gase ◽

Peggy Hazamy ◽

...

Keyword(s):

New York ◽

Administrative Data ◽

New York State ◽

Surgical Site Infections ◽

Health Staff ◽

Data Sets ◽

York State ◽

Diagnosis Codes ◽

Stratified Sample ◽

Hospital Acquired

Objective.To efficiently validate the accuracy of surgical site infection (SSI) data reported to the National Healthcare Safety Network (NHSN) by New York State (NYS) hospitals.Design.Validation study.Setting.176 NYS hospitals.Methods.NYS Department of Health staff validated the data reported to NHSN by review of a stratified sample of medical records from each hospital. The four strata were (1) SSIs reported to NHSN; (2) records with an indication of infection from diagnosis codes in administrative data but not reported to NHSN as SSIs; (3) records with discordant procedure codes in NHSN and state data sets; (4) records not in the other three strata.Results.A total of 7,059 surgical charts (6% of the procedures reported by hospitals) were reviewed. In stratum 1, 7% of reported SSIs did not meet the criteria for inclusion in NHSN and were subsequently removed. In stratum 2, 24% of records indicated missed SSIs not reported to NHSN, whereas in strata 3 and 4, only 1% of records indicated missed SSIs; these SSIs were subsequently added to NHSN. Also, in stratum 3, 75% of records were not coded for the correct NHSN procedure. Errors were highest for colon data; the NYS colon SSI rate increased by 7.5% as a result of hospital audits.Conclusions.Audits are vital for ensuring the accuracy of hospital-acquired infection (HAI) data so that hospital HAI rates can be fairly compared. Use of administrative data increased the efficiency of identifying problems in hospitals' SSI surveillance that caused SSIs to be unreported and caused errors in denominator data.

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