Makary Martin A, Aswani Monica S, Ibrahim Andrew M, Reagan Julie, Wick Elizabeth C, Pronovost Peter J
Johns Hopkins, University School of Medicine, Baltimore, Maryland, USA.
J Healthc Qual. 2013 Mar-Apr;35(2):41-6. doi: 10.1111/j.1945-1474.2011.00176.x. Epub 2012 Mar 2.
Surgical site infections (SSIs) are common, costly, and often preventable. There are no national requirements for measuring or reporting hospital SSI rates and state-level monitoring occurs with little coordination between states. We designed a study to describe the current status of SSI reporting in the United States.
We reviewed SSI monitoring and reporting legislation in all 50 states in September 2010. Data collected included whether SSI monitoring and reporting legislation exists, if public reporting is required, how the data are accessible, and for which procedures SSI data are reported.
Twenty-one (42%) states have legislation for SSI monitoring and reporting. All 21 of these states require public release of findings. Of the states with legislation, eight (38%) currently have SSI data available publicly. A range of two to seven procedures were reported for SSI measurement by individual states. Eighteen (86%) states use state agency websites to make their data publicly available.
There is wide variation in state monitoring and reporting of SSI rates. Standardized reporting may be needed so that consumers can make informed health choices based on quality metrics.
手术部位感染（SSIs）很常见，成本高昂，且往往可以预防。目前尚无全国性的测量或报告医院手术部位感染率的要求，州一级的监测工作在各州之间缺乏协调。我们设计了一项研究来描述美国手术部位感染报告的现状。
2010年9月，我们审查了美国所有50个州的手术部位感染监测和报告立法。收集的数据包括是否存在手术部位感染监测和报告立法、是否要求公开报告、数据的获取方式以及报告手术部位感染数据所针对的手术。
21个（42%）州有手术部位感染监测和报告的立法。所有这21个州都要求公开公布调查结果。在有立法的州中，有8个（38%）目前可公开获取手术部位感染数据。各州报告用于测量手术部位感染的手术范围为2至7种。18个（86%）州通过州政府机构网站公开其数据。
各州对手术部位感染率的监测和报告存在很大差异。可能需要进行标准化报告，以便消费者能够根据质量指标做出明智的健康选择。
