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Infect Control Hosp Epidemiol. 2019 Nov;40(11):1269-1271. doi: 10.1017/ice.2019.240. Epub 2019 Sep 16.
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本文引用的文献

1
Association Between Value-Based Incentive Programs and Catheter-Associated Urinary Tract Infection Rates in the Critical Care Setting.基于价值的激励计划与重症监护环境中与导尿管相关的尿路感染率之间的关联。
JAMA. 2019 Feb 5;321(5):509-511. doi: 10.1001/jama.2018.18997.
2
Definitional Change in NHSN CAUTI Was Associated with an Increase in CLABSI Events: Evaluation of a Large Health System.国家医疗安全网络（NHSN）导尿管相关尿路感染（CAUTI）定义的改变与中心静脉导管相关血流感染（CLABSI）事件增加有关：对一个大型医疗系统的评估
Infect Control Hosp Epidemiol. 2017 Jun;38(6):685-689. doi: 10.1017/ice.2017.41. Epub 2017 Mar 23.
3
The potential impact of excluding funguria from the surveillance definition of catheter-associated urinary tract infection.将真菌尿排除在导尿管相关尿路感染监测定义之外的潜在影响。
Infect Control Hosp Epidemiol. 2015 Apr;36(4):467-9. doi: 10.1017/ice.2014.72.

测量变化对评估医院绩效的影响：以导管相关尿路感染为例。

The impact of measurement changes on evaluating hospital performance: The case of catheter-associated urinary tract infections.

机构信息

Department of Pediatrics, Boston University School of Medicine, Boston, Massachusetts.

Department of Population Medicine, Harvard Pilgrim Health Care Institute and Harvard Medical School, Boston, Massachusetts.

出版信息

Infect Control Hosp Epidemiol. 2019 Nov;40(11):1269-1271. doi: 10.1017/ice.2019.240. Epub 2019 Sep 16.

DOI:10.1017/ice.2019.240
PMID:31522693
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7450477/
Abstract

Catheter-associated urinary tract infections in 592 hospitals immediately declined after federal value-based incentive program implementation, but this was fully attributable to a concurrent surveillance case definition revision. Post revision, more hospitals had favorable standardized infection ratios, likely leading to artificial inflation of their performance scores unrelated to changes in patient safety.

摘要

在联邦基于价值的激励计划实施后，592 家医院的导管相关尿路感染立即下降，但这完全归因于同时进行的监测病例定义修订。修订后，更多的医院具有有利的标准化感染比率，这可能导致其绩效评分的人为膨胀，与患者安全的变化无关。