Course Access
Agree. Metrics are very important, especially in the case of UTIs/CAUTIs if catheter utilisation is the denominator. An intervention may be aimed at reducing catheter usage but you may see an increase in infection rate if this was to occur – with all things being equal.
Thanks
Brett
Associate Professor Brett Mitchell
Associate Professor of Nursing, RN, BN, PhD, M.Adv.Prac, CICP, MRCNA
Faculty of Nursing and Health and Director Lifestyle Research Centre, Cooranbong
Avondale College Ltd trading as Avondale College of Higher Education
ACN: 108 186 401 | ABN: 53 108 186 401 | CRICOS: 02731D | TEQSA: PRV12015
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185 Fox Valley Road, Wahroonga NSW 2076 Australia
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From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Kevin Kavanagh
Sent: Wednesday, 25 March 2015 11:07 AM
To: AICALIST@AICALIST.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Fwd: Denominator Doesn’t Matter: Standardizing Healthcare-Associated Infection Rates by Bed Days or Device Days.
I believe the key here is that device utilization did not change over time. However, if for example urinary catheter utilization would have dropped, then there would be less infections and the two metrics would have had different results.
Kevin
Kevin Kavanagh, MD, MS
Health Watch USA
Lexington Kentucky, USA
606-874-3642
———- Forwarded message ———-
From: Juraja, Marija (Health) <Marija.Juraja@health.sa.gov.au>
Date: Tue, Mar 24, 2015 at 7:39 PM
Subject: Denominator Doesn’t Matter: Standardizing Healthcare-Associated Infection Rates by Bed Days or Device Days.
To: AICALIST@aicalist.org.au
Interesting paper where the findings show that device days and bed days are equally effective for comparing HCAI rates between hospitals with device utilisation i.e. CLABSI.
http://www.ncbi.nlm.nih.gov/pubmed/25782986
Kind Regards
Marija Juraja |Clinical Service Coordinator (RN, GCNS Inf Ctrl, CICP)
Infection Prevention & Control Unit| Division of Acute Medicine
The Queen Elizabeth Hospital | Central Adelaide Local Health Network
Level 8 Tower Building | 28 Woodville Road, WOODVILLE SOUTH 5011
t: +61 8 8222 7588| p: 47757| f: +61 8 8222 6461 | DX: 465432 |e:marija.juraja@health.sa.gov.au
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