Denominator Doesn’t Matter: Standardizing Healthcare-Associated Infection Rates by Bed Days or Device Days.

[Marija Juraja]

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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[Kevin Kavanagh]

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 ———-
Infection Rates by Bed Days or Device Days.

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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[Michael Wishart]

Thanks Marija

I personally think there is a danger that facilities will try and ‘benchmark’ rates derived with different denominator systems, which could lead to some erroneous conclusions. Need to be very careful how you discuss studies like this, and what recommendations you make.

Cheers
Michael

Michael Wishart
Infection Control Coordinator

A 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
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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
[Infection%20Control%202013%20banner-01]

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[brett.mitchell@avondale.edu.au]

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
http://www.avondale.edu.au | http://www.designedforlife.me
185 Fox Valley Road, Wahroonga NSW 2076 Australia
Telephone: 02 9480 3613 (Sydney Campus Tues-Thurs)| 02 4980 2397 (Lake M Monday) Fax: 02 9487 9625

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

MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

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