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

[Kevin Kavanagh]

I have enclosed a PDF of the attachment demonstrating a 50% bhypothetical
reduction in CAUTIs and Catheter Utilization.

Kevin

On Tue, Mar 24, 2015 at 9:06 PM, Kevin Kavanagh
wrote:

> I have enclosed a spreadsheet using the study’s data which shows a wide
> difference in the two metrics if a hypothetical decrease of 50% occurred in
> urinary catheter utilization (in RED).
>
>
> Kevin Kavanagh, MD, MS
>
> Health Watch USA
>
> Lexington Kentucky, USA
> 606-874-3642
>
>
> On Tue, Mar 24, 2015 at 8:31 PM, Brett Mitchell Brett.Mitchell@avondale.edu.au> wrote:
>
>> 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)*
>> 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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