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

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

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    Kevin Kavanagh
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    Author:
    Kevin Kavanagh

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    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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