Evaluation of the National Healthcare Safety Network standardized infection ratio risk adjustment for healthcare-facility-onset Clostridioides difficile infection in intensive care, oncology, and hematopoietic cell transplant units in general acute-care hospitals.
Christopher R PolageKathleen A QuanKeith MadeyFrank E MyersDebbra A WightmanSneha KrishnaJonathan D GreinLaurel GibbsDeborah YokoeShannon C MabalotRaymond ChinnAmy HallmarkZachary RubinMichael FontenotStuart CohenDavid BirnbaumSusan S HuangFrancesca J TorrianiPublished in: Infection control and hospital epidemiology (2020)
For tertiary-care referral hospitals with specialized ICUs and a large number of ICU beds, the ICU bed adjustor functions as a global adjustment in the SIR calculation, accounting for the increased complexity of patients in ICUs and non-ICUs at these facilities. However, the SIR decrease with removal of oncology and HCT unit data, even with the ICU bed adjustment, suggests that an additional adjustment should be considered for oncology and HCT units within general hospitals, perhaps similar to what is done for ICU beds in the current SIR.
Keyphrases
- healthcare
- intensive care unit
- palliative care
- mechanical ventilation
- acute care
- tertiary care
- end stage renal disease
- chronic kidney disease
- ejection fraction
- clostridium difficile
- single cell
- prognostic factors
- bone marrow
- stem cells
- machine learning
- cell cycle arrest
- quality improvement
- patient reported
- deep learning