Effect of 2013 National Healthcare Safety Network definition changes on central line bloodstream infection rates: Audit results from the New York State Department of Health

The Centers for Disease Control and Prevention definition of mucosal barrier injury-associated bloodstream infection improves accurate detection of preventable bacteremia rates at a pediatric cancer center in a low- to middle-income country

“…9 An adapted version of the NHSN primary bloodstream infection case report form 22 was used to classify CLABSI cases as MBI or non-MBI. Variables collected included age at admission, sex, cancer diagnosis, cancer treatment phase, venous access device removal due to CLABSI, and death.…”

Impact of the 2012 Medicaid Health Care–Acquired Conditions Policy on Catheter-Associated Urinary Tract Infection and Vascular Catheter–Associated Infection Billing Rates

“…Examining standardized, prospectively collected surveillance data submitted to the NHSN might offer more clinically relevant insight into the impact of the Medicaid HCAC policy. We do note that the decreasing VCAI and stable CAUTI trends we observed mirror national trends observed using NHSN data during a similar time period [15]; however, the multiple surveillance case definition changes in NHSN for central line–associated bloodstream infections and CAUTIs that occurred during the study period limit the interpretation of these data [4, 5]. We also only examined the 18 months after policy implementation and cannot exclude a delayed effect occurring after this point.…”

“…Using claims data is convenient, but improvements in billing rates of HAIs do not always correspond to changes in patient outcomes [3]. Prospective surveillance data reported to the Centers for Disease Control and Prevention’s National Healthcare Safety Network (NHSN) offer better clinical relevance and credibility, but major changes in HAI surveillance case definitions over the past decade limit their utility for analyzing trends over time [4, 5]. …”

Implementation of an electronic checklist in the ICU: Association with improved outcomes

“…Adherence to guidelines is a crucial issue in the ICU. Application of care bundles was shown to be associated with improved performance [4,6,[25][26][27]. However, most guidelines are based on targeted strategies with specific goals [1,[28][29][30][31].…”

“…Infectious complications remain a frequent issue in intensive care units (ICU), with the use of invasive devices representing the main risk factor [1,2]. Guidelines aim to improve practices, and thus reduce the risk of healthcare-related complications [3][4][5][6]. However, the adherence to guidelines is often suboptimal [7][8][9].…”