Infection surveillance and control programs in the Department of Veterans Affairs nursing home care units: A preliminary assessment

Tsan, Linda; Hojlo, Christa; Kearns, Martha A.; Davis, Chester; Langberg, Robert; Claggett, Maurice; Coughlin, Nancy; Miller, M.K.; Gaynes, Robert P.; Gibert, Cynthia L.; Montgomery, Ona; Richards, Chesley L.; Danko, Linda H.; Roselle, Gary A.

doi:10.1016/j.ajic.2005.10.001

Cited by 10 publications

(5 citation statements)

References 10 publications

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“…In FY 2005, 15 QIs were significantly lower than expected, and 5 were higher than expected. The differences between observed and expected were not significant in the remaining8 QIs. A total of 10 QIs were significantly lower in both FY 2004 and FY 2005: QI 4, QI 5, QI 9, QI 11, QI 14, QI 15, QI 16, QI 22, QI 23, and QI 24.…”

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confidence: 59%

“…[4][5][6][7] As the largest single provider of health care in the United States, the Veterans Health Administration (VHA) of the Department of Veterans Affairs (VA) operates 163 hospitals and 134 nursing home care units (NHCUs) throughout the country. 8 In 2001, VHA implemented the collection of health and functional status data for all VA NHCU residents using version 2.0 of the MDS. 9 Prior to this, VA had developed its own patient assessment instrument to collect a smaller set of data similar to those of the MDS resident assessment instrument.…”

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confidence: 99%

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Quality Indicators in the Department of Veterans Affairs Nursing Home Care Units: A Preliminary Assessment

Tsan¹,

Davis²,

Langberg³

et al. 2007

Am J Med Qual

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The authors analyzed the minimum data set quality indicators data aggregated nationally from 134 Department of Veterans Affairs nursing home care units with more than 15,000 long-stay residents (>90 days) yearly for federal fiscal years 2003, 2004, and 2005. Despite an increase in the severity of illness and complexity of services as determined by the minimum data set case-mix indices, most of the minimum data set quality indicators showed an improvement (rate decrease) from fiscal year 2003 to fiscal year 2005, whether examined on a year-to-year basis or by an overall 3-year trend. Nationally, there was a 5.1% increase in average case-mix index, while 14 of 24 quality indicators showed a decrease in the prevalence/ incidence rates and only 4 quality indicators showed increased rates. These minimum data set results provide important information for Veterans Affairs quality managers regarding areas of achievement and also identify areas to be targeted for future quality improvement.

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confidence: 59%

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confidence: 99%

Quality Indicators in the Department of Veterans Affairs Nursing Home Care Units: A Preliminary Assessment

Tsan¹,

Davis²,

Langberg³

et al. 2007

Am J Med Qual

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“…Post-operative SSIs are frequent surgical complications and a major cause of post-operative morbidity, prolonged hospital stay, health-care costs and mortality [1][2][3][4][5][6][7]. Different risk factors have been already identified [6,8]: host-related [9][10][11][12] and patient-independent factors (surgical technique, antibiotic prophylaxis, causative bacteria and prophylactic hygienic procedures such as skin preparation, skin draping and skin shaving) [9][10][11][12]. Despite the implementation of preventive measures such as pre-operative antibiotic prophylaxis and antiseptic skin use, SSI rates in cardiac surgery remain high [13][14][15][16].…”

Section: Discussionmentioning

confidence: 99%

Comparison of Efficacy and Cost of Iodine Impregnated Drape vs. Standard Drape in Cardiac Surgery: Study in 5100 Patients

Bejko

Tarzia

Carrozzini

et al. 2015

J. of Cardiovasc. Trans. Res.

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We sought to examine the efficacy in preventing surgical site infection (SSI) in cardiac surgery, using two different incise drapes (not iodine-impregnated and iodine-impregnated). A cost analysis was also considered. Between January 2008 and March 2015, 5100 consecutive cardiac surgery patients, who underwent surgery in our Institute, were prospectively collected. A total of 3320 patients received a standard not iodine-impregnated steri-drape (group A), and 1780 patients received Ioban(®) 2 drape (group B). We investigated, by a propensity matched analysis, whether the use of standard incise drape or iodine-impregnated drape would impact upon SSI rate. Totally, 808 patients for each group were matched for the available risk factors. Overall incidence of SSI was significantly higher in group A (6.5 versus 1.9 %) (p = 0.001). Superficial SSI incidence was significantly higher in group A (5.1 vs 1.6 %) (p = 0.002). Deep SSI resulted higher in group A (1.4 %) than in group B (0.4 %), although not significantly (p = 0.11). Consequently, the need for vacuum-assisted closure (VAC) therapy use resulted 4.3 % in group A versus 1.2 % in group B (p = 0.001). Overall costs for groups A and B were 12.494.912 € and 11.721.417 €, respectively. The Ioban(®) 2 offered totally 773.495 € cost savings compared to standard steri-drape. Ioban 2 drape assured a significantly lower incidence of SSI. Additionally, Ioban(®) 2 drape proved to be cost-effective in cardiac surgery.

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“…[396][397][398][399][400] The infrastructure described in the Department of Veterans Affairs' nursing home care units is a promising example for the development of a nationwide HAI surveillance system for LTCFs. 401 LCTFs are different from other health care settings in that elderly patients at increased risk for infection are brought together in one setting and remain in the facility for extended periods; for most residents, it is their home. An atmosphere of community is fostered, and residents share common eating and living areas and participate in various facility-sponsored activities.…”

Section: Id Transmission Risks Associated With Specific Types Of Hementioning

confidence: 99%

2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Health Care Settings

Siegel¹,

Rhinehart²,

Jackson³

et al. 2007

American Journal of Infection Control

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Infection surveillance and control programs in the Department of Veterans Affairs nursing home care units: A preliminary assessment

Cited by 10 publications

References 10 publications

Quality Indicators in the Department of Veterans Affairs Nursing Home Care Units: A Preliminary Assessment

Quality Indicators in the Department of Veterans Affairs Nursing Home Care Units: A Preliminary Assessment

Comparison of Efficacy and Cost of Iodine Impregnated Drape vs. Standard Drape in Cardiac Surgery: Study in 5100 Patients

2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Health Care Settings

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