Validation of the surveillance and reporting of central line-associated bloodstream infection denominator data

Backman, Lauren A.; Nobert, Gayle; Melchreit, Richard; Fekieta, Renee; Dembry, Louise‐Marie

doi:10.1016/j.ajic.2013.06.014

Cited by 15 publications

(11 citation statements)

References 13 publications

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“…In the case of acute care settings, some state health departments have validated NHSN data for hospitals, and the validation process has improved the quality of the data. 31–34 To date, there have been no published NHSN data validation studies for NHs. Furthermore, data entry and calculation errors by those entering the data can impact the validity of NHSN data.…”

Section: Discussionmentioning

confidence: 99%

The expansion of National Healthcare Safety Network enrollment and reporting in nursing homes: Lessons learned from a national qualitative study

Chastain

Dorritie

Tark

et al. 2019

American Journal of Infection Control

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Background: This study explored nursing home (NH) personnel perceptions of the National Healthcare Safety Network (NHSN). Methods: NHs were purposively sampled based on NHSN enrollment and reporting status, and other facility characteristics. We recruited NH personnel knowledgeable about the facility’s decision-making processes and infection prevention program. Interviews were conducted over-the-phone and audio-recorded; transcripts were analyzed using conventional content analysis. Results: We enrolled 14 NHs across the United States and interviewed 42 personnel. Six themes emerged: Benefits of NHSN, External Support and Motivation, Need for a Champion, Barriers, Risk Adjustment, and Data Integrity. We did not find substantive differences in perceptions of NHSN value related to participants’ professional roles or enrollment category. Some participants from newly enrolled NHs felt well supported through the NHSN enrollment process, while participants from earlier enrolled NHs perceived the process to be burdensome. Among participants from non-enrolled NHs, as well as some from enrolled NHs, there was a lack of knowledge of NHSN. Conclusions: This qualitative study helps fill a gap in our understanding of barriers and facilitators to NHSN enrollment and reporting in NHs. Improved understanding of factors influencing decision-making processes to enroll in and maintain reporting to NHSN is an important first step towards strengthening infection surveillance in NHs.

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Section: Discussionmentioning

confidence: 99%

The expansion of National Healthcare Safety Network enrollment and reporting in nursing homes: Lessons learned from a national qualitative study

Chastain

Dorritie

Tark

et al. 2019

American Journal of Infection Control

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“…Comprehensive evaluations of other NHSN modules, including validation efforts, have been undertaken after those systems were established and operational. These studies have suggested that inconsistent interpretation of case definitions and underreporting of cases and denominators occur, which can be rectified through simplification of case definitions and improved training for reporters . Second, inconsistencies in self‐reporting by facilities, particularly related to whether PLT and cryoprecipitate components were reported as individual or therapeutic units, may have impacted rate calculations resulting in under‐ or overestimates of reactions for these components.…”

Section: Discussionmentioning

confidence: 99%

Transfusion‐related adverse reactions reported to the National Healthcare Safety Network Hemovigilance Module, United States, 2010 to 2012

et al. 2014

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Background In 2010, health care facilities in the United States began voluntary enrollment in the National Healthcare Safety Network (NHSN) Hemovigilance Module. Participants report transfusion practices; red blood cell, platelet (PLT), plasma, and cryoprecipitate units transfused; and transfusion‐related adverse reactions and process errors to the Centers for Disease Control and Prevention through a secure, Internet‐accessible surveillance application available to transfusing facilities. Study Design and Methods Facilities submitting at least 1 month of transfused components data and adverse reactions from January 1, 2010, to December 31, 2012, were included in this analysis. Adverse reaction rates for transfused components, stratified by component type and collection and modification methods, were calculated. Results In 2010 to 2012, a total of 77 facilities reported 5136 adverse reactions among 2,144,723 components transfused (239.5/100,000). Allergic (46.8%) and febrile nonhemolytic (36.1%) reactions were most frequent; 7.2% of all reactions were severe or life‐threatening and 0.1% were fatal. PLT transfusions (421.7/100,000) had the highest adverse reaction rate. Conclusion Adverse transfusion reaction rates from the NHSN Hemovigilance Module in the United States are comparable to early hemovigilance reporting from other countries. Although severe reactions are infrequent, the numbers of transfusion reactions in US hospitals suggest that interventions to prevent these reactions are important for patient safety. Further investigation is needed to understand the apparent increased risk of reactions from apheresis‐derived blood components. Comprehensive evaluation, including data validation, is important to continued refinement of the module.

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“…Although several CL-day sampling strategies have been described, we conducted most observational surveys on Mondays and Thursdays of the same week because this sampling strategy has yielded the best estimates of CL-days. [5][6][7][8] Tejedor et al 4 found that initial problems with the accuracy of the EMR reports of CL-days were corrected by a number of interventions, yielding revised reports with excellent accuracy. They emphasized the importance of validating EMR data on the number of CL-days.…”

Section: Resultsmentioning

confidence: 98%

Prospective Validation of Central Line–Days Derived From an Electronic Medical Record System

Boyce

Paci

Feidner

et al. 2015

Infect. Control Hosp. Epidemiol.

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Validation of the surveillance and reporting of central line-associated bloodstream infection denominator data

Cited by 15 publications

References 13 publications

The expansion of National Healthcare Safety Network enrollment and reporting in nursing homes: Lessons learned from a national qualitative study

The expansion of National Healthcare Safety Network enrollment and reporting in nursing homes: Lessons learned from a national qualitative study

Transfusion‐related adverse reactions reported to the National Healthcare Safety Network Hemovigilance Module, United States, 2010 to 2012

Prospective Validation of Central Line–Days Derived From an Electronic Medical Record System

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