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Infect Control Hosp Epidemiol. 2019 Nov;40(11):1269-1271. doi: 10.1017/ice.2019.240. Epub 2019 Sep 16.

The impact of measurement changes on evaluating hospital performance: The case of catheter-associated urinary tract infections.

Author information

1
Department of Pediatrics, Boston University School of Medicine, Boston, Massachusetts.
2
Department of Population Medicine, Harvard Pilgrim Health Care Institute and Harvard Medical School, Boston, Massachusetts.
3
Department of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
4
Institute for Healthcare Improvement, Boston, Massachusetts.
5
Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts.
6
Department of Pediatrics, Stanford University School of Medicine, Palo Alto, California.

Abstract

Catheter-associated urinary tract infections in 592 hospitals immediately declined after federal value-based incentive program implementation, but this was fully attributable to a concurrent surveillance case definition revision. Post revision, more hospitals had favorable standardized infection ratios, likely leading to artificial inflation of their performance scores unrelated to changes in patient safety.

PMID:
31522693
DOI:
10.1017/ice.2019.240

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