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CDC Hospital Infection Report Shows More Effort Needed


Health & Wellness  (tags: humans, investigation, government, disease, children, babies, health, healthcare, illness, medicine, prevention, protection, research, risks, safety, study, treatment, warning, ethics )

JL
- 610 days ago - safepatientproject.org
CDC Report Shows National Decline in Number of Hospital Infections But Most Hospitals Have Not Shown Statistically Significant Improvement Since Five Years Ago; More Effort Needed To Protect Patients



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JL A. (275)
Wednesday February 27, 2013, 9:04 am
CDC hospital infection report shows more effort needed
r
Posted 02/12/13 at 8:55 am

CONSUMERS UNION NEWS RELEASE

CDC Report Shows National Decline in Number of Hospital Infections

But Most Hospitals Have Not Shown Statistically Significant Improvement Since Five Years Ago; More Effort Needed To Protect Patients

WASHINGTON, D.C. – A new report by the Centers for Disease Control and Prevention (CDC) issued today shows that the number of central line-associated bloodstream infections in hospitals nationwide has been reduced markedly. More modest reductions have been achieved in certain surgical site infections and urinary tract infections since the agency first started reporting national trend data three years ago.

Although infections have decreased overall, the report also indicates that most individual hospitals have not demonstrated a statistically significant improvement since 2008.

The report shows that hospitals can effectively prevent infections when they dedicate adequate resources and attention. Nationally, at least 10 percent of hospitals reported zero infections in every category of infection covered in the report. But more work needs to be done for every hospital to reach that goal, according to Consumers Union, the policy and advocacy arm of Consumer Reports.

“There’s been a concerted push in recent years to reduce central line-associated bloodstream infections in ICUs and those efforts are clearly beginning to pay off,” said Lisa McGiffert, director of Consumers Union’s Safe Patient Project (www.safepatientproject.org). “We need to bring the same focus and energy to preventing all types of infections with the ultimate goal of eliminating them. A small percentage of hospitals have been able to attain zero infections, showing that it can be done. Unfortunately, most hospitals have not shown statistically significant improvement since five years ago.”

National hospital infection reporting follows a multi-year campaign by Consumers Union and other consumer advocates to mandate such disclosure. The CDC estimates that nearly 100,000 people die each year due to hospital-acquired infections and the hospital costs associated with these infections are estimated to be as high as $45 billion annually.

The report highlights patient infection data from 2011 reported by hospitals in all 50 states and the District of Columbia and Puerto Rico. Thirty states and the District of Columbia require hospitals to publicly report their infections and almost all require reporting to the CDC’s National Healthcare Safety Network (NHSN). Most hospitals in the remaining states voluntarily reported data in exchange for financial incentives provided by Medicare, or in preparation for those incentives.

The report covers central line-associated bloodstream infections (CLABSIs), certain surgical site infections (SSIs), and catheter-associated urinary tract infections (CAUTIs). As part of the 2008 National Action Plan to Prevent Healthcare-Associated Infections, the Department of Health and Human Services set out to reduce CLABSIs by 50 percent and SSIs and CAUTIs by 25 percent by 2013.

Some of the data detailed in the report are expressed as a Standardized Infection Ratio (SIR), which was developed by the CDC to allow comparisons to the baseline. The Standardized Infection Ratio compares the number of infections reported to the CDC in 2011 to the number of infections that would be predicted based on national, historical baseline data. Among the key findings of the report:

Nationally, hospitals reported 41 percent fewer CLABSIs in 2011 compared to 2008. According to the CDC, only 22 percent of hospitals reported a statistically significant decrease compared to the baseline. However, half of the hospitals had a Standardized Infection Ratio for CLABSIs that was at least 53 percent lower than the baseline.

The report estimates that each CLABSI in ICUs resulted in $26,000 in additional charges for Medicare patients, with an estimated national total of $322 million in additional costs annually for all CLABSIs in the ICU. The report notes that this annual estimate likely underestimates the cost since it is based on the Medicare reimbursement rate and does not factor in higher rates typically paid by private insurers.

Nationally, hospitals reported 17 percent fewer SSIs in 2011 compared to 2008. In seven of nine types of surgical site infections reported in 2011, at least 25 percent of hospitals reported zero infections. According to the CDC, only 12 percent of hospitals reported a statistically significant decrease compared to the baseline. However, about half of the hospitals had a Standardized Infection Ratio for SSIs that was at least 29 percent lower than the baseline.

Nationally, hospitals reported 7 percent fewer CAUTIs in 2011 compared to 2009. Most of this reduction was achieved in hospital wards, which showed a statistically significant reduction of 15 percent since 2009. Changes in critical care units and neonatal care units were not statistically significant. Little progress was made between 2010 and 2011. According to the CDC, only 13 percent of hospitals reported a statistically significant decrease compared to the baseline. However, about half of the hospitals in the report had a Standardized Infection Ratio for CAUTIs that was at least 33 percent lower than the baseline.

Over the past ten years, significant resources have been devoted to helping hospitals reduce surgical infections and CLABSIs (with a focus on the ICU environment). These efforts have been typically done through voluntary collaboratives and training funded by the federal government. Results tied to these efforts are rarely provided on a hospital specific basis, but nationally measures are being reported and demonstrating some positive changes. Future prevention efforts should measure individual hospital progress and target those hospitals that are not achieving improvements.

The CDC report noted that it is critical for the data reported by hospitals to be subject to more widespread validation to ensure its accuracy. Twenty five states completed validation studies of reported CLABSI data, while only eight states validated data for CAUTIs and 15 did so for SSIs.

“All 50 states should be validating the accuracy of the infection data reported by their hospitals,” said McGiffert. “Medicare should require validation and provide states with the resources to do this so the public can trust these numbers.”

The CDC report details aggregate state-specific rates for CLABSIs and will provide similar trend data for SSIs and CAUTIs when it releases its report next year based on 2012 data. The CDC report does not disclose hospital-specific rates for the covered infections. Hospital-specific rates are available for facilities in those states that mandate public reporting, although not all states have disclosed these rates for 2011 yet. Hospital-specific infection rate information is also available on the federal Hospital Compare web site. For tips on finding infection information on Hospital Compare, see

Consumers Union’s Tips for Finding Your Hospital’s Information.

For more consumer-friendly information on nearly 4,000 hospitals in all states, including infection information and a safety score for more than 2,000 hospitals, see Consumer Reports Ratings (available to Consumer Reports online subscribers). And see Consumer Reports’ hospital survival guide for advice on staying safe in the hospital.
 

Sue H. (7)
Wednesday February 27, 2013, 9:08 am
This does NOT Inspire Confidence. :(
 

Judith Hand (59)
Wednesday February 27, 2013, 9:24 am
Noted. Not a far reach to say that this has to improve NOW. Frankly, I'm not sure what else to say. It's not even about budget, unless we want to say that a better budget would allow hire of employees that were more interested in the legality and concern to be careful and attentive. The U.S. is experiencing more problems than I've remembered in my half-century of life in it. One would think this area would be a lot higher on the list.
 

JL A. (275)
Wednesday February 27, 2013, 11:12 am
The one possible budget factors Jude could be the administrative insurance element and profit in health care where resources could be redirected to quality of care and patient safety.
 

Angelika R. (142)
Wednesday February 27, 2013, 11:27 am
Seems a world wide proplem, we,too have recently several media reports about outbreaks in our local hospital, the most recent one just yesterday. It is NOT necessarily a problem of funds, more so certain negligence in hygiene care of staff, even if they rarely want to admit this. But it has proven to be in many cases which is usually revealed later. Thx JL
 

JL A. (275)
Wednesday February 27, 2013, 11:42 am
You are welcome Angelika and thanks for the Germany comparison. You cannot currently send a star to Angelika because you have done so within the last day.
 

Carol D. (109)
Wednesday February 27, 2013, 2:27 pm
Yes its same in UK too think all hospitals worldwide battle now People here blamed it on taking away our matrons
in charge of the wards etc as they were very strict with cleaning etc but there are also so many more people in the hospitals now and invariably they are under staffed. So many infections are brought from overseas now too Will be hard now to eradicate entirely

noted thanks
 

JL A. (275)
Wednesday February 27, 2013, 3:14 pm
You are welcome Carol and thanks for the UK comparison. You cannot currently send a star to Carol because you have done so within the last day.
 

Tamara Noforwardsplz (185)
Wednesday February 27, 2013, 4:59 pm
For a girl who spends a bit of time in hospitals wherever I have lived, I can say that this is very true. There needs to be far more focus on limiting patient exposure to any and all infections. With the amount of technology available today, this should be mandatory for all hospitals to be accountable and transparent in all reporting. Thanks J.L.
 

JL A. (275)
Wednesday February 27, 2013, 5:21 pm
You are welcome Tamara. Thanks for sharing your experience on this!You cannot currently send a star to Tamara because you have done so within the last day.
 

Elaine B. (24)
Wednesday February 27, 2013, 8:11 pm
Having lost two family members in the past 2, years to what was described on the death certificates in the UK as "hospital related illness" i clearly think that this problem needs further urgent attention. Thank you.
 

Winn Adams (195)
Thursday February 28, 2013, 1:13 pm
TKS
 

JL A. (275)
Thursday February 28, 2013, 1:17 pm
You are welcome Elaine and Winn.
 

Past Member (0)
Thursday February 28, 2013, 2:47 pm
Our local hospital was rated one of the better hospitals in America. Trust me, that's a pretty sad statement about America's hospitals.
 

JL A. (275)
Thursday February 28, 2013, 2:58 pm
You cannot currently send a star to Robert because you have done so within the last day.
 

Lois Jordan (56)
Thursday February 28, 2013, 3:48 pm
Noted. Interesting article, J.L., thanks.
Earlier today I saw a headline stating that there's a "super-infection" that's spreading involving hospitals. I don't know if this article is specific to SSI's and the others mentioned.....and the super infection is just a new antibiotic resistant bacteria simply linked to bad hospital hygiene in general.
 

JL A. (275)
Thursday February 28, 2013, 4:20 pm
Thanks Lois--MRSA is not the only one any more and I knew several who died this way.You cannot currently send a star to Lois because you have done so within the last day.
 

Birgit W. (147)
Thursday February 28, 2013, 4:35 pm
Thanks
 

JL A. (275)
Thursday February 28, 2013, 5:23 pm
You are welcome Birgit
 

Phillipa W. (199)
Thursday February 28, 2013, 7:56 pm
as long as they continue to privatize and cut back on essential hospital services, not only will superbugs be spreading, but normal everyday infections. Of course normal everyday infections can kill fragile people.
 

JL A. (275)
Thursday February 28, 2013, 8:22 pm
You cannot currently send a star to Phillipa because you have done so within the last day.
 

Anna M. (18)
Friday March 1, 2013, 6:15 am
personally...I wouldn't go to a hospital unless I was dragged there , unconsciousness, and already near death.
 

JL A. (275)
Friday March 1, 2013, 1:21 pm
You cannot currently send a star to Anna because you have done so within the last day.
 

marie c. (168)
Sunday March 3, 2013, 5:31 pm
Dear Carol you have said it all about the UK hospitals very well put thanks JL
 
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