Many HAIS go un­re­ported, Cal­i­for­nia re­view finds

Modern Healthcare - - LATE NEWS -

De­spite a Cal­i­for­nia law that re­quires hos­pi­tals to re­port their in­ci­dences of health­care-as­so­ci­ated in­fec­tions, many such in­fec­tions still go un­re­ported, ac­cord­ing to a re­view con­ducted by the state’s pub­lic health depart­ment. Us­ing sur­veil­lance data gath­ered last year at 100 vol­un­teer fa­cil­i­ties, re­view­ers found that hos­pi­tals failed to iden­tify and re­port more than one-third, or 68 out of 180, cen­tral-line in­fec­tions. Hos­pi­tals also missed nu­mer­ous other types of in­fec­tions, in­clud­ing C. dif­fi­cile and van­comycin-re­sis­tant en­te­ro­cocci in­fec­tions. About 9% of C. dif­fi­cile cases were missed, and more than a quar­ter of VRE cases, or 41 of 149, went un­re­ported dur­ing the re­view pe­riod, depart­ment of­fi­cials said. Con­fus­ing in­fec­tion-re­port­ing pro­to­cols were of­ten to blame, of­fi­cials said. Un­der Cal­i­for­nia law, hos­pi­tals are re­quired to re­port in­fec­tions us­ing the Cen­ters for Dis­ease Con­trol and Preven­tion’s Na­tional Health­care Safety Net­work, a se­cure, on­line sur­veil­lance sys­tem. But ac­cord­ing to the depart­ment’s re­view, hospi­tal staff were some­times un­clear about NHSN def­i­ni­tions and rules. The pub­lic health depart­ment of­fered sev­eral sug­ges­tions for im­prove­ment, in­clud­ing en­hanced val­i­da­tion and in­creased use of elec­tronic sur­veil­lance sys­tems.

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