RESUMO
The government publishes 3 different public report surgical site infection (SSI) metrics, all called standardized infection ratios (SIRs), that impact perceived hospital quality. We conducted a non-random cross-sectional observational pilot study of 20 California hospitals that voluntarily submitted colon surgery and SSI data. Discordant SIR values, leading to contradictory conclusions, occurred in 35% of these hospitals. Infect Control Hosp Epidemiol 2016;1-5.
Assuntos
Colo/cirurgia , Infecção Hospitalar/epidemiologia , Indicadores de Qualidade em Assistência à Saúde/normas , Infecção da Ferida Cirúrgica/epidemiologia , California/epidemiologia , Centers for Disease Control and Prevention, U.S. , Infecção Hospitalar/etiologia , Estudos Transversais , Procedimentos Cirúrgicos do Sistema Digestório/efeitos adversos , Hospitais , Humanos , Internet , Projetos Piloto , Vigilância da População , Estados UnidosRESUMO
Multiple evidence-based guidelines have suggested clinicians consider external collection devices (ECD) as alternatives to indwelling catheters. Nevertheless, there is a dearth of evidence-based resources concerning their use. An expert consensus panel was convened to review the current state of the evidence, indications for ECDs as an alternative to an indwelling urinary catheter, identify knowledge gaps, and areas for future research. This article presents the results of the expert consensus panel meeting and a systematic literature review regarding ECD use in the clinical setting.