Assessment of the accuracy and consistency in the application of standardized surveillance definitions: A summary of the American Journal of Infection Control and National Healthcare Safety Network case studies, 2010–2016

Wright, Marc-Oliver; Allen-Bridson, Katherine; Hebden, Joan N.

doi:10.1016/j.ajic.2017.03.035

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Assessment of the accuracy and consistency in the application of standardized surveillance definitions: A summary of the American Journal of Infection Control and National Healthcare Safety Network case studies, 2010–2016

6 01 2017
By Wright, Marc-Oliver ; Allen-Bridson, Katherine ; Hebden, Joan N.
http://dx.doi.org/10.1016/j.ajic.2017.03.035
Source: Am J Infect Control. 45(6):607-611

[PDF-321.22 KB]

English

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Details:

Alternative Title:

Am J Infect Control
Personal Author:

Wright, Marc-Oliver ; Allen-Bridson, Katherine ; Hebden, Joan N.

Wright, Marc-Oliver ; Allen-Bridson, Katherine ; Hebden, Joan N. Less -
Description:

Background

The Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN) surveillance definitions are the most widely used criteria for health care-associated infection (HAI) surveillance. NHSN participants agree to conduct surveillance in accordance with the NHSN protocol and criteria. To assess the application of these standardized surveillance specifications and offer infection preventionists (IPs) opportunities for ongoing education, a series of case studies, with questions related to NHSN definitions and criteria were published.

Methods

Beginning in 2010, case studies with multiple-choice questions based on standard surveillance criteria and protocols were written and published in the American Journal of Infection Control with a link to an online survey. Participants anonymously submitted their responses before receiving the correct answers.

Results

The 22 case studies had 7,950 respondents who provided 27,790 responses to 75 questions during the first 6 years. Correct responses were selected 62.5% of the time (17,376 out of 27,290), but ranged widely (16%-87%). In a subset analysis, 93% of participants self-identified as IPs (3,387 out of 3,640), 4.5% were public health professionals (163 out of 3,640), and 2.5% were physicians (90 out of 3,640). IPs responded correctly (62%) more often than physicians (55%) (P = .006).

Conclusions

Among a cohort of voluntary participants, accurate application of surveillance criteria to case studies was suboptimal, highlighting the need for continuing education, competency development, and auditing.
Subjects:

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Cohort Studies Cross Infection Data Accuracy Guideline Adherence Humans Infection Control Public Health Surveillance Reference Standards
Source:

Am J Infect Control. 45(6):607-611
Pubmed ID:

28549513
Pubmed Central ID:

PMC5528141
Document Type:

Journal Article
Funding:

CC999999/Intramural CDC HHSUnited States/
Name as Subject:

Centers for Disease Control and Prevention (U.S.)
Place as Subject:

United States
Collection(s):

CDC Public Access
Main Document Checksum:

[+]

urn:sha256:e1e97869480847a82c07295fa32ba4d9bcd4c4f3311ebfe58796f95d1ac8250a
Download URL:

https://stacks.cdc.gov/view/cdc/47230/cdc_47230_DS1.pdf
File Type:

nihms880964.nxml

xml

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