[Prevention of infections with highly resistant microorganisms: maximizing transparency by using outcome indicators]
Marc J M Bonten1, Alexander Friedrich, Jan Kluytmans
1Universitair Medisch Centrum Utrecht, afd. Medische Microbiologie, en Julius Centrum voor Gezondheidswetenschappen en Eerstelijns Geneeskunde, Utrecht.
Abstract:
In the Netherlands the quality of health care is supervised by the Health Care Inspectorate. Since 2013 the Health Care Inspectorate has been specifically checking hospital practices for reducing transmission of highly resistant microorganisms. Its mode of operation, using process indicators, has been criticised. Here, it is proposed that this quality control be based on relevant outcome parameters of infection prevention strategies. This would also maximise transparency regarding the occurrence of infections caused by highly resistant microorganisms in Dutch hospitals.
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