长期护理医院的感染控制措施表现及其与联合委员会认证的关系
Joint Commission journal on quality and patient safety
|March 16, 2024
概括
联合委员会认证与长期护理医院中较低的中央线路相关的血液感染 (CLABSI) 和导管相关的尿路感染 (CAUTI) 相关. 经过认证的设施也在随着时间的推移,在感染控制方面表现得更为一致.
科学领域:
- 医疗保健的质量 医疗保健的质量
- 预防感染 预防感染
- 医院认证 医院认证
背景情况:
- 医疗保健相关感染 (HAI) 在长期护理医院 (LTCH) 中构成了重大挑战.
- 认证机构的作用,如联合委员会,在减轻HAIs是一个正在进行的研究领域.
- 了解认证对特定HAI类型的影响对于提高患者安全至关重要.
研究的目的:
- 评估联合委员会认证与LTCH中HAI的发病率之间的关联.
- 为了比较受认可和非认可的LTCH之间的感染率,特别是用于导管相关的尿路感染 (CAUTIs),Clostridioides difficile感染 (CDIs) 和中央线相关的血液感染 (CLABSIs).
- 分析与认证状况相关的四年时间内HAI措施的趋势.
主要方法:
- 一项观察性研究利用医疗保险和医疗补助服务中心 (CMS) 2017年至2021年6月的LTCH数据.
- 对CAUTIs,CDIs和CLABSIs的标准化感染比率 (SIR) 进行了分析,使用随机系数波松回归模型进行分析.
- 数据不包括2020年1月至6月期间的数据,因为COVID-19大流行.
主要成果:
- 与未经认证的设施相比,联合委员会认证的LTCH对CLABSI和CAUTI的SIR显著较低.
- 在Clostridioides difficile感染 (CDI) 中没有观察到SIRs的显著差异.
- 在整个研究期间,认可的LTCH在所有三个HAI措施中始终超过了国家基准.
结论:
- 联合委员会认证与LTCH的CLABSI和CAUTI率降低有关.
- 经过认证的LTCH在感染控制措施方面表现更持久的高绩效.
- 专注于感染控制和预防的联合委员会标准可能有助于改善这些结果.
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