患者评级的清洁度与美国医疗保险认证医院的标准化感染率之间的关系
Abigayle G Rocca1, William G Greendyke2, E Yoko Furuya3
1Department of Epidemiology, Columbia University Mailman School of Public Healthhttps://ror.org/00hj8s172, New York, NY, USA.
Infection control and hospital epidemiology
|December 12, 2025
概括
患者对医院清洁的看法并不能预测更低的Clostridioides difficile感染 (CDI) 率. 研究表明,高清洁度等级与更好的CDI性能之间没有联系,这表明感知不是可靠的指标.
科学领域:
- 与医疗保健相关的感染
- 患者安全 患者安全
- 医院质量指标 医院质量指标
背景情况:
- 患者对清洁的看法经常被用作医院质量的代理.
- 目前尚不清楚这些看法是否与控制感染的客观措施相关联,例如Clostridioides difficile感染 (CDI).
研究的目的:
- 评估患者报告的清洁和CDI的客观措施之间的关联.
- 确定患者对清洁的看法是否可以作为CDI率和预防有效性的早期指标.
主要方法:
- 使用2023年的数据,对美国3616家医疗保险认证医院的横截面分析.
- 多变量后勤回归模型分析了CMS医院比较和美国人口普查局的数据.
- 主要结局包括C. 困难的标准化感染比率 (SIRs);主要暴露是患者评级的清洁星级评级.
主要成果:
- 在较高的患者评级清洁度和更好的CDI性能之间没有发现任何关联.
- 拥有5星级清洁度的医院不太可能有SIR等于或低于全国平均水平.
- 在报告总是干净的房间/浴室的患者中,1%的增加与比预期更糟糕的CDI病例的概率增加4.2%相联系甚微.
结论:
- 患者评级的清洁性不是美国医院CDI性能改善的可靠指标.
- 调查结果在不同的清洁度和CDI指标中保持一致.
- 患者对清洁的看法与CDI控制措施的有效性没有很强的相关性.
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