The Impact Of Measurement Changes On Evaluating Hospital Performance: The Case Of Catheter-Associated Urinary Tract Infections
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY(2019)
摘要
Catheter-associated urinary tract infections in 592 hospitals immediately declined after federal value-based incentive program implementation, but this was fully attributable to a concurrent surveillance case definition revision. Post revision, more hospitals had favorable standardized infection ratios, likely leading to artificial inflation of their performance scores unrelated to changes in patient safety.
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