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Underestimating the Impact of Ventilator-Associated Pneumonia by Use of Surveillance Data

Published online by Cambridge University Press:  02 January 2015

Marci Drees ,
Sherry Hausman ,
Andrea Rogers ,
Leslie Freeman ,
Karen Frosh  and
Kathy Wroten
Marci Drees*
Affiliation:
Christiana Care Health System, Wilmington, Delaware, Philadelphia, Pennsylvania Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania
Sherry Hausman
Affiliation:
Christiana Care Health System, Wilmington, Delaware, Philadelphia, Pennsylvania
Andrea Rogers
Affiliation:
Christiana Care Health System, Wilmington, Delaware, Philadelphia, Pennsylvania
Leslie Freeman
Affiliation:
Christiana Care Health System, Wilmington, Delaware, Philadelphia, Pennsylvania
Karen Frosh
Affiliation:
Christiana Care Health System, Wilmington, Delaware, Philadelphia, Pennsylvania
Kathy Wroten
Affiliation:
Christiana Care Health System, Wilmington, Delaware, Philadelphia, Pennsylvania
*
Christiana Care Center for Outcomes Research, 131 Continental Drive, Suite 202, Newark, DE 19713, ([email protected])
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Extract

We calculated rates of ventilator-associated pneumonia (VAP) by using surveillance data, clinical data, and coding data. Compared with the VAP rates calculated on the basis of surveillance data, the VAP rates calculated on the basis of coding data were significantly overestimated in 4 of 5 intensive, care units. Efforts to improve coding and clinical documentation will address much but not all of this discrepancy between surveillance and administrative data.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 31 , Issue 6 , June 2010 , pp. 650 - 652
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2010

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