Feeding back surveillance data to prevent hospital-acquired infections.
We describe the Centers for Disease Control and Prevention's National Nosocomial Infections Surveillance system. Elements of the system critical for successful reduction of nosocomial infection rates include voluntary participation and confidentiality; standard definitions and protocols; identification of populations at high risk; site-specific, risk- adjusted infection rates comparable across institutions; adequate numbers of trained infection control professionals; dissemination of data to health-care providers; and a link between monitored rates and prevention efforts.
Gaynes
R
R
Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA. rpg1@cdc.gov
Richards
C
C
Edwards
J
J
Emori
T G
TG
Horan
T
T
Alonso-Echanove
J
J
Fridkin
S
S
Lawton
R
R
Peavy
G
G
Tolson
J
J
D002487:Centers for Disease Control and Prevention, U.S.; D003428:Cross Infection / Q000453:epidemiology / Q000517:prevention & control*; D003625:Data Collection; D016208:Databases, Factual; D018563:Disease Notification / Q000706:statistics & numerical data*; D006801:Humans; D009313:National Health Programs / Q000706:statistics & numerical data / Q000639:trends*; D011159:Population Surveillance; D014481:United States / Q000453:epidemiology