title: [Infection prevention in Dutch hospitals; results say more than process indicators].
abstract: The Dutch Health Care Inspectorate investigated the preparedness of Dutch hospitals for the emergence of antibiotic resistance, and concluded that hospitals are not well prepared and are insufficiently aware that infection prevention is a prerequisite for patient safety. These conclusions are based on observations of process indicators of current practice guidelines, without including the available outcome indicators that demonstrate the persistently low incidence of infections with antibiotic resistant bacteria in Dutch hospitals. The conclusions may have negative effects on the quality of infection prevention in Dutch hospitals. Therefore, it is advisable to use outcome indicators rather than process indicators to evaluate the quality of infection prevention.
authors.affiliation: Universitair Medisch Centrum, afd. Medische Microbiologie, Utrecht.
authors.forename: Marc J M
authors.initials: MJ
authors.lastname: Bonten
authors.forename: Alexander
authors.initials: A
authors.lastname: Friedrich
authors.forename: Jan A J W
authors.initials: JA
authors.lastname: Kluytmans
authors.forename: Christina M J E
authors.initials: CM
authors.lastname: Vandenbroucke-Grauls
authors.forename: Andreas
authors.initials: A
authors.lastname: Voss
authors.forename: Margreet C
authors.initials: MC
authors.lastname: Vos
mesh_terms: D003428:Cross Infection / Q000517:prevention & control*; D003695:Delivery of Health Care; D024881:Drug Resistance, Bacterial; D006761:Hospitals / Q000592:standards*; D006801:Humans; D011787:Quality of Health Care