title: Infection in home health care: Results from national Outcome and Assessment Information Set data.
abstract: BACKGROUND
  Patients in home health care (HHC), the fastest growing health care sector, are at risk for infection. The existing research on infection in HHC is often limited by small sample sizes, local scope of inquiry, and a lack of current data. There is no national study examining agency-level infection rates.
  
  
  METHODS
  This secondary data analysis used a 20% random sample of the 2010 national Outcome and Assessment Information Set (OASIS) data. An infection case was identified when the HHC patient was hospitalized or received emergency care for respiratory infection, urinary tract infection, intravenous catheter-related infection, wound infection, or deterioration. Proportions of infection cases out of the total number of patients were calculated for the whole sample and for each HHC agency.
  
  
  RESULTS
  The final analysis included 199,462 patients from 8,255 HHC agencies. Approximately 3.5% of patients developed infections during their HHC stay, leading to emergency care treatment or hospitalization. Seventeen percent of unplanned hospitalizations among HHC patients were caused by infections. The agency-level infection rate ranged from 0%-34%, with an average of 3.5%.
  
  
  CONCLUSIONS
  To our knowledge, this is the first study to examine the proportion of hospitalizations or emergency care treatment caused by infection in HHC and the agency-level infection rate at a national level by using OASIS data. These data demonstrate that infection is a serious problem in HHC, and infection rates varied between agencies. The variance in agency level rates may be caused by differences in infection control policies and practices. Better infection surveillance system in HHC is needed to benchmark quality of care.
authors: School of Nursing, Columbia University, New York, NY. Electronic address: js4032@columbia.edu.
authors: Jingjing
authors: J
authors: Shang
authors: School of Nursing, Columbia University, New York, NY.
authors: Elaine
authors: E
authors: Larson
authors: School of Nursing, Columbia University, New York, NY.
authors: Jianfang
authors: J
authors: Liu
authors: School of Nursing, Columbia University, New York, NY.
authors: Patricia
authors: P
authors: Stone
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003141:Communicable Diseases / Q000453:epidemiology*; D004632:Emergency Medical Services / Q000706:statistics & numerical data; D005260:Female; D006699:Home Care Services; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged
keywords: Home health care; Infection; Outcome and Assessment Information Set