title: Magnet® Hospital Recognition Linked to Lower Central Line-Associated Bloodstream Infection Rates.
abstract: Central-line-associated bloodstream infections (CLABSI) are among the deadliest heathcare-associated infections, with an estimated 12-25% mortality rate. In 2014, the Centers for Medicare and Medicaid Services (CMS) began to penalize hospitals for poor performance with respect to selected hospital-acquired conditions, including CLABSI. A structural factor associated with high-quality nursing care and better patient outcomes is The Magnet Recognition Program®. The purpose of this study was to explore the relationship between Magnet status and hospital CLABSI rates. We used propensity score matching to match Magnet and non-Magnet hospitals with similar hospital characteristics. In a matched sample of 291 Magnet hospitals and 291 non-Magnet hospitals, logistic regression models were used to examine whether there was a link between Magnet status and CLABSI rates. Both before and after matching, Magnet hospital status was associated with better (lower than the national average) CLABSI rates (OR = 1.60, 95%CI: 1.10, 2.33 after matching). While established programs such as Magnet recognition are consistently correlated with high-quality nursing work environments and positive patient outcomes, additional research is needed to determine whether Magnet designation produces positive patient outcomes or rewards existing excellence.
authors.affiliation: Postdoctoral Research Fellow, Center for Health Outcomes and Policy Research University of Pennsylvania School of Nursing, 418 Curie Blvd., Room 388R, Philadelphia, PA, 19104.
authors.forename: Hilary
authors.initials: H
authors.lastname: Barnes
authors.affiliation: Postdoctoral Research Fellow, Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, PA.
authors.forename: Jessica
authors.initials: J
authors.lastname: Rearden
authors.affiliation: Associate Director, Center for Health Outcomes and Policy Research The Rosemarie Greco Term Endowed Associate Professorship in Advocacy, University of Pennsylvania School of Nursing, Philadelphia, PA.
authors.forename: Matthew D
authors.initials: MD
authors.lastname: McHugh
mesh_terms: D016470:Bacteremia / Q000401:mortality / Q000451:nursing*; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D014487:Centers for Medicare and Medicaid Services, U.S.; D003428:Cross Infection / Q000453:epidemiology / Q000451:nursing*; D006761:Hospitals / Q000592:standards*; D006801:Humans; D017053:Infection Control / Q000592:standards*; D057216:Propensity Score; D011785:Quality Assurance, Health Care; D019984:Quality Indicators, Health Care; D014481:United States / Q000453:epidemiology
keywords: CLABSI; HAC reduction program; infection; magnet hospital; nursing care; work environment
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