title: Standardized Infection Ratio for Surgical Site Infection after Colon Surgery: Discord in Models Measuring Healthcare Quality.
abstract: The government publishes 3 different public report surgical site infection (SSI) metrics, all called standardized infection ratios (SIRs), that impact perceived hospital quality. We conducted a non-random cross-sectional observational pilot study of 20 California hospitals that voluntarily submitted colon surgery and SSI data. Discordant SIR values, leading to contradictory conclusions, occurred in 35% of these hospitals. Infect Control Hosp Epidemiol 2016;1-5.
authors: 1Infection Prevention and Clinical Epidemiology,Sharp Metropolitan Medical Campus,San Diego,California.
authors: Raymond
authors: R
authors: Chinn
authors: 2Healthcare Associated Infections Program Office of Communicable Disease Epidemiology Washington State Department of Health,Shoreline,Washington.
authors: Jason M
authors: JM
authors: Lempp
authors: 3Division of Infectious Diseases and Health Policy Research Institute University of California Irvine School of Medicine,Orange,California.
authors: Susan S
authors: SS
authors: Huang
authors: 4Hospital Epidemiology,Cedars-Sinai Medical Center,Los Angeles,California.
authors: Rekha
authors: R
authors: Murthy
authors: 5Infection Prevention and Clinical Epidemiology Unit,University of California,San Diego Health,San Diego,California.
authors: Francesca J
authors: FJ
authors: Torriani
authors: 1Infection Prevention and Clinical Epidemiology,Sharp Metropolitan Medical Campus,San Diego,California.
authors: Jacqueline
authors: J
authors: Daley
authors: 6Infection Prevention,San Francisco General Hospital,San Francisco,California.
authors: Elaine
authors: E
authors: Dekker
authors: 7Infection Prevention,Hoag Hospital System,Newport Beach,California.
authors: Barbara
authors: B
authors: Goss-Bottorff
authors: 8Infection Prevention,Dignity Health,Saint Francis Memorial Hospital,San Francisco,California.
authors: Wendy
authors: W
authors: Kaler
authors: 9Epidemiology Surveillance,Scripps Health,San Diego,California.
authors: Karen
authors: K
authors: Meyer
authors: 5Infection Prevention and Clinical Epidemiology Unit,University of California,San Diego Health,San Diego,California.
authors: Frank
authors: F
authors: Myers
authors: 10Hospital Epidemiology and Infection Control,University of California San Francisco Health,San Francisco,California.
authors: Amy
authors: A
authors: Nichols
authors: 11Epidemiology and Infection Prevention University of California Irvine Health,Orange,California.
authors: Kathleen Quan
authors: 12School of Population and Public Health University of British Columbia,Principal Applied Epidemiology British Columbia,Canada.
authors: David
authors: D
authors: Birnbaum
mesh_terms: D002140:California / Q000453:epidemiology; D002487:Centers for Disease Control and Prevention, U.S.; D003106:Colon / Q000601:surgery*; D003428:Cross Infection / Q000453:epidemiology* / Q000209:etiology; D003430:Cross-Sectional Studies; D013505:Digestive System Surgical Procedures / Q000009:adverse effects; D006761:Hospitals; D006801:Humans; D020407:Internet; D010865:Pilot Projects; D011159:Population Surveillance; D019984:Quality Indicators, Health Care / Q000592:standards*; D013530:Surgical Wound Infection / Q000453:epidemiology*; D014481:United States