About: Reduction in Clostridium difficile Infection Rates after Mandatory Hospital Public Reporting: Findings from a Longitudinal Cohort Study in Canada

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About: Reduction in Clostridium difficile Infection Rates after Mandatory Hospital Public Reporting: Findings from a Longitudinal Cohort Study in Canada Goto Sponge NotDistinct Permalink

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Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Reduction in Clostridium difficile Infection Rates after Mandatory Hospital Public Reporting: Findings from a Longitudinal Cohort Study in Canada
Creator	Vermeulen, Marian Daneman, Nick Guttmann, Astrid Ma, Xiaomu Stukel, Therese
Source	Medline; PMC
abstract	BACKGROUND: The role of public reporting in improving hospital quality of care is controversial. Reporting of hospital-acquired infection rates has been introduced in multiple health care systems, but its relationship to infection rates has been understudied. Our objective was to determine whether mandatory public reporting by hospitals is associated with a reduction in hospital rates of Clostridium difficile infection. METHODS AND FINDINGS: We conducted a longitudinal, population-based cohort study in Ontario (Canada's largest province) between April 1, 2002, and March 31, 2010. We included all patients (>1 y old) admitted to 180 acute care hospitals. Using Poisson regression, we developed a model to predict hospital- and age-specific monthly rates of C. difficile disease per 10,000 patient-days prior to introduction of public reporting on September 1, 2008. We then compared observed monthly rates of C. difficile infection in the post-intervention period with rates predicted by the pre-intervention predictive model. In the pre-intervention period there were 33,634 cases of C. difficile infection during 39,221,113 hospital days, with rates increasing from 7.01 per 10,000 patient-days in 2002 to 10.79 in 2007. In the first calendar year after the introduction of public reporting, there was a decline in observed rates of C. difficile colitis in Ontario to 8.92 cases per 10,000 patient-days, which was significantly lower than the predicted rate of 12.16 (95% CI 11.35–13.04) cases per 10,000 patient-days (p<0.001). Over this period, public reporting was associated with a 26.7% (95% CI 21.4%–31.6%) reduction in C. difficile cases, or a projected 1,970 cases averted per year (95% CI 1,476–2,500). The effect was specific to C. difficile, with rates of community-acquired gastrointestinal infections and urinary tract infections unchanged. A limitation of our study is that this observational study design cannot rule out the influence of unmeasured temporal confounders. CONCLUSIONS: Public reporting of hospital C. difficile rates was associated with a substantial reduction in the population burden of this infection. Future research will be required to discern the direct mechanism by which C. difficile infection rates may have been reduced in response to public reporting. Please see later in the article for the Editors' Summary
has issue date	2012-07-17(xsd:dateTime)
bibo:doi	10.1371/journal.pmed.1001268
bibo:pmid	22815656
has license	cc-by
sha1sum (hex)	e4722dbdd2d7a467fcfd82700a2493e5ee6efd9e
schema:url	https://doi.org/10.1371/journal.pmed.1001268
resource representing a document's title	Reduction in Clostridium difficile Infection Rates after Mandatory Hospital Public Reporting: Findings from a Longitudinal Cohort Study in Canada
has PubMed Central identifier	PMC3398960
has PubMed identifier	22815656
schema:publication	PLoS Med
resource representing a document's body	covid:e4722dbdd2d7a467fcfd82700a2493e5ee6efd9e#body_text
is schema:about of	named entity 'RATES' named entity 'introduced' named entity 'infection' named entity 'CLOSTRIDIUM DIFFICILE INFECTION' named entity 'BUT' named entity 'IMPROVING' named entity 'OBJECTIVE' named entity 'RELATIONSHIP' named entity 'BACKGROUND' named entity 'MANDATORY' named entity 'HOSPITAL' named entity 'ASSOCIATED WITH' named entity 'REPORTING' named entity 'RATES' named entity 'MANDATORY' named entity 'ROLE' named entity 'HEALTH CARE SYSTEMS' named entity 'OUR' named entity 'REPORTING' named entity 'CANADA' named entity 'REDUCTION' named entity 'FINDINGS' named entity 'DETERMINE' named entity 'PUBLIC' named entity 'INFECTION' named entity 'HOSPITALS' named entity 'LONGITUDINAL COHORT STUDY' named entity 'CLOSTRIDIUM DIFFICILE INFECTION' named entity 'HOSPITAL PUBLIC' named entity 'ITS' named entity 'QUALITY OF CARE' named entity 'IN HOSPITAL' named entity 'MULTIPLE' named entity 'INTRODUCED' named entity 'REDUCTION' named entity 'determine' named entity 'Clostridium' named entity 'infection' named entity 'infection' named entity 'infection' named entity 'Longitudinal Cohort Study' named entity 'care' named entity 'Pearson's correlation coefficient' named entity 'antimicrobials' named entity 'C. difficile' named entity 'Ontario Health Insurance Plan' named entity 'infection' named entity '11.1' named entity 'C. difficile' named entity 'cohort study' named entity 'Ontario' named entity 'ICD-10' named entity 'Sunnybrook Health Sciences Centre' named entity 'C. difficile' named entity 'C. difficile' named entity 'microbiology' named entity 'antibiotics' named entity 'hospital-acquired' named entity 'C. difficile' named entity 'database' named entity 'C. difficile' named entity 'Long-Term Care' named entity 'C. difficile infection' named entity 'antibiotics' named entity 'Ontario' named entity 'C. difficile' named entity 'preventable disease' named entity 'antibiotic' named entity 'Ontario' named entity 'intestinal flora' named entity 'hospital-acquired' named entity 'virus' named entity 'pathogens' named entity 'outpatient' named entity 'health care' named entity 'C. difficile' named entity 'C. difficile infection'

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