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Leapfrog Hospital Safety Score, Magnet Designation, and Healthcare-Associated Infections in United States Hospitals
- Source :
- Journal of Patient Safety. 17:445-450
- Publication Year :
- 2017
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2017.
-
Abstract
- OBJECTIVE Healthcare-associated infections (HAIs) pose a challenge to patient safety. Although studies have explored individual level, few have focused on organizational factors such as a hospital's safety infrastructure (indicated by Leapfrog Hospital Safety Score) or workplace quality (Magnet recognition). The aim of the study was to determine whether Magnet and hospitals with better Leapfrog Hospital Safety Scores have fewer HAIs. METHODS Ordered probit regression analyses tested associations between Safety Score, Magnet status, and standardized infection ratios, depicting whether a hospital had a Clostridium difficile infection (CDI) and methicillin-resistant Staphylococcus aureus (MRSA) bloodstream infection standardized infection ratio that was "better," "no different," or "worse" than a National Benchmark as per Centers for Disease Control and Prevention's National Healthcare Safety Network definitions. RESULTS Accounting for confounders, relative to "A" hospitals, "B" and "C" hospitals had significant and negative relationships with CDI (-0.16, P < 0.01, and -0.14, P < 0.05, respectively) but not MRSA bacteremia. Magnet hospitals had a significant and positive relationship with MRSA bloodstream infections (0.74, P < 0.001) but a significant negative relationship with CDI (-0.21, P < 0.01) compared with non-Magnet. CONCLUSIONS A hospitals performed better on CDI but not MRSA bloodstream infections. In contrast, Magnet designation was associated with fewer than expected MRSA infections but more than expected CDIs. These mixed results indicate that hospital global assessments of safety and workplace quality differentially and imperfectly predict its level of HAIs, suggesting the need for more precise organizational measures of safety and more nuanced approaches to infection prevention and reduction.
- Subjects :
- Methicillin-Resistant Staphylococcus aureus
Healthcare associated infections
medicine.medical_specialty
Leadership and Management
MEDLINE
Ordered probit
03 medical and health sciences
Patient safety
0302 clinical medicine
Bloodstream infection
Health care
medicine
Humans
Infection control
030212 general & internal medicine
Intensive care medicine
Cross Infection
030504 nursing
business.industry
Confounding
Public Health, Environmental and Occupational Health
Staphylococcal Infections
Hospitals
United States
Emergency medicine
0305 other medical science
business
Delivery of Health Care
Subjects
Details
- ISSN :
- 15498425 and 15498417
- Volume :
- 17
- Database :
- OpenAIRE
- Journal :
- Journal of Patient Safety
- Accession number :
- edsair.doi.dedup.....a2897b95b3cdadafc3ee2dc2708d7816