Using Automated Health Plan Data to Assess Infection Risk from Coronary Artery Bypass Surgery
| Autor: | Robert P. Gaynes, Rachel S. Dokholyan, Kenneth Sands, Ken Kleinman, John H. Mason, Richard Platt, Kristin Thompson, Steven L. Solomon, Teresa C. Horan, James M. Livingston, Andrew Bergman |
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| Rok vydání: | 2002 |
| Předmět: |
Male
Microbiology (medical) Prescription drug Medical Records Systems Computerized Epidemiology lcsh:Medicine Pharmacy Comorbidity lcsh:Infectious and parasitic diseases Patient safety Ambulatory care Risk Factors Ambulatory Care medicine Humans Surgical Wound Infection lcsh:RC109-216 Coronary Artery Bypass Medical prescription Outpatient pharmacy Aged business.industry Research Medical record lcsh:R Health Maintenance Organizations Middle Aged medicine.disease United States Infectious Diseases Massachusetts Pharmaceutical Services Managed care Female Medical emergency business |
| Zdroj: | Emerging Infectious Diseases Emerging Infectious Diseases, Vol 8, Iss 12, Pp 1433-1441 (2002) |
| ISSN: | 1080-6059 1080-6040 |
| Popis: | We determined if infection indicators were sufficiently consistent across health plans to allow comparison of hospitals’ risks of infection after coronary artery bypass surgery. Three managed care organizations accounted for 90% of managed care in eastern Massachusetts, from October 1996 through March 1999. We searched their automated inpatient and outpatient claims and outpatient pharmacy dispensing files for indicator codes suggestive of postoperative surgical site infection. We reviewed full text medical records of patients with indicator codes to confirm infection status. We compared the hospital-specific proportions of cases with an indicator code, adjusting for health plan, age, sex, and chronic disease score. A total of 536 (27%) of 1,953 patients had infection indicators. Infection was confirmed in 79 (53%) of 149 reviewed records with adequate documentation. The proportion of patients with an indicator of infection varied significantly (p |
| Databáze: | OpenAIRE |
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