State-mandated reporting of health care-associated infections in the United States: trends over time.

State-mandated reporting of health care-associated infections in the United States: trends over time.
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DOI:
10.1177/1062860614540200
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发表时间:
2015-09
期刊:
American journal of medical quality : the official journal of the American College of Medical Quality
影响因子:
--
通讯作者:
Stone PW
Stone PW
中科院分区:
其他
文献类型:
--
作者:
Herzig CT;Reagan J;Pogorzelska-Maziarz M;Srinath D;Stone PW

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在过去的十年中,大多数美国州和地区开始强制急性护理医院向其卫生部门报告医疗相关感染(HAI)。通过系统的法律的审查确定州HAI法律制定和数据提交要求的趋势;联系州HAI协调员以确认收集的数据。截至2013年1月31日,美国37个州和地区(71%)通过了要求提交HAI数据的法律;大多数在2006年和2007年颁布并生效。大多数有HAI法律的州要求报告成人ICU中的中心线相关血流感染(92%),约一半要求报告耐甲氧西林金黄色葡萄球菌和艰难梭菌感染(分别为54%和51%)。总体而言,数据提交要求因州而异。考虑到遵守HAI报告要求所需的设施和国家资源,未来的研究应侧重于这些法律是否对降低感染率产生了预期的影响。
Over the past decade, most US states and territories began mandating that acute care hospitals report healthcare-associated infections (HAI) to their departments of health. Trends in state HAI law enactment and data submission requirements were determined using systematic legal review; state HAI coordinators were contacted to confirm collected data. As of January 31, 2013, 37 US states and territories (71%) had adopted laws requiring HAI data submission; most were enacted and became effective in 2006 and 2007. Most states with HAI laws required reporting of central line-associated bloodstream infections in adult ICUs (92%), and about half required reporting of methicillin-resistant Staphylococcus aureus and Clostridium difficile infections (54% and 51%, respectively). Overall, data submission requirements were found to vary across states. Considering the facility and state resources needed to comply with HAI reporting mandates, future studies should focus on whether these laws have had the desired impact of reducing infection rates.
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