The impact of measurement changes on evaluating hospital performance: The case of catheter-associated urinary tract infections.
The impact of measurement changes on evaluating hospital performance: The case of catheter-associated urinary tract infections.
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测量变化对评估医院绩效的影响：导管相关尿路感染的案例。
DOI：
10.1017/ice.2019.240
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发表时间：
2019
影响因子：
4.5
通讯作者：
Lee,GraceM
中科院分区：
文献类型：
--
作者：
Hsu,HeatherE;Wang,Rui;Jentzsch,MaximilianS;Horan,Kelly;Jin,Robert;Goldmann,Donald;Rhee,Chanu;Lee,GraceM
在联邦基于价值的激励计划实施后，592家医院的导管相关性尿路感染立即下降，但这完全归因于同时监测病例定义的修订。修订后，更多的医院具有有利的标准化感染率，可能导致与患者安全性变化无关的绩效得分人为膨胀。
Catheter-associated urinary tract infections in 592 hospitals immediately declined after federal value-based incentive program implementation, but this was fully attributable to a concurrent surveillance case definition revision. Post revision, more hospitals had favorable standardized infection ratios, likely leading to artificial inflation of their performance scores unrelated to changes in patient safety.