Estimating hospital costs of catheter-associated urinary tract infection
Estimating hospital costs of catheter-associated urinary tract infection
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DOI：
10.1002/jhm.2079
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发表时间：
2013-09-01
影响因子：
2.6
通讯作者：
Saint, Sanjay
中科院分区：
文献类型：
--
作者：
Kennedy, Edward H.;Greene, M. Todd;Saint, Sanjay
医疗保健相关感染是常见的，昂贵的，并可能致命。然而，有效的预防策略未得到充分利用，特别是对于导管相关尿路感染（CANTI），这是最常见的医疗保健相关感染之一。此外，自2008年以来，医疗保险和医疗补助服务中心不再报销医院在住院期间照顾患上帕金森病的患者的额外费用。鉴于这一决定对医院造成的支付压力，在试图鼓励决策者支持感染预防措施时，必须考虑到成本影响。为此，我们提出了一个简单的工具（易于使用的在线实施），医院可以使用它来估计由于PITTI的医院成本，在干预之前和之后，以减少不适当的导尿。使用以前发表的成本和风险估计，我们表明，在临床上可行的减少导管使用的干预措施，可导致估计50%的减少，在PCI相关的成本。我们的工具旨在补充医院医学学会的明智选择活动，该活动强调避免放置或继续使用无指征的导尿管作为改善决策和护理质量同时降低成本的关键领域。医院医学杂志2013;8：519-522。(c)2013医院医学学会
Healthcare-associated infections are common, costly, and potentially deadly. However, effective prevention strategies are underutilized, particularly for catheter-associated urinary tract infection (CAUTI), one of the most common healthcare-associated infections. Further, since 2008, the Centers for Medicare and Medicaid Services no longer reimburses hospitals for the additional costs of caring for patients who develop CAUTI during hospitalization. Given the resulting payment pressures on hospitals stemming from this decision, it is important to factor in cost implications when attempting to encourage decision makers to support infection prevention measures. To this end, we present a simple tool (with easy-to-use online implementation) that hospitals can use to estimate hospital costs due to CAUTI, both before and after an intervention, to reduce inappropriate urinary catheterization. Using previously published cost and risk estimates, we show that an intervention yielding clinically feasible reductions in catheter use can lead to an estimated 50% reduction in CAUTI-related costs. Our tool is meant to complement the Society of Hospital Medicine's Choosing Wisely campaign, which highlights avoiding placement or continued use of nonindicated urinary catheters as a key area for improving decision making and quality of care while decreasing costs. Journal of Hospital Medicine 2013;8:519-522. (c) 2013 Society of Hospital Medicine