Hostname: page-component-848d4c4894-x24gv Total loading time: 0 Render date: 2024-05-12T20:37:54.123Z Has data issue: false hasContentIssue false

Surgical Site Infection Surveillance Following Ambulatory Surgery

Published online by Cambridge University Press:  18 December 2014

Chanu Rhee*
Affiliation:
Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts Division of Infectious Diseases, Brigham and Women’s Hospital, Boston, Massachusetts
Susan S. Huang
Affiliation:
Division of Infectious Diseases, University of California, Irvine, School of Medicine, Irvine
Sandra I. Berríos-Torres
Affiliation:
Division of Healthcare Quality Promotion, CDC, Atlanta, Georgia.
Rebecca Kaganov
Affiliation:
Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts
Christina Bruce
Affiliation:
Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts
Julie Lankiewicz
Affiliation:
Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts
Richard Platt
Affiliation:
Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts
Deborah S. Yokoe
Affiliation:
Division of Infectious Diseases, Brigham and Women’s Hospital, Boston, Massachusetts
*
Address correspondence to Chanu Rhee, MD, Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, 133 Brookline Avenue, 6th Floor, Boston, MA 02215 (crhee1@partners.org).

Abstract

We assessed 4045 ambulatory surgery patients for surgical site infection (SSI) using claims-based triggers for medical chart review. Of 98 patients flagged by codes suggestive of SSI, 35 had confirmed SSIs. SSI rates ranged from 0 to 3.2% for common procedures. Claims may be useful for SSI surveillance following ambulatory surgery.

Infect Control Hosp Epidemiol 2014;00(0):1–4

Type
Concise Communications
Copyright
© 2014 by The Society for Healthcare Epidemiology of America. All rights reserved 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Presented in part: IDWeek; San Francisco, California; October 17–21, 2012 (abstract 1295).

References

1. Russo, A, Elixhauser, A, Steiner, C, Wier, L. Hospital-based ambulatory surgery, 2007: Statistical Brief #86 Healthcare Cost and Utilization Project (HCUP) Rockville, MD; 2006.Google Scholar
2. Schaefer, MK, Jhung, M, Dahl, M, et al. Infection control assessment of ambulatory surgical centers. JAMA 2010;303:22732279.CrossRefGoogle ScholarPubMed
3. CDC. Outbreaks and patient notifications in outpatient settings.CDC website. http://www.cdc.gov/HAI/settings/outpatient/outbreaks-patient-notifications.html. Accessed March 9, 2014.Google Scholar
4. Calderwood, MS, Ma, A, Khan, YM, et al. Use of Medicare diagnosis and procedure codes to improve detection of surgical site infections following hip arthroplasty, knee arthroplasty, and vascular surgery. Infect Control Hosp Epidemiol 2012;33:4049.CrossRefGoogle ScholarPubMed
5. Letourneau, AR, Calderwood, MS, Huang, SS, Bratzler, DW, Ma, A, Yokoe, DS. Harnessing claims to improve detection of surgical site infections following hysterectomy and colorectal surgery. Infect Control Hosp Epidemiol 2013;34:13211323.CrossRefGoogle ScholarPubMed
6. Yokoe, DS, Noskin, GA, Cunnigham, SM, et al. Enhanced identification of postoperative infections among inpatients. Emerg Infect Dis 2004;10:19241930.CrossRefGoogle ScholarPubMed
7. Yokoe, DS, Khan, Y, Olsen, MA, et al. Enhanced surgical site infection surveillance following hysterectomy, vascular, and colorectal surgery. Infect Control Hosp Epidemiol 2012;33:768773.CrossRefGoogle ScholarPubMed
8. CDC. Surgical site infection (SSI) event. 2014; http://www.cdc.gov/nhsn/pdfs/pscmanual/9pscssicurrent.pdf. Accessed June 2, 2014.Google Scholar
9. Mu, Y, Edwards, JR, Horan, TC, Berrios-Torres, SI, Fridkin, SK. Improving risk-adjusted measures of surgical site infection for the national healthcare safety network. Infect Control Hosp Epidemiol 2011;32:970986.CrossRefGoogle ScholarPubMed
10. Owens, PL, Barrett, ML, Raetzman, S, Maggard-Gibbons, M, Steiner, CA. Surgical site infections following ambulatory surgery procedures. JAMA 2014;311:709716.CrossRefGoogle ScholarPubMed