a1 Infection Prevention Department, Methodist Healthcare, Memphis, Tennessee
a2 Division of Quality Measurement and Research, The Joint Commission, Oakbrook Terrace, Illinois
a3 Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia
a4 Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina
a5 J. Paul Sticht Center on Aging, Winston-Salem, North Carolina
Since its inception, the Society for Healthcare Epidemiology of America (SHEA) has promoted research into prevention of adverse events in hospitals. In 1995, SHEA made this mission concrete by initiating a collaborative research project with the Joint Commission on the Accreditation of Health Care Organization (now known as the Joint Commission). In the early 1990s, the Joint Commission was implementing its “Agenda for Change” and associated Indicator Monitoring System. At the time, there were numerous competing measurement systems that used different definitions, all aimed at measuring the quality of patient care, and many had indicators measuring the incidence of hospital-acquired infections. Some of these indicators used administrative data, such as International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) codes, to measure adverse events.
(Received July 20 2010)
(Accepted August 02 2010)