Infection Control

Infection Control

Central Line-Associated Bloodstream Infections (CLABSI) – A central line is a tube that is placed into a patient’s large vein, usually in the neck, chest, arm or groin. The line is used to give fluids and medication, withdraw blood, and monitor the patient’s condition. A bloodstream infection can occur when microorganisms (e.g., bacteria, fungi) travel around or through the tube, or attach and multiply on the tubing or in fluid administered through the tubing, and then enter the blood. This is called a “central line-associated bloodstream infection (CLABSI).” Healthcare professionals can reduce the risk of CLABSI with preventive measures such as proper hand hygiene, utilizing sterile procedures upon insertion, and prompt removal when the line is no longer needed. Nassau University Medical Center performs surveillance in their Intensive Care Units (ICUs), and reports the occurrence of central line-associated blood stream infections as per the New York State Healthcare Acquired Infections Reporting (HAIR) Law.

Surgical Site Infections (SSIs) are infections that occur after the operation in the part of the body where the surgery took place. Most SSIs are limited and only involve the skin surrounding the incision; others may be deeper and more serious. Infections related to the following types of surgery are monitored and reported by Nassau University Medical Center infections as per the New York State Healthcare Acquired Infections Reporting (HAIR) Law.

  1. Colon – Colon surgery is a procedure performed on the lower part of the digestive tract, also known as the large intestine or colon.
  2. Hip replacement – Hip replacement surgery involves removing damaged cartilage and bone from the hip joint, and replacing them with new, man-made parts.

 

Key

  At or better than N.Y. State average
  Near the N.Y. State average
  Room for Improvement
qua_award   Blue Ribbon = best possible value

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Nassau University Medical Center
January 01 2017 – December 31 2017
NUMC
N.Y. State Average
Catheter-related Bloodstream Infections Rate
Summary for Intensive care units and Medical Surgical Wards
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Surgical Site Infections Adjusted Rate
  Colon Surgery *

*Risk Adjustment

Risk adjustment is a statistical technique that takes into account the differences in patientpopulations in terms of severity of illness and other factors that may affect the risk of developing a hospital acquired infection and, thus allows hospitals to be more fairly compared. A hospital that performs a large number of complex procedures on very sick patients would be expected to have a higher infection rate than a hospital that performs more routine procedures on healthier patients. Therefore, before comparing the infection rates of hospitals, it is important to adjust for the number and proportion of high and low risk patients. Different risk adjustment methods are used for central line blood stream and surgical site infections.

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  Hip Surgery *

*Risk Adjustment

Risk adjustment is a statistical technique that takes into account the differences in patientpopulations in terms of severity of illness and other factors that may affect the risk of developing a hospital acquired infection and, thus allows hospitals to be more fairly compared. A hospital that performs a large number of complex procedures on very sick patients would be expected to have a higher infection rate than a hospital that performs more routine procedures on healthier patients. Therefore, before comparing the infection rates of hospitals, it is important to adjust for the number and proportion of high and low risk patients. Different risk adjustment methods are used for central line blood stream and surgical site infections.

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