Challenges in reporting surgical site infections to the national surgical site infection surveillance and suggestions for improvement

Annals of the Royal College of Surgeons of England
S SinghSrinivasulu Reddy

Abstract

Mandatory orthopaedic surgical site infection (SSI) data in England are used as a benchmark to compare infection rates between participating hospitals. According to the national guidelines, trusts are required to submit their data for at least one quarter of the year but they are free to report for all quarters. Owing to this ambiguity, there is a concern about robust reporting across trusts and therefore the accuracy of these data. There is also concern about the accuracy of collection methods. The aim of this five-year retrospective study was to assess the accuracy of SSI reporting at two hospitals in South East England under the same trust. A retrospective review was carried out of five years of electronic medical records, microbiology data and readmission data of all patients who underwent hip and knee replacement surgery at these hospitals. These data were validated with the data submitted to Public Health England (PHE) and any discrepancy between the two was noted. A significant difference was found in the SSI rates reported by the surveillance staff and our retrospective method. Our study confirms the findings of a national survey, which raised concerns about the quality of SSI reporting and the usefulness of PHE SSI dat...Continue Reading

References

Apr 1, 1990·American Journal of Epidemiology·A BroderickR P Wenzel
Apr 1, 1993·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·D M CardoC G Mayhall
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Jan 22, 2013·The Journal of Hospital Infection·J TannerR Baggott

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Citations

Jun 24, 2017·The Journal of Hospital Infection·P J JenksJ Keenan
Jun 11, 2017·The Journal of Hospital Infection·T LamagniA P Johnson

Feb 1, 2020·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
Jun 4, 2019·Annals of the Royal College of Surgeons of England·Jlc WongTwr Briggs
Jan 26, 2017·The British Journal of Surgery·N MohamedA S Anderson
Apr 14, 2017·Surgical Infections·Kenrick D CatoElaine Larson
Jan 1, 2021·The Bone & Joint Journal·Simon CraxfordBenjamin Ollivere

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