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Tabak YP, Johannes RS, Sun X, Crosby CT, Jarvis WR. Innovative Use of Existing Public and Private Data Sources for Postmarketing Surveillance of Central Line-Associated Bloodstream Infections Associated With Intravenous Needleless Connectors. J Infus Nurs 2016; 39:328-35. [PMID: 27598072 PMCID: PMC5014545 DOI: 10.1097/nan.0000000000000185] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
The Centers for Medicare and Medicaid Services (CMS) Hospital Compare central line-associated bloodstream infection (CLABSI) data and private databases containing new-generation intravenous needleless connector (study NC) use at the hospital level were linked. The relative risk (RR) of CLABSI associated with the study NCs was estimated, adjusting for hospital characteristics. Among 3074 eligible hospitals in the 2013 CMS database, 758 (25%) hospitals used the study NCs. The study NC hospitals had a lower unadjusted CLABSI rate (1.03 vs 1.13 CLABSIs per 1000 central line days, P < .0001) compared with comparator hospitals. The adjusted RR for CLABSI was 0.94 (95% confidence interval: 0.86, 1.02; P = .11).
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Affiliation(s)
- Ying P. Tabak
- Clinical Research, CareFusion, San Diego, California (Drs Tabak, Johannes, Sun, and Crosby); Harvard Medical School, Boston, Massachusetts (Dr Johannes); and Jason and Jarvis Associates LLC, Hilton Head Island, South Carolina (Dr Jarvis)
- Ying P. Tabak, PhD, focuses on clinical research at CareFusion in San Diego, California
- Richard S. Johannes, MD, MS, is engaged in clinical research at CareFusion in San Diego, California, and is a member of the faculty at Harvard Medical School in Boston, Massachusetts
- Xiaowu Sun, PhD, is a clinical researcher at CareFusion in San Diego, California
- Cynthia T. Crosby, PhD, works in clinical research at CareFusion in San Diego, California
- William R. Jarvis, MD, has more than 35 years of experience in health care epidomiology and infection control. He held a number of leadership positions at the Centers for Disease Control and Prevention for 23 years, and now is president of Jason and Jarvis Associates, LLC, Hilton Head Island, South Carolina
| | - Richard S. Johannes
- Clinical Research, CareFusion, San Diego, California (Drs Tabak, Johannes, Sun, and Crosby); Harvard Medical School, Boston, Massachusetts (Dr Johannes); and Jason and Jarvis Associates LLC, Hilton Head Island, South Carolina (Dr Jarvis)
- Ying P. Tabak, PhD, focuses on clinical research at CareFusion in San Diego, California
- Richard S. Johannes, MD, MS, is engaged in clinical research at CareFusion in San Diego, California, and is a member of the faculty at Harvard Medical School in Boston, Massachusetts
- Xiaowu Sun, PhD, is a clinical researcher at CareFusion in San Diego, California
- Cynthia T. Crosby, PhD, works in clinical research at CareFusion in San Diego, California
- William R. Jarvis, MD, has more than 35 years of experience in health care epidomiology and infection control. He held a number of leadership positions at the Centers for Disease Control and Prevention for 23 years, and now is president of Jason and Jarvis Associates, LLC, Hilton Head Island, South Carolina
| | - Xiaowu Sun
- Clinical Research, CareFusion, San Diego, California (Drs Tabak, Johannes, Sun, and Crosby); Harvard Medical School, Boston, Massachusetts (Dr Johannes); and Jason and Jarvis Associates LLC, Hilton Head Island, South Carolina (Dr Jarvis)
- Ying P. Tabak, PhD, focuses on clinical research at CareFusion in San Diego, California
- Richard S. Johannes, MD, MS, is engaged in clinical research at CareFusion in San Diego, California, and is a member of the faculty at Harvard Medical School in Boston, Massachusetts
- Xiaowu Sun, PhD, is a clinical researcher at CareFusion in San Diego, California
- Cynthia T. Crosby, PhD, works in clinical research at CareFusion in San Diego, California
- William R. Jarvis, MD, has more than 35 years of experience in health care epidomiology and infection control. He held a number of leadership positions at the Centers for Disease Control and Prevention for 23 years, and now is president of Jason and Jarvis Associates, LLC, Hilton Head Island, South Carolina
| | - Cynthia T. Crosby
- Clinical Research, CareFusion, San Diego, California (Drs Tabak, Johannes, Sun, and Crosby); Harvard Medical School, Boston, Massachusetts (Dr Johannes); and Jason and Jarvis Associates LLC, Hilton Head Island, South Carolina (Dr Jarvis)
- Ying P. Tabak, PhD, focuses on clinical research at CareFusion in San Diego, California
- Richard S. Johannes, MD, MS, is engaged in clinical research at CareFusion in San Diego, California, and is a member of the faculty at Harvard Medical School in Boston, Massachusetts
- Xiaowu Sun, PhD, is a clinical researcher at CareFusion in San Diego, California
- Cynthia T. Crosby, PhD, works in clinical research at CareFusion in San Diego, California
- William R. Jarvis, MD, has more than 35 years of experience in health care epidomiology and infection control. He held a number of leadership positions at the Centers for Disease Control and Prevention for 23 years, and now is president of Jason and Jarvis Associates, LLC, Hilton Head Island, South Carolina
| | - William R. Jarvis
- Corresponding Author: William R. Jarvis, MD, Jason and Jarvis Associates LLC, 135 Dune Lane, Hilton Head Island, SC 29928 ()
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