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Guidance on Public Reporting of Healthcare-Associated Infections: Recommendations of the Healthcare Infection Control Practices Advisory Committee

Guidance on Public Reporting of Healthcare-Associated Infections: Recommendations of the HICPAC [PDF 150 KB]

Table 1. Recommended process measures for a mandatory public reporting system on health care–associated infections

Events Measures Rationale for inclusion Potential limitations
Central line insertion (CLI) practices Two measures (expressed as a percentage)6: Unambiguous target goal (100%) Methods for data collection not yet standardized

Numerators: Number of CLIs in

  • Maximal sterile barrier precautions were used
  • Chlorhexidine gluconate (preferred),
    tincture of iodine, an iodophor, or 70% alcohol was used as skin antiseptic
Risk-adjustment is unnecessary Manual data collection likely to be tedious and labor intensive, and data are not included in medical records
  Denominator: Number of CLIs

Proven prevention effectiveness 6:

  • Use of maximal barrier precautions during insertion and chlorhexidine skin antisepsis have been shown to be associated with an 84% and 49% reduction in central line–associated bloodstream infection rates, respectively.7,8
Surgical antimicrobial prophylaxis (AMP) Three measures (expressed as a percentage) 9: Unambiguous target goal (100%) Manual data collection may be tedious and labor intensive, but data can be abstracted from medical records

Numerators: Number of surgical patients:

  • Who received AMP within 1 hour prior to surgical incision (or 2 hours if receiving vancomycin or a fluoroquinolone)
  • Who received AMP recommended for their surgical procedure
  • Whose prophylactic antibiotics were discontinued within 24 hours after surgery end time
Risk-adjustment is unnecessary  
  Denominator: All selected surgical patients

Proven prevention effectiveness 10:

  • Administering the appropriate antimicrobial agent within 1 hour before the incision has been shown to reduce SSIs
  • Prolonged duration of surgical prophylaxis (.24 hrs) has been associated with increased risk of antimicrobial-resistant SSI
Influenza vaccination of patients and health care personnel Two measures (each expressed as a percentage of coverage)11:
Numerators: Number of influenza
vaccinations given to eligible patients or healthcare personnel
Denominators: Number of patients or healthcare personnel eligible for influenza vaccine

Proven prevention effectiveness 11-13:

  • Vaccination of high-risk patients and health care personnel has been shown to be effective in preventing influenza
Manual data collection may be tedious and labor intensive The U.S. Government's Official Web PortalDepartment of Health and Human Services
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