Quality check of a quality measure: Surgical wound classification discrepancies impact risk-stratified surgical site infection rates in pediatric appendicitis

Journal of the American College of Surgeons

Volumn 217, Issue 6, 2013, Pages 969-973

  Levy, Shauna M ^a,b,c   Holzmann Pazgal, Galit ^a,b   Lally, Kevin P ^a,b,c   Davis, Koya ^b   Kao, Lillian S ^a,b,c   Tsao, Kuojen ^a,b,c  

^a UNIVERSITY OF TEXAS MEDICAL SCHOOL   (United States)

^b MEMORIAL HERMANN HOSPITAL   (United States)

^c Medical School at Houston   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ABDOMINAL ABSCESS; ACUTE APPENDICITIS; ADOLESCENT; APPENDECTOMY; APPENDICITIS; ARTICLE; CHILD; CHILDHOOD DISEASE; DISEASE CLASSIFICATION; HEALTH CARE QUALITY; HOSPITAL INFORMATION SYSTEM; HUMAN; INFECTION RATE; INFECTION RISK; MAJOR CLINICAL STUDY; MEDICAL DOCUMENTATION; MEDICAL RECORD REVIEW; POSTOPERATIVE PERIOD; PRACTICAL NURSE; PRIORITY JOURNAL; SURGICAL INFECTION;

ADOLESCENT; APPENDECTOMY; APPENDICITIS; CHILD; CHILD, PRESCHOOL; DOCUMENTATION; ELECTRONIC HEALTH RECORDS; HOSPITALS, PEDIATRIC; HUMANS; INFANT; INFECTION CONTROL; RISK ADJUSTMENT; SURGICAL WOUND INFECTION; TEXAS; TREATMENT OUTCOME;

EID: 84888014384     PISSN: 10727515     EISSN: 18791190     Source Type: Journal    
DOI: 10.1016/j.jamcollsurg.2013.07.398     Document Type: Article

References (19)

1. L.S. Kao, A.A. Ghaferi, C.Y. Ko, and J.B. Dimick Reliability of superficial surgical site infections as a hospital quality measure J Am Coll Surg 213 2011 231 235
2. G. Ortega, D.S. Rhee, and D.J. Papandria An evaluation of surgical site infections by wound classification system using the ACS-NSQIP J Surg Res 174 2012 33 38
3. Centers for Medicare and Medicaid Services. Roadmap for Quality Measurement in the Traditional Medicare Fee-for-Service Program. Available at: https://www.cms.gov/QualityInitiativesGenInfo/01-overview.asp. Accessed March 26, 2012.
4. Centers for Medicare and Medicaid Services (CMS), and HHS Medicare program; hospital inpatient value-based purchasing program. Final rule Fed Regist 76 2011 26490 26547
5. Centers for Medicare and Medicaid Services (CMS), and HHS Medicare program; availability of Medicare data for performance measurement. Final rule Fed Regist 76 235 2011 76542 76571
6. Centers for Medicare and Medicaid Services (CMS), and HHS Medicare program; hospital inpatient prospective payment systems for acute care hospitals and the long-term care hospital prospective payment system and FY 2012 rates; hospitals' FTE resident caps for graduate medical education payment. Final rules Fed Regist 76 160 2011 51476 51846
7. Centers for Medicare and Medicaid Services (CMS), and HHS Medicare program; hospital inpatient prospective payment systems for acute care hospitals and the long-term care hospital prospective payment system and fiscal year 2013 rates; hospitals' resident caps for graduate medical education payment purposes; quality reporting requirements for specific providers and for ambulatory surgical centers. Final rule Fed Regist 77 170 2012 53257 53750
8. Agency for Healthcare Research and Quality. Tutorial on quality measures. Available at: http://www.qualitymeasures.ahrq.gov/tutorial/attributes.aspx. Accessed March 27, 2012.
9. F. Berard, and J. Gandon Postoperative wound infections: the influence of ultraviolet irradiation of the operating room and of various other factors Ann Surg 160 Suppl 2 1964 1 192
10. C. Brandt, S. Hansen, and D. Sohr Finding a method for optimizing risk adjustment when comparing surgical-site infection rates Infect Control Hosp Epidemiol 25 2004 313 318
11. D.H. Culver, T.C. Horan, and R.P. Gaynes Surgical wound infection rates by wound class, operative procedure, and patient risk index. National Nosocomial Infections Surveillance System Am J Med 91 3B 1991 152S 157S
12. L. Devaney, and K.S. Rowell Improving surgical wound classification - why it matters AORN J 80 2004 208-209, 212-223
13. J.L. Zinn Surgical wound classification: communication is needed for accuracy AORN J 95 2012 274 278
14. CDC Guidelines for the prevention and control of nosocomial infections. Guidelines for prevention of surgical wound infections, 1985 Am J Infect Control 14 1986 71 82
15. American College of Surgeons. ACS NSQIP-Classic. Variables and Definitions. Available at: http://nsqip.healthsoftonline.com/lib/Documents/Ch-4- Variables-Definitions-062810.pdf. Accessed July 27, 2012.
16. A.J. Mangram, T.C. Horan, and M.L. Pearson Guideline for prevention of surgical site infection, 1999. Centers for Disease Control and Prevention (CDC) Hospital Infection Control Practices Advisory Committee Am J Infect Control 27 1999 97-132; quiz 3-4; discussion 96
17. D.M. Cardo, P.S. Falk, and C.G. Mayhall Validation of surgical wound classification in the operating room Infect Control Hosp Epidemiol 14 1993 255 259
18. L.T. Vu, K.K. Nobuhara, H. Lee, and D.L. Farmer Conflicts in wound classification of neonatal operations J Pediatr Surg 44 2009 1206 1211
19. T.A. Ponsky, M. Hafi, and K. Heiss Interobserver variation in the assessment of appendiceal perforation J Laparoendosc Adv Surg Tech A 19 Suppl 1 2009 S15 S18