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The Development of Performance Indicators for Hospital Infections and their Application to Health Technology Assessments

Research Project

Project/Area Number 25713029
Research Category

Grant-in-Aid for Young Scientists (A)

Allocation TypePartial Multi-year Fund
Research Field Medical and hospital managemen
Research InstitutionKyushu University

Principal Investigator

Fukuda Haruhisa  九州大学, 医学(系)研究科(研究院), 准教授 (30572119)

Project Period (FY) 2013-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥23,920,000 (Direct Cost: ¥18,400,000、Indirect Cost: ¥5,520,000)
Fiscal Year 2016: ¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2015: ¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
Fiscal Year 2014: ¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2013: ¥9,750,000 (Direct Cost: ¥7,500,000、Indirect Cost: ¥2,250,000)
Keywords手術部位感染 / 標準化感染比 / 抗菌薬 / 多剤耐性菌 / DPC / JANIS / 医療経済評価 / 病院感染 / 多剤耐性菌感染 / 薬剤感受性 / 病院管理学 / 院内感染管理 / 薬剤耐性菌 / 医療技術評価 / 薬剤感受性検査 / 耐性菌 / 薬剤感受性試験
Outline of Final Research Achievements

This research project utilized data from all surgical site infection cases in the Japan Nosocomial Infections Surveillance (JANIS) system and applied adjustments for patient severity more appropriately than previous methods in order to predict the occurrence of surgical site infections according to disease. A model to calculate standardized infection ratios was developed to enable hospital-level performance assessments.
Furthermore, JANIS data and Diagnosis Procedure Combination (DPC) claims data were collected from participating hospitals, and additional analyses were conducted. These included the following: (1) Identification of the risk factors of surgical site infections, (2) Elucidation of the effectiveness and cost-effectiveness of safety-engineered devices, and (3) Estimation of the additional healthcare costs due to multidrug-resistant bacterial infections (penicillin-resistant Streptococcus pneumoniae and methicillin-resistant Staphylococcus aureus).

Report

(5 results)
  • 2016 Annual Research Report   Final Research Report ( PDF )
  • 2015 Annual Research Report
  • 2014 Annual Research Report
  • 2013 Annual Research Report
  • Research Products

    (56 results)

All 2017 2016 2015 2014 2013 Other

All Journal Article (27 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 21 results,  Acknowledgement Compliant: 14 results,  Open Access: 11 results) Presentation (24 results) (of which Int'l Joint Research: 2 results,  Invited: 4 results) Book (4 results) Remarks (1 results)

  • [Journal Article] Impact of nonadherence on complication risks and healthcare costs in patients newly-diagnosed with diabetes.2017

    • Author(s)
      Fukuda H, Mizobe M.
    • Journal Title

      Diabetes Research and Clinical Practice

      Volume: 123 Pages: 55-62

    • DOI

      10.1016/j.diabres.2016.11.007

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Comparative economic evaluation of home-based and hospital-based palliative care for terminal cancer patients.2017

    • Author(s)
      Kato K, Fukuda H.
    • Journal Title

      Geriatrics & Gerontology International

      Volume: - Issue: 11 Pages: 2247-2254

    • DOI

      10.1111/ggi.12977

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Identification of covert atrial fibrillation in cryptogenic ischemic stroke: current clinical practice in Japan.2016

    • Author(s)
      Toyoda K, Okumura K, Hashimoto Y, Ikeda T, Komatsu T, Hirano T, Fukuda H, Matsumoto K, Yasaka M.
    • Journal Title

      Journal of Stroke and Cerebrovascular Diseases

      Volume: 25 Issue: 8 Pages: 1829-1837

    • DOI

      10.1016/j.jstrokecerebrovasdis.2016.05.012

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 抗菌薬適正使用評価のための分析フレームワークの構築2016

    • Author(s)
      山中直子, 今村陽子, 福田治久.
    • Journal Title

      日本環境感染学会誌

      Volume: 31 Pages: 390-396

    • NAID

      130005331238

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Should the government intervene in the implementation of safety-engineered devices? Evidence from a cost-effectiveness analysis.2016

    • Author(s)
      Fukuda H, Moriwaki K.
    • Journal Title

      Infection Control & Hospital Epidemiology

      Volume: 37

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Patient-related risk factors for surgical site infection following 8 gastrointestinal surgery types.2016

    • Author(s)
      Fukuda H.
    • Journal Title

      Journal of Hospital Infection

      Volume: 93

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] The effects of diagnostic definitions in claims data on healthcare cost estimates: Evidence from a large-scale panel data analysis of diabetes care in Japan.2016

    • Author(s)
      Fukuda H, Ikeda S, Shiroiwa T, Fukuda T.
    • Journal Title

      PharmacoEconomics

      Volume: 34

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Cumulative number of hospital bed days among older adults in the last year of life: A retrospective cohort study.2016

    • Author(s)
      Ishizaki T, Shimmei M, Fukuda H, Oh EH, Shimada C, Wakui T, Mori H, Takahashi R.
    • Journal Title

      Geriatrics & Gerontology International

      Volume: 16

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed
  • [Journal Article] The development of statistical models for predicting surgical site infections in Japan: Toward a statistical model-based standardized infection ratio.2016

    • Author(s)
      Fukuda H, Kuroki M.
    • Journal Title

      Infection Control and Hospital Epidemiology

      Volume: 37 Issue: 3 Pages: 260-271

    • DOI

      10.1017/ice.2015.302

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] Reducing needlestick injuries through safety-engineered devices: Results of a Japanese multicenter study.2016

    • Author(s)
      Fukuda H, Yamanaka N.
    • Journal Title

      Journal of Hospital Infection

      Volume: 92 Issue: 2 Pages: 147-153

    • DOI

      10.1016/j.jhin.2015.09.019

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] MRSA感染症における追加的医療資源の推計.2016

    • Author(s)
      高木康文, 福田治久.
    • Journal Title

      日本環境感染学会誌

      Volume: 31

    • NAID

      130005169708

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Has the reform of the Japanese healthcare provision system improved the value in healthcare? A cost-consequence analysis of organized care for hip fracture patients.2015

    • Author(s)
      Fukuda H, Shimizu S, Ishizaki T.
    • Journal Title

      PLoS ONE

      Volume: 10 Issue: 7 Pages: e0133694-e0133694

    • DOI

      10.1371/journal.pone.0133694

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] ペニシリン耐性肺炎球菌感染による追加的医療資源:JANIS全入院患者部門データを用いた推定.2015

    • Author(s)
      小原仁, 齋藤潤栄, 福田治久.
    • Journal Title

      日本環境感染学会誌

      Volume: 30

    • NAID

      130005093413

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] 外来患者の逆紹介がその後の入院率に与える効果.2015

    • Author(s)
      小原仁, 福田治久.
    • Journal Title

      日本医療・病院管理学会誌

      Volume: 52 Pages: 19-26

    • NAID

      130005066467

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 医療材料を対象とした臨床試験データの費用効果分析への利活用可能性の検討.2015

    • Author(s)
      福田治久.
    • Journal Title

      レギュラトリーサイエンス学会誌

      Volume: 5 Pages: 1-12

    • NAID

      130005069058

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] 安全機構付き鋭利器材を対象にした医療経済評価の手法.2015

    • Author(s)
      福田治久.
    • Journal Title

      Ignazzo

      Volume: 11 Pages: 15-17

    • Related Report
      2014 Annual Research Report
  • [Journal Article] Can experience improve hospital management?2014

    • Author(s)
      Fukuda H, Okuma K, Imanaka Y.
    • Journal Title

      PLOS ONE

      Volume: 9(9) Issue: 9 Pages: e106884-e106884

    • DOI

      10.1371/journal.pone.0106884

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Intravenous thrombolysis with recombinant tissue plasminogen activator for ischemic stroke patients over 80 years old: the Fukuoka Stroke Registry.2014

    • Author(s)
      Matsuo R, Kamouchi M, Fukuda H, Hata J, Wakisaka Y, Kuroda J, Ago T, Kitazono T.
    • Journal Title

      PLoS ONE

      Volume: 9 Issue: 10 Pages: e110444-e110444

    • DOI

      10.1371/journal.pone.0110444

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 特定保険医療材料を対象にしたレセプトデータ分析の実施可能性.2014

    • Author(s)
      福田治久.
    • Journal Title

      レギュラトリーサイエンス学会誌

      Volume: 4 Pages: 257-264

    • NAID

      130005069056

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] 医療関連感染領域の医療経済評価における有効性の評価手法.2014

    • Author(s)
      福田治久.
    • Journal Title

      日本環境感染学会誌

      Volume: 29 Pages: 396-404

    • Related Report
      2014 Annual Research Report
    • Open Access
  • [Journal Article] 医療関連感染領域の医療経済評価における費用の評価手法.2014

    • Author(s)
      福田治久.
    • Journal Title

      日本環境感染学会誌

      Volume: 29 Pages: 387-395

    • Related Report
      2014 Annual Research Report
    • Open Access
  • [Journal Article] 医療関連感染領域における医療経済評価の実施手法の概要.2014

    • Author(s)
      福田治久.
    • Journal Title

      日本環境感染学会誌

      Volume: 29 Pages: 324-332

    • Related Report
      2014 Annual Research Report
    • Open Access
  • [Journal Article] 手術部位感染サーベイランスデータの評価と分析.2014

    • Author(s)
      福田治久.
    • Journal Title

      日本環境感染学会誌

      Volume: 29 Pages: 231-239

    • Related Report
      2014 Annual Research Report
    • Open Access
  • [Journal Article] 多変量回帰分析:科学論文を読み解くための基礎知識.2014

    • Author(s)
      福田治久.
    • Journal Title

      日本環境感染学会誌

      Volume: 29 Pages: 240-255

    • Related Report
      2014 Annual Research Report
    • Open Access
  • [Journal Article] Toward the rational use of standardized infection ratios to benchmark surgical site infections2013

    • Author(s)
      Fukuda H, Morikane K, Kuroki M, Taniguchi S, Shinzato T, Sakamoto F, Okada K, Matsukawa H, Ieiri Y, Hayashi K, Kawai S
    • Journal Title

      American Journal of Infection Control

      Volume: (in press) Issue: 9 Pages: 810-814

    • DOI

      10.1016/j.ajic.2012.10.004

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 手術部位感染発生率の病院間比較手法の検証:JANISデータを用いた全国多施設研究.2013

    • Author(s)
      福田治久.
    • Journal Title

      日本環境感染学会誌

      Volume: 28 Pages: 63-73

    • NAID

      130003371159

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 医療経済評価研究における分析手法に関するガイドライン.2013

    • Author(s)
      福田敬, 白岩健, 池田俊也, 五十嵐中, 赤沢学, 石田博, 能登真一, 齋藤信也, 坂巻弘之, 下妻晃二郎, 田倉智之, 福田治久, 森脇健介, 冨田奈穂子, 小林慎.
    • Journal Title

      保健医療科学

      Volume: 62 Pages: 625-640

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Presentation] 潜因性脳梗塞発症患者に対する植込型心電図記録計の費用効果分析.2017

    • Author(s)
      福田治久, 細谷昌礼, Quiroz Maria, 松本万夫, 松尾龍, 鴨打正浩.
    • Organizer
      第42回日本脳卒中学会学術集会
    • Place of Presentation
      大阪
    • Year and Date
      2017-03-16
    • Related Report
      2016 Annual Research Report
  • [Presentation] 手術部位感染発生率の病院間比較結果フィードバックの有効性評価2017

    • Author(s)
      福田治久.
    • Organizer
      第32回日本環境感染学会総会
    • Place of Presentation
      神戸
    • Year and Date
      2017-02-24
    • Related Report
      2016 Annual Research Report
  • [Presentation] Impact of patient nonadherence to diabetes treatment on complication risks and healthcare costs.2016

    • Author(s)
      Mizobe M, Fukuda H.
    • Organizer
      21st Annual International Meeting on International Society for Pharmacoeconomics and Outcomes Research
    • Place of Presentation
      Washington, USA.
    • Year and Date
      2016-05-21
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Should the government intervene in the implementation on safety-engineered devices? Evidence from a cost-effectiveness analysis of needlestick injuries.2016

    • Author(s)
      Fukuda H, Moriwaki K.
    • Organizer
      21st Annual International Meeting on International Society for Pharmacoeconomics and Outcomes Research
    • Place of Presentation
      Washington, USA.
    • Year and Date
      2016-05-21
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 消化器外科領域における手術部位感染の患者関連リスク因子の検証:国内多施設共同研究.2016

    • Author(s)
      福田治久.
    • Organizer
      第31回日本環境感染学会総会
    • Place of Presentation
      京都
    • Year and Date
      2016-02-19
    • Related Report
      2015 Annual Research Report
  • [Presentation] 日本版標準化感染比算出モデルの開発:JANIS手術部位感染部門全病院データ利用研究.2016

    • Author(s)
      福田治久.
    • Organizer
      第31回日本環境感染学会総会
    • Place of Presentation
      京都
    • Year and Date
      2016-02-19
    • Related Report
      2015 Annual Research Report
  • [Presentation] 安全機構付き鋭利器材の費用効果分析.2016

    • Author(s)
      福田治久.
    • Organizer
      第31回日本環境感染学会総会
    • Place of Presentation
      京都
    • Year and Date
      2016-02-19
    • Related Report
      2015 Annual Research Report
  • [Presentation] 安全機構付き鋭利器材の針刺し防止効果の推定:国内多施設共同研究.2016

    • Author(s)
      福田治久, 山中直子.
    • Organizer
      第31回日本環境感染学会総会
    • Place of Presentation
      京都
    • Year and Date
      2016-02-19
    • Related Report
      2015 Annual Research Report
  • [Presentation] MRSA感染症による追加的医療資源の算出:プロペンシティ・スコア解析.2016

    • Author(s)
      高木康文, 福田治久.
    • Organizer
      第31回日本環境感染学会総会
    • Place of Presentation
      京都
    • Year and Date
      2016-02-19
    • Related Report
      2015 Annual Research Report
  • [Presentation] MRSA感染症におけるリスク因子の推定.2016

    • Author(s)
      高木康文, 福田治久.
    • Organizer
      第31回日本環境感染学会総会
    • Place of Presentation
      京都
    • Year and Date
      2016-02-19
    • Related Report
      2015 Annual Research Report
  • [Presentation] JANISおよびDPCデータを用いた抗菌薬適正使用による薬剤費削減効果.2016

    • Author(s)
      山中直子, 今村陽子, 福田治久.
    • Organizer
      第31回日本環境感染学会総会
    • Place of Presentation
      京都
    • Year and Date
      2016-02-19
    • Related Report
      2015 Annual Research Report
  • [Presentation] 2型糖尿病患者に対するフットケアの有効性評価:医療費へ及ぼす影響.2015

    • Author(s)
      永吉円, 福田治久.
    • Organizer
      第53回日本糖尿病学会九州地方会.
    • Place of Presentation
      福岡
    • Year and Date
      2015-11-27
    • Related Report
      2015 Annual Research Report
  • [Presentation] 診療報酬明細書データを用いた糖原病疾病費用分析.2015

    • Author(s)
      謝瑛子, 福田治久.
    • Organizer
      第53回日本医療病院管理学会学術総会
    • Place of Presentation
      福岡
    • Year and Date
      2015-11-05
    • Related Report
      2015 Annual Research Report
  • [Presentation] 医療技術評価研究に利活用可能なリアル・ワールド・データの現状と課題2015

    • Author(s)
      福田治久.
    • Organizer
      第29回日本医学会総会
    • Place of Presentation
      京都
    • Year and Date
      2015-04-12
    • Related Report
      2014 Annual Research Report
    • Invited
  • [Presentation] 医療技術評価研究に利活用可能なリアル・ワールド・データの現状と課題2015

    • Author(s)
      福田治久.
    • Organizer
      第29回日本医学会総会2015関西
    • Place of Presentation
      京都
    • Year and Date
      2015-04-11
    • Related Report
      2015 Annual Research Report
    • Invited
  • [Presentation] 制度化に向けた諸課題への対応 -レセプトデータ活用の観点から-2015

    • Author(s)
      福田治久.
    • Organizer
      国際医薬経済・アウトカム研究学会(ISPOR)日本部会2014年度シンポジウム
    • Place of Presentation
      東京
    • Year and Date
      2015-03-30
    • Related Report
      2014 Annual Research Report
    • Invited
  • [Presentation] JANIS手術部位感染部門データを用いた日本版標準化感染比算出モデルの開発.2015

    • Author(s)
      福田治久.
    • Organizer
      第30回日本環境感染学会総会
    • Place of Presentation
      神戸
    • Year and Date
      2015-02-20
    • Related Report
      2014 Annual Research Report
  • [Presentation] Medical expenditures associated with type 2 diabetes mellitus in Japan: A large claims database study.2014

    • Author(s)
      Fukuda H, Ikeda S, Shiroiwa T, Igarashi A, Fukuda T.
    • Organizer
      the 17th Annual European Meeting on International Society for Pharmacoeconomics and Outcomes Research
    • Place of Presentation
      Amsterdam, Netherland.
    • Year and Date
      2014-11-08 – 2014-11-12
    • Related Report
      2014 Annual Research Report
  • [Presentation] 厚生労働省DPC影響評価調査データを用いて算出した推測病床利用率の利用可能性に関する検討.2014

    • Author(s)
      溝部彌希, 福田治久.
    • Organizer
      第52回日本医療病院管理学会学術総会
    • Place of Presentation
      東京
    • Year and Date
      2014-09-14
    • Related Report
      2014 Annual Research Report
  • [Presentation] 一般外来の縮小に向けた逆紹介とその後の入院率との関連.2014

    • Author(s)
      小原仁, 福田治久.
    • Organizer
      第52回日本医療病院管理学会学術総会
    • Place of Presentation
      東京
    • Year and Date
      2014-09-14
    • Related Report
      2014 Annual Research Report
  • [Presentation] Proposal of economic evaluation guideline in Japan.2013

    • Author(s)
      Fukuda T, Akazawa M, Fukuda H, Igarashi A, Ikeda S, Ishida H, Kobayashi M, Moriwaki K, Noto S, Sakamaki H, Saito S, Shimozuma K, Shiroiwa T, Takura T, Tomita N.
    • Organizer
      the 16th ISPOR 18th Annual European Meeting on International Society for Pharmacoeconomics and Outcomes Research
    • Place of Presentation
      Dublin
    • Related Report
      2013 Annual Research Report
  • [Presentation] Nationwide survey for pharmacists on patient safety cultures in Japan.2013

    • Author(s)
      Hirose M, Tsuda Y, Fukuda H, Imanaka Y.
    • Organizer
      the 18th ISPOR 18th Annual International Meeting on International Society for Pharmacoeconomics and Outcomes Research
    • Place of Presentation
      New Orleans
    • Related Report
      2013 Annual Research Report
  • [Presentation] 米国NHSNのリスク評価法とその日本への導入の課題

    • Author(s)
      福田治久.
    • Organizer
      第26回日本外科感染症学会総会学術集会
    • Place of Presentation
      神戸
    • Related Report
      2013 Annual Research Report
    • Invited
  • [Presentation] SSIサーベイランス調査項目の統計解析.

    • Author(s)
      林崇弘, 黒木学, 福田治久.
    • Organizer
      第43回品質管理学会年次大会
    • Place of Presentation
      大阪
    • Related Report
      2013 Annual Research Report
  • [Book] 新時代の臨床糖尿病学(下)2016

    • Author(s)
      福田治久.
    • Total Pages
      712
    • Publisher
      日本臨牀
    • Related Report
      2015 Annual Research Report
  • [Book] 感染管理・感染症看護テキスト2016

    • Author(s)
      福田治久.
    • Total Pages
      495
    • Publisher
      照林社
    • Related Report
      2015 Annual Research Report
  • [Book] 実務に役立つ医療経済学の具体的活用法2014

    • Author(s)
      福田治久
    • Publisher
      技術情報協会
    • Related Report
      2013 Annual Research Report
  • [Book] 医療制度・医療政策・医療経済2013

    • Author(s)
      福田治久.
    • Total Pages
      278
    • Publisher
      丸善出版
    • Related Report
      2013 Annual Research Report
  • [Remarks] SSIリスクエンジン

    • URL

      http://www.hcam.med.kyushu-u.ac.jp/ssi_risk_engine/

    • Related Report
      2016 Annual Research Report

URL: 

Published: 2013-05-21   Modified: 2019-07-29  

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