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

2016 Fiscal Year Final Research Report

• Project/Area Number: 25713029
• Research Category: Grant-in-Aid for Young Scientists (A)
• Allocation Type: Partial Multi-year Fund
• Research Field: Medical and hospital managemen
• Research Institution: Kyushu 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
• 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

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).

Free Research Field

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