Can patient-reported room cleanliness measures predict hospital-acquired C. difficile infection? A study of acute care facilities in New York state - 24/03/21
Highlights |
• | Patient experience measures are increasingly used in healthcare policy decisions. |
• | Whether or not these measures can predict hospital quality is still under debate. |
• | Higher HCAHPS room cleanliness scores maybe associated with lower rates of HA-CDI. |
• | Patient perceptions of cleanliness may reflect microbial cleanliness. |
• | Patient experience measures could assist in the prevention of HAIs. |
Résumé |
Background |
Patient experience measures, like those form the Hospital Consumer Assessment of Healthcare providers and Systems survey, are increasingly used in healthcare policy decisions. However, it remains unclear if these reflect quality of care, like rates of hospital-acquired infections (HAIs). This study examined the relationship between patient-reported room cleanliness, from the Hospital Consumer Assessment of Healthcare providers and Systems survey, and hospital-acquired C. difficile infection (HA-CDI) rates in NYS acute care hospitals.
Methods |
A random-effects regression analysis compared the percentage of patients indicating their room was “always” and “sometimes/never” kept clean to that facility's average HA-CDI rates, controlling for known predictors.
Results |
A higher percentage of patients reporting their room was “always” kept clean was associated with significantly lower rates of HA-CDI. Facilities experience 0.031 fewer cases of HA-CDI/1,000 discharges for every percentage point increase in the number of patients rating their room as “always” clean (P = .006). A higher percentage of patients reporting their room was “sometimes/never” kept clean was associated with higher rates of HA-CDI (β = 0.033), but this was not significant (P = .096).
Conclusions |
These findings suggest patient perceptions of cleanliness may reflect microbial cleanliness and these measures could assist in the prevention of HAIs. However, further research is needed.
Le texte complet de cet article est disponible en PDF.Key Words : Patient experience, Environmental cleanliness, Infection control, C. difficile
Plan
| Funding: None. |
|
| Conflicts of Interest: DJD is an uncompensated research consultant for the Healthcare Association of New York State, the organization that approved the project and provided data access. |
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| Disclaimer (must be included): The data used to produce this publication were purchased from or provided by the New York State Department of Health (NYSDOH). However, the conclusions derived, and views expressed herein are those of the author(s) and do not reflect the conclusions or views of NYSDOH. NYSDOH, its employees, officers, and agents make no representation, warranty or guarantee as to the accuracy, completeness, currency, or suitability of the information provided here. |
Vol 49 - N° 4
P. 452-457 - avril 2021 Retour au numéro
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