Interobserver variability in ventilator-associated pneumonia surveillance

被引:152
作者
Klompas, Michael [1 ,2 ]
机构
[1] Harvard Univ, Sch Med, Dept Populat Med, Boston, MA 02245 USA
[2] Harvard Pilgrim Hlth Care Inst, Boston, MA USA
关键词
Ventilator-associated pneumonia; infection surveillance; health care-associated infections; INFECTIONS; ACCURACY;
D O I
10.1016/j.ajic.2009.10.003
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Three infection control personnel and 1 physician independently evaluated 50 ventilated patients for ventilator-associated pneumonia through retrospective chart reviews. The infection control reviewers used Centers for Disease Control and Prevention criteria; the physician used clinical judgment. Infection control personnel labelled between 11 and 20 patients with VAP (kappa = 0.40). The physician diagnosed 7 cases. Interobserver variability in the assessment of ventilator-associated pneumonia is high.
引用
收藏
页码:237 / 239
页数:3
相关论文
共 9 条
  • [1] Centers for Medicare & Medicaid Services, 2008, FED REGISTER, V73, P23527
  • [2] National Healthcare Safety Network (NHSN) Report, data summary for 2006 through 2007, issued November 2008
    Edwards, Jonathan R.
    Peterson, Kelly D.
    Andrus, Mary L.
    Dudeck, Margaret A.
    Pollock, Daniel A.
    Horan, Teresa C.
    [J]. AMERICAN JOURNAL OF INFECTION CONTROL, 2008, 36 (09) : 609 - 626
  • [3] Emori TG, 1998, INFECT CONT HOSP EP, V19, P308
  • [4] CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting
    Horan, Teresa C.
    Andrus, Mary
    Dudeck, Margaret A.
    [J]. AMERICAN JOURNAL OF INFECTION CONTROL, 2008, 36 (05) : 309 - 332
  • [5] King JE, 2004, SOFTWARE SOLUTIONS O
  • [6] Development of an algorithm for surveillance of ventilator-associated pneumonia with electronic data and comparison of algorithm results with clinician diagnoses
    Klompas, Michael
    Kleinman, Ken
    Platt, Richard
    [J]. INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2008, 29 (01) : 31 - 37
  • [7] Ventilator-associated pneumonia-the wrong quality measure for Benchmarking
    Klompas, Michael
    Platt, Richard
    [J]. ANNALS OF INTERNAL MEDICINE, 2007, 147 (11) : 803 - 235
  • [8] Miles to Go: An Introduction to the 5 Million Lives Campaign
    McCannon, C. Joseph
    Hackbarth, Andrew D.
    Griffin, Frances A.
    [J]. JOINT COMMISSION JOURNAL ON QUALITY AND PATIENT SAFETY, 2007, 33 (08) : 477 - 484
  • [9] Clinical pulmonary infection score for ventilator-associated pneumonia: accuracy and inter-observer variability
    Schurink, CAM
    Nieuwenhoven, CAV
    Jacobs, JA
    Rozenberg-Arska, M
    Joore, HCA
    Buskens, E
    Hoepelman, AIM
    Bonten, MJM
    [J]. INTENSIVE CARE MEDICINE, 2004, 30 (02) : 217 - 224