Register      Login
Australian Health Review Australian Health Review Society
Journal of the Australian Healthcare & Hospitals Association
RESEARCH ARTICLE (Open Access)

Healthcare-associated infections: getting the balance right in safety and quality v. public reporting

Brett G. Mitchell A B D , Anne Gardner B and Alistair McGregor C
+ Author Affiliations
- Author Affiliations

A School of Nursing, University of Tasmania, Private Bag 135, Hobart, TAS. 7001, Australia.

B School of Nursing, Midwifery and Paramedicine, Australian Catholic University, PO BOX 256, Canberra, ACT, Australia. Email: anne.gardner@acu.edu.au

C Department of Infectious Diseases and Microbiology, Royal Hobart Hospital, Liverpool St, Hobart, TAS. 7001, Australia. Email: alistair.mcgregor@dhhs.tas.gov.au

D Corresponding author. Email: bgmitc001@myacu.edu.au

Australian Health Review 36(4) 365-366 https://doi.org/10.1071/AH11200
Submitted: 22 July 2012  Accepted: 30 August 2012   Published: 15 October 2012

Journal Compilation © AHHA 2012

Abstract

Healthcare settings are dangerous places. For those receiving care, the risk of unintended harm from healthcare failures continues to be significant. Given this, there is a need to monitor standards in healthcare, not only to identify potential issues, but also to plan and evaluate interventions aimed at improving healthcare standards. Public reporting of performance standards is one aspect to monitoring standards, but not the only one. Public reporting also brings with it challenges. This perspective explores the recent move to publicly report one healthcare-associated infection (HAI) on the MyHospitals website and comments on the broader issue of using existing HAI data for the purposes of public reporting.


References

[1]  Kohn LCJ, Donaldson M. To err is human: building a safer health system. Medicine Io, editor. Washington: National Academy Press; 1999.

[2]  National Health and Medical Research Council. Australian Guidelines for the Prevention and Control of Infection in Healthcare (2010). National Health and Medical Research Council, editor. Canberra: National Health and Medical Research Council; 2010.

[3]  Russo P, Pittet D, Grayson L. Australia: a leader in hand hygiene. Healthc Infect 2012; 17 1–2.
Australia: a leader in hand hygiene.Crossref | GoogleScholarGoogle Scholar |

[4]  Graves N, Barnett A, White K, Jimmieson N, Page K, Campbell M, Stephens E, Rashleigh-Rolls R, et al Evaluating the economics of the Australian National Hand Hygiene Initiative. Healthc Infect 2012; 17 5–10.
Evaluating the economics of the Australian National Hand Hygiene Initiative.Crossref | GoogleScholarGoogle Scholar |

[5]  COAG Reform Council. Healthcare 2010–11: comparing performance across Australia. Sydney: COAG Reform Council; 2012.

[6]  Australian Institute of Health and Welfare. MyHospitals. Australian Government 2012; Available at http://www.myhospitals.gov.au/ [Verified 17 April 2012]

[7]  Mitchell B, McGregor A, Brown S. Clostridium difficile Infection (CDI) Surveillance Protocol. V3.0. Tasmanian Infection Prevention and Control Unit, editor. Hobart: Department of Health and Human Services; 2011.

[8]  Mitchell B, Gardner A, Collignon P, Stewart L, Cruickshank M. A literature review supporting the proposed national Australian definition for Staphylococcus aureus bacteraemia. Healthc Infect 2010; 15 105–13.
A literature review supporting the proposed national Australian definition for Staphylococcus aureus bacteraemia.Crossref | GoogleScholarGoogle Scholar |

[9]  Grayson L, Russo R, Cruickshank M, Bear J, Gee C, Hughes C, Johnson PDR, McCann R, et al Outcomes from the first 2 years of the Australian National Hand Hygiene Initiative. Med J Aust 2011; 195 615–319.
Outcomes from the first 2 years of the Australian National Hand Hygiene Initiative.Crossref | GoogleScholarGoogle Scholar |

[10]  Collignon P, Cruickshank M, Dreimanis D. Staphylococcus aureus bloodstream infections: an important indicator for infection control. Chapter 2: bloodstream infections – an abridged version. Healthc Infect 2009; 14 165–71.
Staphylococcus aureus bloodstream infections: an important indicator for infection control. Chapter 2: bloodstream infections – an abridged version.Crossref | GoogleScholarGoogle Scholar |

[11]  Dreimanis D, Beckingham W, Collignon P, Roberts J. Staphylococcus aureus bacteraemia surveillance: a relatively easy to collect but accurate clinical indicator on serious health-care associated infections and antibiotic resistance. Australian Infection Control 2005; 10 127–30.

[12]  Van Gessel H, McCann R, Peterson A, Cope C, Wilkinson I, Mitchell B, Wells A, Kennedy B, et al. Implementation guide for surveillance of Clostridium difficile infection. Sydney: Australian Commission on Safety and Quality in Health Care; 2011.

[13]  Ibrahim J. Performance indicators from all perspectives. Int J Qual Health Care 2001; 13 431–2.
Performance indicators from all perspectives.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD38%2FktlWiug%3D%3D&md5=1ccf82b03e8f4f3fe3c3b6c8e7279391CAS | 11769743PubMed |

[14]  McKibben LHT, Tokars JI, Fowler G, Cardo DM, Pearson ML, Brennan PJ. Guidance on public reporting of healthcare-associated infections: recommendations of the Healthcare Infection Control Practices Advisory Committee. Am J Infect Control 2005; 33 217–26.
Guidance on public reporting of healthcare-associated infections: recommendations of the Healthcare Infection Control Practices Advisory Committee.Crossref | GoogleScholarGoogle Scholar |