Journal article
The Effect of Contact Precautions on Frequency of Hospital Adverse Events
Infection control and hospital epidemiology, Vol.36(11), pp.1268-1274
11/2015
DOI: 10.1017/ice.2015.192
PMCID: PMC4686266
PMID: 26278419
Abstract
To determine whether use of contact precautions on hospital ward patients is associated with patient adverse events Individually matched prospective cohort study The University of Maryland Medical Center, a tertiary care hospital in Baltimore, Maryland A total of 296 medical or surgical inpatients admitted to non-intensive care unit hospital wards were enrolled at admission from January to November 2010. Patients on contact precautions were individually matched by hospital unit after an initial 3-day length of stay to patients not on contact precautions. Adverse events were detected by physician chart review and categorized as noninfectious, preventable and severe noninfectious, and infectious adverse events during the patient's stay using the standardized Institute for Healthcare Improvement's Global Trigger Tool. The cohort of 148 patients on contact precautions at admission was matched with a cohort of 148 patients not on contact precautions. Of the total 296 subjects, 104 (35.1%) experienced at least 1 adverse event during their hospital stay. Contact precautions were associated with fewer noninfectious adverse events (rate ratio [RtR], 0.70; 95% confidence interval [CI], 0.51-0.95; P=.02) and although not statistically significant, with fewer severe adverse events (RtR, 0.69; 95% CI, 0.46-1.03; P=.07). Preventable adverse events did not significantly differ between patients on contact precautions and patients not on contact precautions (RtR, 0.85; 95% CI, 0.59-1.24; P=.41). Hospital ward patients on contact precautions were less likely to experience noninfectious adverse events during their hospital stay than patients not on contact precautions.
Details
- Title: Subtitle
- The Effect of Contact Precautions on Frequency of Hospital Adverse Events
- Creators
- Lindsay D Croft - 1Department of Epidemiology and Public Health,University of Maryland School of Medicine,Baltimore,MarylandMichael Liquori - 2Department of Medicine,University of Maryland Medical Center,Baltimore,MarylandJames Ladd - 1Department of Epidemiology and Public Health,University of Maryland School of Medicine,Baltimore,MarylandHannah Day - 1Department of Epidemiology and Public Health,University of Maryland School of Medicine,Baltimore,MarylandLisa Pineles - 1Department of Epidemiology and Public Health,University of Maryland School of Medicine,Baltimore,MarylandElizabeth Lamos - 2Department of Medicine,University of Maryland Medical Center,Baltimore,MarylandRyan Arnold - 2Department of Medicine,University of Maryland Medical Center,Baltimore,MarylandPreeti Mehrotra - 4Division of Infectious Diseases,Department of Medicine,Boston Children's Hospital,Boston,MassachusettsJeffrey C Fink - 1Department of Epidemiology and Public Health,University of Maryland School of Medicine,Baltimore,MarylandPatricia Langenberg - 1Department of Epidemiology and Public Health,University of Maryland School of Medicine,Baltimore,MarylandLinda Simoni-Wastila - 6Department of Pharmaceutical Health Services,University of Maryland School of Pharmacy,Baltimore,MarylandEli Perencevich - 7Carver College of Medicine,University of Iowa,Iowa City,IowaAnthony D Harris - 1Department of Epidemiology and Public Health,University of Maryland School of Medicine,Baltimore,MarylandDaniel J Morgan - 1Department of Epidemiology and Public Health,University of Maryland School of Medicine,Baltimore,Maryland
- Resource Type
- Journal article
- Publication Details
- Infection control and hospital epidemiology, Vol.36(11), pp.1268-1274
- DOI
- 10.1017/ice.2015.192
- PMID
- 26278419
- PMCID
- PMC4686266
- NLM abbreviation
- Infect Control Hosp Epidemiol
- ISSN
- 0899-823X
- eISSN
- 1559-6834
- Publisher
- United States
- Grant note
- 5K24AI079040-05 / NIAID NIH HHS K24 AI079040 / NIAID NIH HHS K08 HS18111 / AHRQ HHS K08 HS018111 / AHRQ HHS
- Language
- English
- Date published
- 11/2015
- Academic Unit
- Epidemiology; Internal Medicine
- Record Identifier
- 9983779291002771
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