The impact of Contact Isolation on the quality of inpatient hospital care

Daniel J Morgan; Hannah R Day; Anthony D Harris; Jon P Furuno; Eli N Perencevich

doi:10.1371/journal.pone.0022190

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The impact of Contact Isolation on the quality of inpatient hospital care

Journal article

Open access

Peer reviewed

The impact of Contact Isolation on the quality of inpatient hospital care

Daniel J Morgan, Hannah R Day, Anthony D Harris, Jon P Furuno and Eli N Perencevich

PloS one, Vol.6(7), pp.e22190-e22190

2011

DOI: 10.1371/journal.pone.0022190

PMCID: PMC3141007

PMID: 21811572

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Abstract

Contact Isolation is a common hospital infection prevention method that may improve infectious outcomes but may also hinder healthcare delivery. To evaluate the impact of Contact Isolation on compliance with individual and composite process of care quality measures, we formed four retrospective diagnosis-based cohorts from a 662-bed tertiary-care medical center. Each cohort contained patients evaluated for one of four Centers for Medicare and Medicaid Services (CMS) Hospital Compare process measures including Acute Myocardial Infarction (AMI), Congestive Heart Failure (CHF), Pneumonia (PNA) and Surgical Care Improvement Project (SCIP) from January 1, 2007 through May 30, 2009. The 6716-admission cohort included 1259 with AMI, 834 with CHF, 1377 with PNA and 3246 in SCIP. Contact Isolation was associated with not meeting 4 of 23 individual hospital measures (4 of 10 measures were not met for care provided while patients are typically isolated). Contact Isolation was independently associated with lower compliance with the composite pneumonia process-of-care measure (OR 0.3, 95% CI 0.1-0.7). AMI, CHF and SCIP composite measures were not impacted by Contact Isolation. Contact Isolation was associated with lower adherence to some pneumonia quality of care process measures of care on inpatient wards but did not impact CHF, AMI or SCIP measures.

United States

Counseling

Myocardial Infarction - epidemiology

Medicare

Pneumonia - epidemiology

Humans

Middle Aged

Patient Admission

Logistic Models

Male

Hospitalization

Patient Care - standards

Patient Isolation - standards

Inpatients

Adult

Female

Aged

Quality of Health Care - standards

Medicaid

Heart Failure - epidemiology

Cohort Studies

Smoking Cessation

Details

Title: Subtitle: The impact of Contact Isolation on the quality of inpatient hospital care
Creators: Daniel J Morgan - University of Maryland, Baltimore County
Hannah R Day
Anthony D Harris - University of Maryland, Baltimore
Jon P Furuno - Oregon Health & Science University
Eli N Perencevich - University of Iowa, Internal Medicine
Resource Type: Journal article
Publication Details: PloS one, Vol.6(7), pp.e22190-e22190
DOI: 10.1371/journal.pone.0022190
PMID: 21811572
PMCID: PMC3141007
NLM abbreviation: PLoS One
ISSN: 1932-6203
eISSN: 1932-6203
Publisher: United States
Grant note: 5K24AI079040-02 / NIAID NIH HHS K08 HS18111-01 / AHRQ HHS K24 AI079040 / NIAID NIH HHS K08 HS018111 / AHRQ HHS
Language: English
Date published: 2011
Academic Unit: Epidemiology; Internal Medicine
Record Identifier: 9983779489702771

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29 Times Cited - Web of Science