TY - JOUR
T1 - The effect of contact precautions on frequency of hospital adverse events
AU - Croft, Lindsay D.
AU - Liquori, Michael
AU - Ladd, James
AU - Day, Hannah
AU - Pineles, Lisa
AU - Lamos, Elizabeth
AU - Arnold, Ryan
AU - Mehrotra, Preeti
AU - Fink, Jeffrey C.
AU - Langenberg, Patricia
AU - Simoni-Wastila, Linda
AU - Perencevich, Eli
AU - Harris, Anthony D.
AU - Morgan, Daniel J.
N1 - Publisher Copyright:
© 2015 by The Society for Healthcare Epidemiology of America. All rights reserved.
PY - 2015
Y1 - 2015
N2 - objective. To determine whether use of contact precautions on hospital ward patients is associated with patient adverse events design. Individually matched prospective cohort study setting. The University of Maryland Medical Center, a tertiary care hospital in Baltimore, Maryland methods. 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. results. 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). conclusions. Hospital ward patients on contact precautions were less likely to experience noninfectious adverse events during their hospital stay than patients not on contact precautions.
AB - objective. To determine whether use of contact precautions on hospital ward patients is associated with patient adverse events design. Individually matched prospective cohort study setting. The University of Maryland Medical Center, a tertiary care hospital in Baltimore, Maryland methods. 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. results. 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). conclusions. Hospital ward patients on contact precautions were less likely to experience noninfectious adverse events during their hospital stay than patients not on contact precautions.
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U2 - 10.1017/ice.2015.192
DO - 10.1017/ice.2015.192
M3 - Article
C2 - 26278419
AN - SCOPUS:84957884683
SN - 0899-823X
VL - 36
SP - 1268
EP - 1274
JO - Infection control and hospital epidemiology
JF - Infection control and hospital epidemiology
IS - 11
ER -