@article{192d2b0b2a9d4b3f978ff8cf9ce9fc30,
title = "Using a society database to evaluate a patient safety collaborative: The Cardiovascular Surgical Translational Study",
abstract = "Aim: To assess the utility of using external databases for quality improvement (QI) evaluations in the context of an innovative QI collaborative aimed to reduce three infections and improve patient safety across the cardiac surgery service line. Methods: We compared changes in each outcome between 15 intervention hospitals (infection reduction protocols plus safety culture intervention) and 52 propensity score-matched hospitals (feedback only). Results: Improvement trends in several outcomes among the intervention hospitals were not statistically different from those in comparison hospitals. Conclusion: Using external databases such as those of professional societies may permit comparative effectiveness assessment by providing concurrent comparison groups, additional outcome measures and longer follow-up. This can better inform evaluation of continuous QI in healthcare organizations.",
keywords = "cardiac surgery, hospital-acquired infections, patient safety, program evaluation, quality improvement, secondary data analysis, study design",
author = "Hsu, {Yea Jen} and Kosinski, {Andrzej S.} and Wallace, {Amelia S.} and Paramita Saha-Chaudhuri and Chang, {Bickey H.} and Kathleen Speck and Rosen, {Michael A.} and Gurses, {Ayse P.} and Anping Xie and Shu Huang and Cameron, {Duke E.} and Thompson, {David A.} and Marsteller, {Jill A.}",
note = "Funding Information: This project was supported by the Agency for Healthcare Research and Quality (grant number R18 HS19934). The authors have no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed. No writing assistance was utilized in the production of this manuscript. Funding Information: In addition to CUSP, the central research team developed evidence-based prevention bundles to help participating units set up protocols for infection reduction. The infection prevention bundles were introduced with a phased approach. The first training series on the CLABSI bundle was started in June 2011, followed by the SSI bundle which began in December 2011 and the VAP bundle in April 2012. The initial phase of implementation and evaluation was funded by the Agency for Healthcare Research and Quality (AHRQ) from June 2011 to July 2013. Due to the change in the VAP definition, the project was extended at no cost to the AHRQ for a 1-year observation period until July 2014. In this 1-year sustainability phase, four of the participating hospitals volunteered to work with the central research team to improve handoffs between ORs and ICUs. Otherwise, other project activities and supports from the central research team were largely reduced. Remaining activities included quarterly follow-up calls, continuous data collection and reporting, and provision of a communication platform via ListServe. More detail about the CSTS project is given elsewhere [7]. Publisher Copyright: {\textcopyright} 2018 Future Medicine Ltd.",
year = "2019",
month = jan,
doi = "10.2217/cer-2018-0051",
language = "English (US)",
volume = "8",
pages = "21--32",
journal = "Journal of Comparative Effectiveness Research",
issn = "2042-6305",
publisher = "Future Medicine Ltd.",
number = "1",
}