Hostname: page-component-8678677fb7-5cqzl Total loading time: 0 Render date: 2026-09-16T10:53:58.284Z Has data issue: false hasContentIssue false
  • English
  • Français

Administrative coding methods impact surgical site infection rates

Published online by Cambridge University Press:  10 August 2020

Mohammed A. Alsuhaibani Open the ORCID record for Mohammed A. Alsuhaibani [Opens in a new window] ,
Mohammed A. Alzunitan ,
Kyle E. Jenn ,
Michael B. Edmond ,
Angelique M. Dains ,
Stephanie A. Holley ,
Mary E. Kukla ,
Oluchi J. Abosi ,
Holly M. Meacham  and
Daniel J. Diekema
...Show all authors
Mohammed A. Alsuhaibani*
Affiliation:
University of Iowa Carver College of Medicine, Iowa City, Iowa, United States Department of Pediatrics, College of Medicine, Qassim University, Qassim, Saudi Arabia
Mohammed A. Alzunitan
Affiliation:
University of Iowa Carver College of Medicine, Iowa City, Iowa, United States Department of Infection Prevention and Control, King Abdulaziz Medical City, National Guard–Health Affairs, Riyadh, Saudi Arabia
Kyle E. Jenn
Affiliation:
University of Iowa Carver College of Medicine, Iowa City, Iowa, United States
Michael B. Edmond
Affiliation:
University of Iowa Carver College of Medicine, Iowa City, Iowa, United States
Angelique M. Dains
Affiliation:
University of Iowa Carver College of Medicine, Iowa City, Iowa, United States
Stephanie A. Holley
Affiliation:
University of Iowa Carver College of Medicine, Iowa City, Iowa, United States
Mary E. Kukla
Affiliation:
University of Iowa Carver College of Medicine, Iowa City, Iowa, United States
Oluchi J. Abosi
Affiliation:
University of Iowa Carver College of Medicine, Iowa City, Iowa, United States
Holly M. Meacham
Affiliation:
University of Iowa Carver College of Medicine, Iowa City, Iowa, United States
Daniel J. Diekema
Affiliation:
University of Iowa Carver College of Medicine, Iowa City, Iowa, United States
Jorge L. Salinas
Affiliation:
University of Iowa Carver College of Medicine, Iowa City, Iowa, United States
*
Author for correspondence: Mohammed Alsuhaibani, E-mail: mohammed-alsuhaibani@uiowa.edu.
Get access Rights & Permissions [Opens in a new window]

Abstract

We performed a retrospective analysis of the impact of using the International Classification of Diseases, Tenth Revision procedure coding system (ICD-10) or current procedural terminology (CPT) codes to calculate surgical site infection (SSI) rates. Denominators and SSI rates vary depending on the coding method used. The coding method used may influence interhospital performance comparisons.

Information

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 41 , Issue 12 , December 2020 , pp. 1461 - 1463
Check for updates
Copyright
© 2020 by The Society for Healthcare Epidemiology of America. All rights reserved.

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

Hawn, MT, Vick, CC, Richman, J, et al. Surgical site infection prevention: time to move beyond the surgical care improvement program. Ann Surg 2011;254:494–501.Google ScholarPubMed
Mahmoud, NN, Turpin, RS, Yang, G, Saunders, WB. Impact of surgical site infections on length of stay and costs in selected colorectal procedures. Surg Infect 2009;10:539–544.CrossRefGoogle ScholarPubMed
Tserenpuntsag, B, Haley, V, Van Antwerpen, C, et al. Surgical site infection risk factors identified for patients undergoing colon procedures, New York State 2009–2010. Infect Control Hosp Epidemiol 2014;35:1006–1012.Google ScholarPubMed
Haley, RW, Culver, DH, White, JW, et al. The efficacy oe infection surveillance and control programs in preventing nosocomial infections in us hospitals. Am J Epidemiol 1985;121:182–205.Google Scholar
Operational guidance for reporting surgical site infection (SSI) data to CDC’s NHSN for the purpose of fulfilling CMS’s hospital inpatient quality reporting (IQR) program requirements. Centers for Disease Control and Prevention website. https://www.cdc.gov/nhsn/pdfs/cms/ssi/Final-ACH-SSI-Guidance.pdf. Updated November 2019. Accessed July 20, 2020.Google Scholar
Bordeianou, L, Cauley, CE, Antonelli, D, et al. Truth in reporting: how data capture methods obfuscate actual surgical site infection rates within a healthcare network system. Dis Colon Rectum 2017;60(1):96.Google ScholarPubMed
Ju, MH, Ko, CY, Hall, BL, Bosk, CL, Bilimoria, KY, Wick, EC. A comparison of 2 surgical site infection monitoring systems. JAMA Surg 2015;150:51–57.CrossRefGoogle ScholarPubMed
Nayar, V, Kennedy, A, Pappas, J, et al. Improving cardiac surgical site infection reporting and prevention by using registry data for case ascertainment. Ann Thorac Surg 2016;101:190–199.Google ScholarPubMed
Van Mourik, MSM, van Duijn, PJ, Moons, KGM, Bonten, MJM, Lee, GM. Accuracy of administrative data for surveillance of healthcare-associated infections: a systematic review. BMJ Open 2015;5(8):e008424.Google ScholarPubMed
Goto, M, Ohl, ME, Schweizer, ML, Perencevich, EN. Accuracy of administrative code data for the surveillance of healthcare-associated infections: a systematic review and meta-analysis. Clin Infect Dis 2014;58:688–696.Google ScholarPubMed
Rennert-May, E, Manns, B, Smith, S, et al. Validity of administrative data in identifying complex surgical site infections from a population-based cohort after primary hip and knee arthroplasty in Alberta, Canada. Am J Infect Control 2018;46:1123–1126.Google ScholarPubMed
Yokoe, DS, Khan, Y, Olsen, MA, et al. Enhanced surgical site infection surveillance following hysterectomy, vascular, and colorectal surgery. Infect Control Hosp Epidemiol 2012;33:768–773.CrossRefGoogle ScholarPubMed
Atchley, KD, Pappas, JM, Kennedy, AT, et al. Use of administrative data for surgical site infection surveillance after congenital cardiac surgery results in inaccurate reporting of surgical site infection rates. Ann Thorac Surg 2014;97:651–658.Google ScholarPubMed
Supplementary material: File

Alsuhaibani et al. supplementary material

Alsuhaibani et al. supplementary material

Download Alsuhaibani et al. supplementary material(File)
File 16.4 KB