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Volume 7, Number 2—April 2001
THEME ISSUE
4th Decennial International Conference on Nosocomial and Healthcare-Associated Infections

Prevention is Primary

Automated Methods for Surveillance of Surgical Site Infections

Richard Platt*†Comments to Author , Deborah S. Yokoe†, Kenneth E. Sands‡, and the CDC Eastern Massachusetts Prevention Epicenter Investigators
Author affiliations: *Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts, USA; †Harvard Medical School and Brigham and Women's Hospital, Boston, Massachusetts, USA; ‡Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA

Main Article

Table 2

Automated health-care data potentially useful for surgical site infection surveillance

Availability of this information in specific locations
Type of information Hospitalsa Automated medical records in physicians' offices Payors (HMOs, insurers)
Demographic/personal information
sex
age
smoking status
body mass index Usually
Usually
Rarely
Rarely Usually
Usually
Sometimes
Sometimes Usually
Usually
Rarely
Rarely
Preoperative health status
diagnoses
procedures
drug therapy
ASA score Sometimes
Rarely
Sometimes
Sometimes Usually
Sometimes
Sometimes
Rarely Usually
Usually
Usually
Rarely
Procedure data
type (ICD-9, CPT)
duration Usually
Sometimes Sometimes
Rarely Usually
Rarely
Inpatient postoperative care
diagnoses
reoperation
incision and drainage
microbiology data
antibiotic therapy Usually
Usually
Usually
Usually
Usually Sometimes
Rarely
Rarely
Rarely
Rarely Usually
Usually
Sometimes
Rarely
Rarely
Postdischarge care diagnoses
reoperation in another hospital
incision and drainage
microbiology data
antibiotic therapy Rarely
Rarely
Rarely
Rarely
Rarely Usually
Sometimes
Usually
Usually
Sometimes Usually
Usually
Usually
Sometimes
Usually

aexcludes hospital-based physicians' offices

Main Article

¹The CDC Eastern Massachusetts Prevention Epicenter includes Blue Cross and Blue Shield of Massachusetts, CareGroup, Children's Hospital, Harvard Pilgrim Health Care, Partners Healthcare System, Tufts Health Plan, and Harvard Medical School. Investigators include L. Higgins, J. Mason, E. Mounib, C. Singleton, K. Sands, K. Kaye, S. Brodie, E. Perencevich, J. Tully, L. Baldini, R. Kalaidjian, K. Dirosario, J. Alexander, D. Hylander, A. Kopec, J. Eyre-Kelley, D. Goldmann, S. Brodie, C. Huskins, D. Hooper, C. Hopkins, M. Greenbaum, M. Lew, K. McGowan, G. Zanetti, A. Sinha, S. Fontecchio, R. Giardina, S. Marino, J. Sniffen, E. Tamplin, P. Bayne, T. Lemon, D. Ford, V. Morrison, D. Morton, J. Livingston, P. Pettus, R. Lee, C. Christiansen, K. Kleinman, E. Cain, R. Dokholyan, K. Thompson, C. Canning, D. Lancaster.

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