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2005 National Healthcare Quality Report

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Insertion-site infections associated with central vascular catheters (CVCs)

Measure Source

Centers for Medicare & Medicaid Services (CMS), Medicare Patient Safety Monitoring System (MPSMS).

Table

2.29 Percent of central vascular catheter (CVC) placement with associated insertion-site infections, United States, 2002 and 2003.

Data Source

  1. CMS MPSMS inpatient medical records: used for abstracted data related to the index hospital stay.
  2. CMS Medicare Administrative Data: used for 30-day post-procedure mortality.

Denominator

All instances in records from the MPSMS sample of placement of at least 1 vascular access device terminating at or close to the heart or in 1 of the great vessels. The following are considered great vessels for this measure: aorta, vena cava, brachiocephalic veins, iliac vein, internal jugular veins, and subclavian veins.

Numerator

Subset of the denominator with infections noted at CVC insertion site.

Comments

Infection at insertion site is determined by documentation in the medical record of at least 1 of the following conditions at the insertion site: discharge, drainage, edema, erythema, exudate, pus, redness, and warmth.

In order to attain greater consistency between 2002 and 2003 data, the analytic approach used to produce these tables differs from earlier years of the NHQR.

Blood stream infections (BSIs) associated with central vascular catheters (CVCs). Mechanical adverse events associated with central vascular catheters (CVCs).

 

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