Use of optimised dual statistical process control charts for early detection of surgical site infection outbreaks

doi:10.1136/bmjqs-2019-010586

. 2020 Jun;29(6):517-520.

doi: 10.1136/bmjqs-2019-010586. Epub 2020 Apr 21.

Use of optimised dual statistical process control charts for early detection of surgical site infection outbreaks

Arthur W Baker^{1

2}, Nicole Nehls³, Iulian Ilieş³, James C Benneyan³, Deverick J Anderson^{4

2}

Affiliations

¹ Duke Center for Antimicrobial Stewardship and Infection Prevention, Durham, North Carolina, USA Arthur.Baker@duke.edu.
² Division of Infectious Diseases, Duke University School of Medicine, Durham, North Carolina, USA.
³ Healthcare Systems Engineering Institute, Northeastern University, Boston, Massachusetts, USA.
⁴ Duke Center for Antimicrobial Stewardship and Infection Prevention, Durham, North Carolina, USA.

PMID: 32317357
PMCID: PMC8274386
DOI: 10.1136/bmjqs-2019-010586

Use of optimised dual statistical process control charts for early detection of surgical site infection outbreaks

Arthur W Baker et al. BMJ Qual Saf. 2020 Jun.

. 2020 Jun;29(6):517-520.

doi: 10.1136/bmjqs-2019-010586. Epub 2020 Apr 21.

Authors

Arthur W Baker^{1

2}, Nicole Nehls³, Iulian Ilieş³, James C Benneyan³, Deverick J Anderson^{4

2}

Affiliations

¹ Duke Center for Antimicrobial Stewardship and Infection Prevention, Durham, North Carolina, USA Arthur.Baker@duke.edu.
² Division of Infectious Diseases, Duke University School of Medicine, Durham, North Carolina, USA.
³ Healthcare Systems Engineering Institute, Northeastern University, Boston, Massachusetts, USA.
⁴ Duke Center for Antimicrobial Stewardship and Infection Prevention, Durham, North Carolina, USA.

PMID: 32317357
PMCID: PMC8274386
DOI: 10.1136/bmjqs-2019-010586

No abstract available

Keywords: adverse events, epidemiology and detection; healthcare quality improvement; infection control; statistical process control; surgery.

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Conflict of interest statement

Competing interests: None declared.

Figures

**Figure 1**
Comparison of timing of optimised statistical process control (SPC) and traditional surveillance detection of 30 surgical site infection outbreaks that occurred from 2007 to 2015 in the Duke Infection Control Outreach Network.

**Figure 2**
Example use of optimised dual moving average statistical process control (SPC) charts for early detection of a surgical site infection (SSI) outbreak (Outbreak No 26) following colon and small bowel surgeries performed at a community hospital. Optimised dual SPC charts identified an SSI rate increase that occurred 15 months earlier than traditional surveillance outbreak detection. CL, centre line; LCL, lower control limit; UCL, upper control limit.

See this image and copyright information in PMC

Cited by

Use of Statistical Process Control Methods for Early Detection of Healthcare Facility-Associated Nontuberculous Mycobacteria Outbreaks: A Single-Center Pilot Study.
Baker AW, Maged A, Haridy S, Stout JE, Seidelman JL, Lewis SS, Anderson DJ. Baker AW, et al. Clin Infect Dis. 2023 Apr 17;76(8):1459-1467. doi: 10.1093/cid/ciac923. Clin Infect Dis. 2023. PMID: 36444485 Free PMC article.
Early recognition and response to increases in surgical site infections using optimised statistical process control charts-The early 2RIS trial: A multicentre stepped wedge cluster randomised controlled trial.
Baker AW, Ilieş I, Benneyan JC, Lokhnygina Y, Foy KR, Lewis SS, Wood B, Baker E, Crane L, Crawford KL, Cromer AL, Padgette P, Roach L, Adcock L, Nehls N, Salem J, Bratzler D, Dellinger EP, Greene LR, Huang SS, Mantyh CR, Anderson DJ. Baker AW, et al. EClinicalMedicine. 2022 Oct 17;54:101698. doi: 10.1016/j.eclinm.2022.101698. eCollection 2022 Dec. EClinicalMedicine. 2022. PMID: 36277312 Free PMC article.

References

1. Magill SS, Edwards JR, Bamberg W, et al. Multistate point-prevalence survey of health care-associated infections. N Engl J Med 2014;370:1198–208. - PMC - PubMed
1. Lewis SS, Moehring RW, Chen LF, et al. Assessing the relative burden of hospital-acquired infections in a network of community hospitals. Infect Control Hosp Epidemiol 2013;34:1229–30. - PMC - PubMed
1. Zimlichman E, Henderson D, Tamir O, et al. Health care-associated infections: a meta-analysis of costs and financial impact on the US health care system. JAMA Intern Med 2013;173:2039–46. - PubMed
1. Scott RD. The direct medical costs of healthcare-associated infections in U.S. hospitals and the benefits of prevention. Centers for disease control and prevention (CDC). Available: http://www.cdc.gov/hai/pdfs/hai/scott_costpaper.pdf [Accessed 23 Oct 2019].
1. Anderson DJ, Podgorny K, Berríos-Torres SI, et al. Strategies to prevent surgical site infections in acute care hospitals: 2014 update. Infect Control Hosp Epidemiol 2014;35(Suppl 2):S66–88. - PubMed

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[1] Magill SS, Edwards JR, Bamberg W, et al. Multistate point-prevalence survey of health care-associated infections. N Engl J Med 2014;370:1198–208. - PMC - PubMed

[2] Magill SS, Edwards JR, Bamberg W, et al. Multistate point-prevalence survey of health care-associated infections. N Engl J Med 2014;370:1198–208. - PMC - PubMed

[3] Lewis SS, Moehring RW, Chen LF, et al. Assessing the relative burden of hospital-acquired infections in a network of community hospitals. Infect Control Hosp Epidemiol 2013;34:1229–30. - PMC - PubMed

[4] Lewis SS, Moehring RW, Chen LF, et al. Assessing the relative burden of hospital-acquired infections in a network of community hospitals. Infect Control Hosp Epidemiol 2013;34:1229–30. - PMC - PubMed

[5] Zimlichman E, Henderson D, Tamir O, et al. Health care-associated infections: a meta-analysis of costs and financial impact on the US health care system. JAMA Intern Med 2013;173:2039–46. - PubMed

[6] Zimlichman E, Henderson D, Tamir O, et al. Health care-associated infections: a meta-analysis of costs and financial impact on the US health care system. JAMA Intern Med 2013;173:2039–46. - PubMed

[7] Scott RD. The direct medical costs of healthcare-associated infections in U.S. hospitals and the benefits of prevention. Centers for disease control and prevention (CDC). Available: http://www.cdc.gov/hai/pdfs/hai/scott_costpaper.pdf [Accessed 23 Oct 2019].

[8] Scott RD. The direct medical costs of healthcare-associated infections in U.S. hospitals and the benefits of prevention. Centers for disease control and prevention (CDC). Available: http://www.cdc.gov/hai/pdfs/hai/scott_costpaper.pdf [Accessed 23 Oct 2019].

[9] Anderson DJ, Podgorny K, Berríos-Torres SI, et al. Strategies to prevent surgical site infections in acute care hospitals: 2014 update. Infect Control Hosp Epidemiol 2014;35(Suppl 2):S66–88. - PubMed

[10] Anderson DJ, Podgorny K, Berríos-Torres SI, et al. Strategies to prevent surgical site infections in acute care hospitals: 2014 update. Infect Control Hosp Epidemiol 2014;35(Suppl 2):S66–88. - PubMed

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Use of optimised dual statistical process control charts for early detection of surgical site infection outbreaks

Affiliations

Use of optimised dual statistical process control charts for early detection of surgical site infection outbreaks

Authors

Affiliations

Conflict of interest statement

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Grants and funding

LinkOut - more resources

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