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    The Impact of Contact Isolation on the Quality of Inpatient Hospital Care

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    Author
    Morgan, Daniel J., M.D., M.S.
    Advisor
    Harris, Anthony D.
    Date
    2012
    Type
    dissertation
    
    Metadata
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    Abstract
    Background: Contact Isolation is a common hospital infection prevention method that may improve infectious outcomes but may also hinder healthcare delivery. Methods: To evaluate the impact of Contact Isolation on compliance with individual and composite process of care quality measures, we formed four retrospective diagnosis-based cohorts from a 662-bed tertiary-care medical center. Each cohort contained patients evaluated for one of four Centers for Medicare and Medicaid Services (CMS) Hospital Compare process measures including Acute Myocardial Infarction (AMI), Congestive Heart Failure (CHF), Pneumonia (PNA) and Surgical Care Improvement Project (SCIP) from January 1, 2007 through May 30, 2009. Results: The 6716-admission cohort included 1259 with AMI, 834 with CHF, 1377 with PNA and 3246 in SCIP. Contact Isolation was associated with not meeting 4 of 23 individual hospital measures (4 of 10 measures were not met for care provided while patients are typically isolated). Contact Isolation was independently associated with lower compliance with the composite pneumonia process-of-care measure (OR 0.3, 95% CI 0.1-0.7). AMI, CHF and SCIP composite measures were not impacted by Contact Isolation. Conclusions: Contact Isolation was associated with lower adherence to some pneumonia quality of care process measures of care on inpatient wards but did not impact CHF, AMI or SCIP measures.
    Description
    University of Maryland, Baltimore. Epidemiology and Preventive Medicine. M.S. 2012
    Keyword
    quality
    Hospitals
    Patient Isolation
    Patient Safety
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/1662
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    Theses and Dissertations All Schools
    Theses and Dissertations School of Medicine

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