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National Healthcare Safety Network (NHSN) Data Quality Quality Improvement Activity

The 2017 Statement of Work requires that ESRD Networks conduct a QIA to increase facility reporting of BSIs among dialysis patients that are identified within one calendar day following a hospital admission. The Network selected 20 Central Mississippi dialysis facilities that lack access to hospital electronic medical records or are known to have challenges retrieving hospital medical record information for their patients.  The Network also identified five hospitals that receive patients from these 20 QIA facilities.

Project Goals

  • Increase the facility reporting of BSIs among dialysis patients that are identified within one calendar day following a hospital admission
  • Improve communication of key information between the hospitals and dialysis facilities
  • Demonstrate that each QIA dialysis facility adopted a strategy to improve communication with hospitals and capture positive blood cultures identified in hospitals
  • Demonstrate a 1% increase over baseline in the percentage of BSIs reported in NHSN that were identified in the hospital or Emergency Department

(Baseline: January – June 2016 NHSN data; Re-measurement: January – June 2017 NHSN data)

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