Use of Administrative Data for Surgical Site Infection Surveillance After Congenital Cardiac Surgery Results in Inaccurate Reporting of Surgical Site.

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Use of Administrative Data for Surgical Site Infection Surveillance After Congenital Cardiac Surgery Results in Inaccurate Reporting of Surgical Site Infection Rates Krista D. Atchley, RN, BSN, Janine M. Pappas, BA, Andrea T. Kennedy, BA, Susan E. Coffin, MD, Jeffrey S. Gerber, MD, PhD, Stephanie M. Fuller, MD, Thomas L. Spray, MD, Kenneth McCardle, MS, J. William Gaynor, MD The Annals of Thoracic Surgery Volume 97, Issue 2, Pages 651-658 (February 2014) DOI: 10.1016/j.athoracsur.2013.08.076 Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Proportion of common cardiac surgical procedures identified in The Society of Thoracic Surgeons (STS) Congenital Heart Surgery Database reported to the National Healthcare Safety Network (NHSN). (B) Proportion of common cardiac surgical procedures identified in the STS Congenital Heart Surgery Database coded with CARD International Classification of Diseases-Ninth revision codes in the billing database. (ASD = atrial septal defect; ASO = arterial switch operation; AVC = atrioventricular canal; IVS = intraventricular septum; TOF = tetralogy of Fallot; VSD = ventricular septal defect.) The Annals of Thoracic Surgery 2014 97, 651-658DOI: (10.1016/j.athoracsur.2013.08.076) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Classification of potential surgical site infection (SSI) cases identified from the National Healthcare Safety Network (NHSN) surveillance program, The Society of Thoracic Surgeons (STS) Congenital Heart Surgery Database, or the Pediatric Health Information Systems Database (PHIS). The Annals of Thoracic Surgery 2014 97, 651-658DOI: (10.1016/j.athoracsur.2013.08.076) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Annual rates of surgical site infection (SSI). Data reported to National Healthcare Safety Network (NHSN) are shown as squares. Data based on the case volume from The Society of Thoracic Surgeons (STS) Congenital Heart Surgery Database as denominator and the confirmed SSI cases from the retrospective review are shown as diamonds. The Annals of Thoracic Surgery 2014 97, 651-658DOI: (10.1016/j.athoracsur.2013.08.076) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions