Hugh C. Murray , Benjamin J. Smith , Mark Putland , Lou Irving , Douglas Johnson , Deborah A. Williamson , Steven Y.C. Tong
{"title":"The impact of rapid diagnostic testing on hospital administrative coding accuracy for influenza","authors":"Hugh C. Murray , Benjamin J. Smith , Mark Putland , Lou Irving , Douglas Johnson , Deborah A. Williamson , Steven Y.C. Tong","doi":"10.1016/j.idh.2023.05.003","DOIUrl":"10.1016/j.idh.2023.05.003","url":null,"abstract":"<div><h3>Background</h3><p>Hospital administrative coding may underestimate the true incidence of influenza-associated hospitalisation. Earlier availability of test results could lead to improved accuracy of administrative coding.</p></div><div><h3>Methods</h3><p><span><span>In this study we evaluated International Classification of Diseases 10 (ICD-10) coding for influenza (with [J09-J10] or without [J11] </span>virus identified) in adult inpatients who underwent testing in the year prior, compared to those in the 2.5 years after, the introduction of rapid PCR testing in 2017. Other factors associated with influenza coding were evaluated using </span>logistic regression. Discharge summaries were audited to assess the impact of documentation and result availability on coding accuracy.</p></div><div><h3>Results</h3><p><span>Influenza was confirmed by laboratory testing in 862 of 5755 (15%) patients tested after rapid PCR introduction compared with 170 of 926 (18%) prior. Following the introduction of rapid testing there was a significant increase in patients allocated J09 or J10 ICD-10 codes (768 of 860 [89%] </span>vs 107 of 140 [79%], P = 0.001). On multivariable analysis, factors independently associated with correct coding were rapid PCR testing (aOR 4.36 95% CI [2.75–6.90]) and increasing length of stay (aOR 1.01, 95% CI [1.00–1.01]). Correctly coded patients were more likely to have documentation of influenza in their discharge summaries (95 of 101 [89%] vs 11 of 101 [10%], P < 0.001) and less likely to have pending results at discharge (8 of 101 [8%] vs 65 of 101 [61%], P < 0.001).</p></div><div><h3>Conclusion</h3><p>The introduction of rapid PCR testing for influenza was associated with more accurate hospital coding. One possible explanation is faster test turnaround leading to improvement in clinical documentation.</p></div>","PeriodicalId":45006,"journal":{"name":"Infection Disease & Health","volume":"28 4","pages":"Pages 271-275"},"PeriodicalIF":3.5,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9624089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dr Catherine Viengkham , Mr Vincent Villanueva Vicencio , Mr Heonsu Shin , Dr Shopna Bag , Dr Conrad Moreira , Richard Lindley (Professor) , Mr Nicholas Grange , Ms Sophie Norton , Ms Jenny Watts , Ms Claire Thomas , Ms Bronnie Anderson-Smith , Ms Jasmin Ellis , Ramon Shaban (Professor)
{"title":"COVID-19 Outbreak Management Response for Residential Aged Care Facilities in Western Sydney: A Donabedian Health Evaluation","authors":"Dr Catherine Viengkham , Mr Vincent Villanueva Vicencio , Mr Heonsu Shin , Dr Shopna Bag , Dr Conrad Moreira , Richard Lindley (Professor) , Mr Nicholas Grange , Ms Sophie Norton , Ms Jenny Watts , Ms Claire Thomas , Ms Bronnie Anderson-Smith , Ms Jasmin Ellis , Ramon Shaban (Professor)","doi":"10.1016/j.idh.2023.09.025","DOIUrl":"https://doi.org/10.1016/j.idh.2023.09.025","url":null,"abstract":"","PeriodicalId":45006,"journal":{"name":"Infection Disease & Health","volume":"28 ","pages":"Pages S7-S8"},"PeriodicalIF":3.5,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67739271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mrs Anie Edward , Dr Bodil Rasmussen , Dr Sara Holton , Stephane Bouchoucha (A/Prof)
{"title":"P2-N95 Mask Use During the COVID- 19 Pandemic - Experiences and Perceptions of Nurses Who Suffered Adverse Effects","authors":"Mrs Anie Edward , Dr Bodil Rasmussen , Dr Sara Holton , Stephane Bouchoucha (A/Prof)","doi":"10.1016/j.idh.2023.09.018","DOIUrl":"https://doi.org/10.1016/j.idh.2023.09.018","url":null,"abstract":"","PeriodicalId":45006,"journal":{"name":"Infection Disease & Health","volume":"28 ","pages":"Page S5"},"PeriodicalIF":3.5,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67739275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dr Su-yin Hor , Dr Jennifer Plumb , Chris Degeling (Associate Professor) , Claire Hooker (Associate Professor) , Lyn Gilbert (Professor)
{"title":"Challenges, changes, and opportunities for infection prevention and control professionals in pandemic times","authors":"Dr Su-yin Hor , Dr Jennifer Plumb , Chris Degeling (Associate Professor) , Claire Hooker (Associate Professor) , Lyn Gilbert (Professor)","doi":"10.1016/j.idh.2023.09.031","DOIUrl":"https://doi.org/10.1016/j.idh.2023.09.031","url":null,"abstract":"","PeriodicalId":45006,"journal":{"name":"Infection Disease & Health","volume":"28 ","pages":"Page S9"},"PeriodicalIF":3.5,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67738729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Materials Compatibility - what does it mean to IPC?","authors":"Mr Jake Jennings","doi":"10.1016/j.idh.2023.09.003","DOIUrl":"https://doi.org/10.1016/j.idh.2023.09.003","url":null,"abstract":"","PeriodicalId":45006,"journal":{"name":"Infection Disease & Health","volume":"28 ","pages":"Page S1"},"PeriodicalIF":3.5,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67735235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ms Tricia Kleidon , Dr Jessica Schults , Dr Derek Roebuck , Ms Victoria Gibson , Ms Deborah Pierce , Dr Ruth Royle , Robert Ware (Professor) , Joshua Byrnes (Professor) , Claire Rickard (Professor) , Amanda Ullman (Professor)
{"title":"Securing Central venous catheters Using a subcutaneously anchored secuRement system to prevent cathEter Dislodgment in children: the SECURED randomised controlled trial","authors":"Ms Tricia Kleidon , Dr Jessica Schults , Dr Derek Roebuck , Ms Victoria Gibson , Ms Deborah Pierce , Dr Ruth Royle , Robert Ware (Professor) , Joshua Byrnes (Professor) , Claire Rickard (Professor) , Amanda Ullman (Professor)","doi":"10.1016/j.idh.2023.09.019","DOIUrl":"https://doi.org/10.1016/j.idh.2023.09.019","url":null,"abstract":"","PeriodicalId":45006,"journal":{"name":"Infection Disease & Health","volume":"28 ","pages":"Pages S5-S6"},"PeriodicalIF":3.5,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67739274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}