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Patient harm events: hospital-onset bacteremia vs CMS-reportable events

Published online by Cambridge University Press:  03 November 2025

Heather L. Young Open the ORCID record for Heather L. Young [Opens in a new window] ,
Carolyn Valdez Open the ORCID record for Carolyn Valdez [Opens in a new window] ,
Brian Listy  and
Timothy C. Jenkins Open the ORCID record for Timothy C. Jenkins [Opens in a new window]
Heather L. Young*
Affiliation:
Department of Medicine, University of Colorado School of Medicine, Aurora, CO, USA Department of Patient Safety and Quality, Denver Health and Hospital Authority , Denver, CO, USA
Carolyn Valdez
Affiliation:
Department of Patient Safety and Quality, Denver Health and Hospital Authority , Denver, CO, USA
Brian Listy
Affiliation:
Seattle Children’s, Center for Quality and Patient Safety, Seattle, WA, USA
Timothy C. Jenkins
Affiliation:
Department of Medicine, University of Colorado School of Medicine, Aurora, CO, USA Department of Patient Safety and Quality, Denver Health and Hospital Authority , Denver, CO, USA
*
Corresponding author: Heather L. Young; Email: heather.young2@dhha.org
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Abstract

National Healthcare Safety Network developed a hospital-onset bacteremia (HOB) reporting module which may be used for Centers for Medicare and Medicaid Services (CMS)-reimbursement in the future. This retrospective study compared CMS-reported, HOB, and Overlap events. There were twice as many HOB as CMS events, but >40% of HOB were due to infections that lack defined infection prevention practices.

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Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , First View , pp. 1 - 3
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Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

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References

Page, B, Klompas, M, Chan, C, et al. Surveillance for healthcare-associated infections: Hospital-onset adult sepsis events versus current reportable conditions. Clin Infect Dis 2021;73:1013–1019.10.1093/cid/ciab217CrossRefGoogle ScholarPubMed
Keller, SC, Linkin, DR, Fishman, NO, Lautenbach, E. Variations in identification of healthcare-associated infections. Infect Control Hosp Epidemiol 2013;34:678–686.10.1086/670999CrossRefGoogle ScholarPubMed
Rock, C, Thom, KA, Harris, AD, et al. A multicenter longitudinal study of hospital-onset bacteremia: Time for a new quality outcome measure?. Infect Control Hosp Epidemiol 2016;37:143–148.10.1017/ice.2015.261CrossRefGoogle ScholarPubMed
Dantes, RB, Rock, C, Milstone, AM, et al. Preventability of hospital onset bacteremia and fungemia: A pilot study of a potential healthcare-associated infection outcome measure. Infect Control Hosp Epidemiol 2019;40:358–361.10.1017/ice.2018.339CrossRefGoogle ScholarPubMed
Stack, MA, Dbeibo, L, Fadel, W, Kelley, K, Sadowski, J, Beeler, C. Etiology and utility of hospital-onset bacteremia as a safety metric for targeted harm reduction. Am J Infect Control 2024;52:195–199.10.1016/j.ajic.2023.06.002CrossRefGoogle ScholarPubMed
Yu, KC, Ye, G, Edwards, JR, et al. Hospital-onset bacteremia and fungemia: An evaluation of predictors and feasibility of benchmarking comparing two risk-adjusted models among 267 hospitals. Infect Control Hosp Epidemiol 2022;43:1317–1325.10.1017/ice.2022.211CrossRefGoogle ScholarPubMed
Hospital Onset Bacteremia and Fungemia Playbook. Washington DC: National Quality Forum; 2024.Google Scholar
CDC/NHSN Common Commensals 2024: National Healthcare Safety Network; 2024 [Available from: https://professionals.wrha.mb.ca/files/ipc-Appendix_A_CDC_National_Healthcare_Safety_Network_Master_Organism_List_for_a_list_of_common_commensals_April_23_2024.pdf.Google Scholar
Friedman, ND, Kaye, KS, Stout, JE, et al. Health care--associated bloodstream infections in adults: A reason to change the accepted definition of community-acquired infections. Ann Intern Med 2002;137:791–797.10.7326/0003-4819-137-10-200211190-00007CrossRefGoogle ScholarPubMed
Nickel, B, Gorski, L, Kleidon, T, et al . Infusion therapy standards of practice, 9th edition. J Infus Nurs 2024;47:S1–S285.10.1097/NAN.0000000000000532CrossRefGoogle ScholarPubMed
Buetti, N, Marschall, J, Drees, M, et al. Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update. Infect Control Hosp Epidemiol 2022;43:553–569.10.1017/ice.2022.87CrossRefGoogle ScholarPubMed
Gould, CV, Umscheid, CA, Agarwal, RK, Kuntz, G, Pegues, DA, Healthcare infection control practices advisory C. Guideline for prevention of catheter-associated urinary tract infections. Infect Control Hosp Epidemiol 2010;31:319–326.10.1086/651091CrossRefGoogle Scholar
Berrios-Torres, SI, Umscheid, CA, Bratzler, DW, et al. Centers for disease control and prevention guideline for the prevention of surgical site infection. JAMA surg 2017;152:784–791.10.1001/jamasurg.2017.0904CrossRefGoogle ScholarPubMed
Schrank, GM, Sick-Samuels, A, Bleasdale, SC, et al. Development and evaluation of a structured guide to assess the preventability of hospital-onset bacteremia and fungemia. Infect Control Hosp Epidemiol 2022;43:1326–1332.10.1017/ice.2021.528CrossRefGoogle ScholarPubMed
Dantes, RB, Abbo, LM, Anderson, D, et al. Hospital epidemiologists’ and infection preventionists’ opinions regarding hospital-onset bacteremia and fungemia as a potential healthcare-associated infection metric. Infect Control Hosp Epidemiol 2019;40:536–540.10.1017/ice.2019.40CrossRefGoogle ScholarPubMed
Leekha, S, Robinson, GL, Jacob, JT, et al. Evaluation of hospital-onset bacteraemia and fungaemia in the USA as a potential healthcare quality measure: a cross-sectional study. BMJ Qual Saf 2024;33:487–498.10.1136/bmjqs-2023-016831CrossRefGoogle ScholarPubMed
Wisplinghoff, H, Bischoff, T, Tallent, SM, Seifert, H, Wenzel, RP, Edmond, MB. Nosocomial bloodstream infections in US hospitals: Analysis of 24,179 cases from a prospective nationwide surveillance study. Clin Infect Dis 2004;39:309–317.10.1086/421946CrossRefGoogle ScholarPubMed
Shorr, AF, Tabak, YP, Killian, AD, Gupta, V, Liu, LZ, Kollef, MH. Healthcare-associated bloodstream infection: A distinct entity? Insights from a large U.S. database. Crit Care Med 2006;34:2588–2595.10.1097/01.CCM.0000239121.09533.09CrossRefGoogle ScholarPubMed