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Table 4 Expert panel’s evaluation of SAB rates as an outcome indicator

From: Development and application of an indicator assessment tool for measuring health services accreditation programs

Topic Infection control indicators
Indicator details
Description Incidence of hospital acquired Staphylococcus aureus bacteraemia (SAB rates) per 10,000 inpatient days. Rates are reported monthly for publicly funded acute care hospitals
Type Outcome
Applicable accreditation standards
NSQHSS Standard 3—preventing and controlling healthcare associated infections [15]
ACHS EQuIP Criteria 1.5.2 [16, 17]
  Scores Evaluation discussion summary
Assessment criteria
Research Medium to high There is extensive research on hand hygiene and other infection control mechanisms in reducing infection rates. [21, 22, 26, 27, 29] However, there is little evidence that the process of accreditation has an impact on infection rates
Accuracy Low to medium A medium to low score was allocated due to the broad nature of the infection control standard that also includes anti-microbial stewardship and specialist cleaning policies
Proximity High Results are collected monthly as part of routine reporting
No adverse effects High Results are publicly available with a known target incidence rate but are routinely collected and can be corroborated with pathology lab reports
Specificity Low There are a number of policies and initiatives aimed at improving hospital acquired infection (see associated programmes below)
Associated programs Related programs initiated by state or federal governments or healthcare agencies Anti-microbial Stewardship Initiative [31] National Infection Control Guidelines [32] Clean Hands Save Lives project [33] National Hand Hygiene Initiative [24] NSW Infection Control Policy [34]