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Substantial variation in hospital rankings after adjusting for hospital-level predictors of publicly-reported hospital-associated Clostridium difficile infection rates.

  • Author(s): Datta, Rupak;
  • Kazerouni, N Neely;
  • Rosenberg, Jon;
  • Nguyen, Vinh Q;
  • Phelan, Michael;
  • Billimek, John;
  • Cao, Chenghua;
  • McLendon, Patricia;
  • Cummings, Kate;
  • Huang, Susan S
  • et al.
Abstract

Across 366 California hospitals, we identified hospital-level characteristics predicting increased hospital-associated Clostridium difficile infection (HA-CDI) rates including more licensed beds, teaching and long-term acute care (LTAC) hospitals, and polymerase chain reaction testing. Adjustment for these characteristics impacted rankings in 24% of teaching hospitals, 13% of community hospitals, and 11% of LTAC hospitals.

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