#### Others titles

- SIRs for CLABSI Neonatal Intensive Care Units
- HAI Progress Report 2013
- Central Line Associated Bloodstream Infections
- Standardized Infection Ratios for CLABSI Neonatal Intensive care Units

#### Keywords

- Healthcare Associated Infections
- SIRs All Locations
- SIR National Baseline Data
- Infections After Surgery
- Surgical Site Infections
- Superficial Infections
- Surgical Infection Guidelines
- Surgical Infection Facilities

# Standardized Infection Ratios for CLABSI Neonatal Intensive Care 2013

The Standardized Infection Ratio (SIR) is a statistic used to track healthcare associated infections (HAIs) over time, at a national, state, or facility level. The SIR compares the actual number of HAIs at each hospital, to the predicted number of infections. The predicted number is an estimate based on national baseline data, and it is risk adjusted. Risk adjustment takes into account that some hospitals treat sicker patients than others.

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### Description

A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs (usually bacteria or viruses) enter the bloodstream through the central line. Healthcare providers must follow a strict protocol when inserting the line to make sure the line remains sterile and a CLABSI does not occur. In addition to inserting the central line properly, healthcare providers must use stringent infection control practices each time they check the line or change the dressing. Patients who get a CLABSI have a fever, and might also have red skin and soreness around the central line. If this happens, healthcare providers can do tests to learn if there is an infection present.

The Standardized Infection Ratio (SIR) is a statistic used to track healthcare associated infections (HAIs) over time, at a national, state, or facility level. lower SIRs are better.

If the SIR is 1, then the number of actual infections is the same as the number of predicted infections.

If the SIR is less than 1, then the number of actual infections is less than the number of predicted infections.

If the SIR is greater than 1, then the number of actual infections is greater than the number of predicted infections.

Usually, a low SIR reflects the results of robust HAI prevention strategies. These scenarios are exciting, and Centers For Disease Control and Prevention (CDC) is working with facilities and states to learn and share best practices.

## About this Dataset

### Data Info

Date Created | 2015 |
---|---|

Last Modified | 2016-03-02 |

Version | 1 |

Update Frequency |
Annual |

Temporal Coverage |
N/A |

Spatial Coverage |
United States |

Source | John Snow Labs; Centers For Disease Control and Prevention (cdc.gov); |

Source License URL | |

Source License Requirements |
N/A |

Source Citation |
N/A |

Keywords | Healthcare Associated Infections, SIRs All Locations, SIR National Baseline Data, Infections After Surgery, Surgical Site Infections, Superficial Infections, Surgical Infection Guidelines, Surgical Infection Facilities |

Other Titles | SIRs for CLABSI Neonatal Intensive Care Units, HAI Progress Report 2013, Central Line Associated Bloodstream Infections, Standardized Infection Ratios for CLABSI Neonatal Intensive care Units |

### Data Fields

Name | Description | Type | Constraints |
---|---|---|---|

State | Name of U.S. State, Washington, D.C., and Puerto Rico | string | required : 1 |

Facilities_Reporting | Identifies the number of facilities reporting in the state. | integer | level : Ratio |

Infections_Observed | Identifies the total number of infections observed in the state for the year 2013. | integer | level : Ratio |

Infections_Predicted | Identifies the total number of infections predicted in the state for the year 2013. | number | level : Ratio |

SIR | Standardized Infection Ratio which is the ratio of Number of infections observed to no. of infections predicted. An SIR is only calculated for states in which at least 5 facilities reported CLABSI data from at least one NICU in 2013. | number | level : Ratio |

Ninety_Five_Percent_CI_for_SIR_Lower | A 95% CI assesses the magnitude and stability of an SIR. Specifically, a 95% CI is the range of estimated SIR values that has a 95% probability of including the true SIR for the population.A confidence interval (CI) is calculated around an SIR to determine how likely it is that the number of observed number of cases is high or low by chance. | number | level : Ratio |

Ninety_Five_Percent_CI_for_SIR_Upper | A 95% CI assesses the magnitude and stability of an SIR. Specifically, a 95% CI is the range of estimated SIR values that has a 95% probability of including the true SIR for the population.A confidence interval (CI) is calculated around an SIR to determine how likely it is that the number of observed number of cases is high or low by chance. | number | level : Ratio |

Facility_Specific_SIRs_Facilities_With_Atleast_1_Predicted_CLABSI | Percent of facilities with at least one predicted NICU CLABSI that had an SIR significantly greater or less than the 2013 national NICU CLABSI SIR of 0.499.This is only calculated if at least 10 facilities had at least one predicted NICU CLABSI in 2013. | integer | level : Ratio |

Percent_of_Facs_With_SIR_Sig_Higher_Than_National_SIR | Identifies the number of facilities having SIR greater than national SIR. | integer | level : Ratio |

Percent_of_Facs_With_SIR_Sig_Lower_Than_National_SIR | Identifies the number of facilities having SIR lower than national SIR. | integer | level : Ratio |

Key_Percentiles_10_Percent | Facility-specific key percentiles were only calculated if at least 20 facilities had ≥1.0 predicted NICU CLABSI in 2013. If a facility’s predicted number of NICU CLABSI was <1.0, a facility-specific SIR was neither calculated nor included in the distribution of facility-specific SIRs. | number | level : Ratio |

Key_Percentiles_25_Percent | Facility-specific key percentiles were only calculated if at least 20 facilities had ≥1.0 predicted NICU CLABSI in 2013. If a facility’s predicted number of NICU CLABSI was <1.0, a facility-specific SIR was neither calculated nor included in the distribution of facility-specific SIRs. | number | level : Ratio |

Key_Percentiles_50_Percent | Facility-specific key percentiles were only calculated if at least 20 facilities had ≥1.0 predicted NICU CLABSI in 2013. If a facility’s predicted number of NICU CLABSI was <1.0, a facility-specific SIR was neither calculated nor included in the distribution of facility-specific SIRs. | number | level : Ratio |

Key_Percentiles_75_Percent | number | level : Ratio | |

Key_Percentiles_90_Percent | number | level : Ratio |

### Data Preview

State | Facilities_Reporting | Infections_Observed | Infections_Predicted | SIR | Ninety_Five_Percent_CI_for_SIR_Lower | Ninety_Five_Percent_CI_for_SIR_Upper | Facility_Specific_SIRs_Facilities_With_Atleast_1_Predicted_CLABSI | Percent_of_Facs_With_SIR_Sig_Higher_Than_National_SIR | Percent_of_Facs_With_SIR_Sig_Lower_Than_National_SIR | Key_Percentiles_10_Percent | Key_Percentiles_25_Percent | Key_Percentiles_50_Percent | Key_Percentiles_75_Percent | Key_Percentiles_90_Percent |

Maine | 3 | |||||||||||||

Alaska | 2 | |||||||||||||

Hawaii | 2 | |||||||||||||

Wyoming | ||||||||||||||

Vermont | 1 | |||||||||||||

Delaware | 2 | |||||||||||||

Rhode Island | 1 | |||||||||||||

South Dakota | 3 | |||||||||||||

New Hampshire | 3 | |||||||||||||

West Virginia | 4 |