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Monitoring Hospital-Associated Infections with Control Charts

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Frontiers in Statistical Quality Control 10

Part of the book series: Frontiers in Statistical Quality Control ((FSQC,volume 10))

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Abstract

Hospital-associated infections are a major concern in hospitals due to the potential loss of life and increased treatment costs. Monitoring the incidences of infections is an established part of quality maintenance programs for infectious disease departments in hospitals. However, traditional methods of analysis are often inadequate since the incidences of infections occur at relatively low rates. The g-type control chart is ideal for use since it monitors days between infections. However, users of the control charts find the g-type chart counter-intuitive and would prefer to use a u-chart or even a control chart for individuals. In this paper, we investigate g-type chart alternatives and how these charts may be applied to infection control surveillance data from Seattle Childrens Hospital.

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References

  1. Albers, W. (2010). The optimal choice of negative binomial charts for monitoring high-quality processes. Journal of Statistical Planning and Inference,140, 214–225.

    Google Scholar 

  2. Benneyan, J. C. (1998a). Statistical quality control methods in infection control and hospital epidemiology, part i: Introduction and basic theory. Infection Control and Hospital Epidemiology,19(3), 194–214.

    Google Scholar 

  3. Benneyan, J. C. (1998b). Statistical quality control methods in infection control and hospital epidemiology, part ii: Chart use, statistical properties, and research issues. Infection Control and Hospital Epidemiology,19(4), 265–283.

    Google Scholar 

  4. Benneyan, J. C. (1998c). Use and interpretation of statistical quality control charts. International Journal for Quality in Healthcare,10(1), 69–73.

    Google Scholar 

  5. Benneyan, J. C. (2001a). Number- between g-type statistical quality control charts for monitoring adverse events. Health Care Management Science,4, 305–318.

    Google Scholar 

  6. Benneyan, J. C. (2001b). Performance of number-between g-type statistical control charts for monitoring adverse events. Health Care Management Science,4, 319–336.

    Google Scholar 

  7. Carey, R. G. (2002). How do you know that your care is improving? part ii: Using control charts to learn from your data. Journal of Ambulatory Care Management,25, 78–88.

    Google Scholar 

  8. Agency for Healthcare Research and Quality. (2001). Making health care safer: A critical analysis of patient safety practices (Technical Report, Publication No. 01-E058). Rockville, MD.

    Google Scholar 

  9. Fraker, S. E., Woodall, W. H., & Mousavi, S. (2008). Performance metrics for surveillance schemes. Quality Engineering,20, 451–464.

    Google Scholar 

  10. Gustafson, T. L. (2000). Practical risk-adjusted quality control charts for infection control. American Journal of Infection Control,28(6), 406–414.

    Google Scholar 

  11. Health Protection Agency. (2008). General information healthcare associated infections. Accessed August 2008.

    Google Scholar 

  12. Healthcare Infection Control Practices Advisory Committee (HICPAC). (2009). Guidelines for prevention of catheter-associated urinary tract infections (Centers for Disease Control and Prevention), Accessed July 2010.

    Google Scholar 

  13. Kaminsky, F. C., Benneyan, J. C., Burke, R. J., & Davis, R. D. (1992). Statistical control charts based on a geometric distribution. Journal of Quality Technology,24(2), 63–69.

    Google Scholar 

  14. Kittlitz, R. G. (1999). Transforming the exponential for spc applications. Journal of Quality Technology,31(3), 301–308.

    Google Scholar 

  15. Limaye, S. S., Mastrangelo, C. M., & Zerr, D. M. (2008). A case study in monitoring hospital associated infections with count control charts. Quality Engineering,20, 404–413.

    Google Scholar 

  16. Liu, J. Y., Xie, M., Goh, T. N., & Chan, L. Y. (2007). A study of ewma chart with transformed exponential data. International Journal of Production Research,45(3), 743–763.

    Google Scholar 

  17. Matthes, M., Ogunbo, S., Pennington, P., Wood, N., Hart, M., & Hart, R. (2007). Statistical process control for hospitals: Methodology, user education, and challenges. Quality Management in Health Care,16, 205–214.

    Google Scholar 

  18. Montgomery, D. C. (2009). Introduction to Statistical Quality Control (6th ed.). Hoboken: Wiley.

    Google Scholar 

  19. Morton, A., Whitby, M., McLaws, M., Dobson, A., McElwain, S., Looke, D., Stockelroth, J., & Sartor, A. (2009). The application of statistical process control charts to detection and monitoring of hospital-acquired infections. Journal of Quality in Clinical Practise,21(4), 112–117.

    Google Scholar 

  20. Nelson, L. S. (1994). A control chart for parts-per-million nonconforming items. Journal of Quality Technology,26(3), 239–240.

    Google Scholar 

  21. Radaelli, G. (1998). Planning time-between-events Shewhart control charts. Total Quality Management,9(1), 133–140.

    Google Scholar 

  22. Schwertman, N. C. (2005). Designing accurate control charts based on the geometric and negative binomial distributions. Quality and Reliability Engineering International,21, 743–756.

    Google Scholar 

  23. Shore, H. (2000). General control charts for attributes. IIE Transactions,32, 1149–1160.

    Google Scholar 

  24. Sonneson, C., & Bock, D. (2003). A review and discussion of prospective statistical surveillance in public health. Journal of the Royal Statistical Society: Series A,166, 5–21.

    Google Scholar 

  25. Szarka, J. L., & Woodall, W. H. (2010). A review and perspective on control charting for high quality Bernoulli processes. Quality and Reliability Engineering International,27, 735–752.

    Google Scholar 

  26. Tang, L. C., & Cheong, W. T. (2004). Cumulative onformance count chart with sequentially updated parameters. IIE Transactions,36, 841–853.

    Google Scholar 

  27. Willemain, T.R., & Runger, G.C. (1996). Designing control charts using an empirical reference distribution. Journal of Quality Technology,28, 31–38.

    Google Scholar 

  28. Woodall, W. H. (2006). The use of control charts in health-care and public health surveillance. Journal of Quality Technology,38(2), 89–104.

    Google Scholar 

  29. Xie, M., Goh, T. N., & Kuralmani, V. (2002). Statistical models and control charts for high quality processes. Norwell: Kluwer Academic Publishers.

    Google Scholar 

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Correspondence to Christina M. Mastrangelo .

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Mastrangelo, C.M., Gillan, A.M. (2012). Monitoring Hospital-Associated Infections with Control Charts. In: Lenz, HJ., Schmid, W., Wilrich, PT. (eds) Frontiers in Statistical Quality Control 10. Frontiers in Statistical Quality Control, vol 10. Physica, Heidelberg. https://doi.org/10.1007/978-3-7908-2846-7_12

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