1 / 29

KISS

AMBU-KISS one day surgery surveillance in Germany Petra Gastmeier, MD Charité – University Medicine Berlin, Germany and German National Reference Center for Surveillance of Nosocomial Infections. KISS.

hillary
Download Presentation

KISS

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. AMBU-KISS onedaysurgerysurveillance in GermanyPetra Gastmeier, MDCharité – University Medicine Berlin, Germanyand German National Reference Center for Surveillance of Nosocomial Infections

  2. KISS

  3. KISS = Krankenhaus-Infektions-Surveillance-System= German national nosocomial infection surveillance system- supported by the German Ministry of Health- organized by 3 university institutes

  4. Principles of KISS participation • Voluntary participation • Confidentiality(instead of mandatory reporting)

  5. Participating hospitals 1997: 20 2007: 520 Total number of hospitals: 2000

  6. KISS is based on the experiences and principles of the NNIS system

  7. KISS componentswww.nrz-hygiene.de ICU-KISS OP-KISS 1997

  8. Method OP-KISS

  9. Neues in 2005 Feedback to the hospitals

  10. Reduction of SSI rates in KISS ? • Inclusion criteria • Surgical departments • with having had at least 4 years of ongoing participation (between 1997 and June 2004) and • with at least 30 operations per year registered for the operative procedure category in question. • 130 departments from 86 hospitals met the inclusion crieria

  11. Data analyzed(only procedures with at least 15 departments participating)

  12. KISS (D): Pooled SSI rates according to the year of participation in the surveillance system RR = 0.75 (CI95: 0.68-0.82) -25 % (n = 119 114 operations from 130 departments) Brandt, C. ICHE 2006

  13. KISS componentswww.nrz-hygiene.de CDAD-KISS ICU-KISS MRSA-KISS OP-KISS ONKO-KISS NEO-KISS AMBU-KISS DEVICE-KISS

  14. AMBU-KISS Start: January 2003

  15. METHOD Do we need stratification according to the number of risk points? Do we get sufficient information about the postoperative period?

  16. PILOT STUDY Patients with NNIS risk points in ambulatory surgery Hirsemann S et al. AJIC 2005; 33:6-10

  17. Experience with data from hospitals (OP-KISS) Does stratifying surgical site infection rates by the NNIS risk index influence the rank order of the hospitals in a surveillance system?

  18. Correlation of departments rank, vascular surgery of the leg Brümmer et al. J Hosp Infect, in press

  19. Correlation of departments rank, vascular surgery of the leg Spearman coefficient 0,977

  20. Spearman correlation coefficients per procedure types

  21. Number of SSI for a procedure type = ------------------------------------------------------ x 100 Number of operations of this procedure type Method AMBU-KISS Calculation of crude SSI rates

  22. Method AMBU-KISS Mlangeni et al. Chirurg 2004; 75:265-68

  23. METHOD Do we need stratification according to the number of risk points? Do we get sufficient information about the postoperative period?

  24. Detecting of SSI in AMBU-KISS, n=99 Blaich A et al. Der Chirurg 2007

  25. Question to the surgeon, n=99 Blaich A et al. Der Chirurg 2007

  26. AMBU-KISS-Data 12/2007 12/2007

  27. www.nrz-hygiene.de

  28. Comparison KISS dataforhospitals12/2006 KISS datafordaysurgerycenters 12/2007 KISS 12/2007

  29. Summary • Many day surgery centers are interested to participate and provide data • Calculation of crude SSI rates seems to be appropriate • Follow-up information seems to be appropriate • SSI rates from day surgery centers are in general lower, probable due • - to fewer underlying diseases in this patient group - to sufficient experience of the surgeons with this operation type

More Related