Study: Mandatory SSI Surveillance System Led to High Participation Rate

A mandatory surgical site infection surveillance system coupled with automated data collection led to a high rate of hospital participation and completeness of reporting, according to a study in American Journal of Infection Control.

Researchers studied the Norwegian Surveillance System for Healthcare-Associated Infections' module for SSI — a mandatory surveillance system instituted in 2005.


By 2009, there was 95 percent hospital participation in the system and 65 percent of hospitals submitted more data than was required. Only 23.3 percent of the records had at least one missing value of patient- and procedure-related background data, suggesting a relatively high level of completeness. The completeness of 30-day follow-up of patients was 90.7 percent. Eighty-one percent of SSIs were detected after hospital discharge.

The authors concluded that the Norwegian Surveillance System for Healthcare-Associated Infections' module for SSI was successful due to the mandatory nature of the system, the automatic data collection and active post-discharge surveillance.

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