NHS Weekly MRSA & Clostridium difficile dataset
Posted by Health Protection Agency on 05/01/2012 6 comments
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Comments (6)
C.Diff
Why is C.Diff not included on death certificates. If medication for illnesses other than C. Diff. has been stopped but antibiotics not, when death occurs, surely C.Diff. should be included as well as the illness?
Weekly MRSA and C-DIff national figures
I find this data fascinating and informative. Some interesting trends will emerge over time I am sure. Not least of which I shall keep abreast of these weekly reports looking specifically for large teaching hospitals, mostly large and modern PFI builds I suspect, where the numbers seem higher than the local smaller cottage hospital.
Weekly MRSA and C-DIff national figures
If a hospital is larger, which "mostly large" PFI builds are by definition, then all else being equal they will have more cases.
What is needed is rates per patient. Putting out data as raw as this does not help make worthwhile comparisons. And putting out weekly figures seems to me a bit of a waste of time.
Week reporting for is for patients benefit too
The weekly reporting is for the patients benefit too. It helps to know that your local hospital is doing all it can to prevent infections. If you are one of the hospitals where there are high numbers of infections then patients are likely to want to go elsewhere, it is a driver for performance. Some of the hospitals with high numbers have already made the headlines for poor conditions, so there is evidence to suggest they need to do more. Every number is a person and this must never be forgotten, particularly when many of these are preventable.
Weekly MRSA and C-DIff national figures
I think the key words here are PFI buildings - large glass facias, little fresh air circulating, air conditioning 24/7, large enclosed germ-laden spaces. Yes all things being equal these larger buildings will have more cases, but the bottom line is they shouldn't have any. At all.
PFI buildings, MRSA
What is really needed is the ability to link data from various sources, such as PFI builds and MRSA. The NHS National Innovation Centre (www.nic.nhs.uk) is developing a Linked Data initiative to enable people to look at such relationships and then to develop ideas for possible solutions.