The Hospital Consumer Assessment of Healthcare Providers and Systems and Central-Line-Associated Bloodstream Infections
Date of Conferral
10-9-2023
Degree
Ph.D.
School
Health Services
Advisor
Harold Griffin
Abstract
Central-line-associated bloodstream infections (CLABSIs) are common healthcare-associated infections (HAIs) contributing to extended hospital stays, morbidity, mortality, and healthcare costs. In 2011, the Centers for Medicare and Medicaid Services implemented the Hospital Value-Based Purchasing initiative, which links acute care hospitals' payments to quality performance. A gap in the literature existed regarding the relationship between hospital characteristics, patient experience, and CLABSI rates. This quantitative study aimed to explore the relationship between patient experience scores reported by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) and CLABSI standardized infection ratio (SIR) in nonprofit acute care hospitals in the United States. Three domains of HCHAPS were selected for the study as a proxy for patient safety. Donabedian's structure-process-outcome framework guided the study. The study data was gathered from the American Hospital Directory and Hospital Compare website. Random sampling was completed. A sample size of 77 nonprofit acute hospitals with a complete dataset was included in the study. A standard multiple linear regression analysis showed that nurse communication and room cleanliness statistically correlated with CLABSI rates (p < .001). No significant correlation was found for staff responsiveness (p < .864). The research findings emphasize quality care through reducing microbial contamination and effective communication. Future research on the correlation between nurse-to-patient ratio, patient experience, and outcome is recommended. The study promotes positive social change by providing empirical information to improve quality, clinical processes, patient experience, and outcome measures.
Recommended Citation
Kerich, Mary, "The Hospital Consumer Assessment of Healthcare Providers and Systems and Central-Line-Associated Bloodstream Infections" (2023). Walden Dissertations and Doctoral Studies. 14939.
https://scholarworks.waldenu.edu/dissertations/14939
