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Ned Tijdschr Geneeskd. 2014;158:A7395.

[Infection prevention in Dutch hospitals; results say more than process indicators].

Nederlands tijdschrift voor geneeskunde

[Article in Dutch]
Marc J M Bonten, Alexander Friedrich, Jan A J W Kluytmans, Christina M J E Vandenbroucke-Grauls, Andreas Voss, Margreet C Vos

Affiliations

  1. Universitair Medisch Centrum, afd. Medische Microbiologie, Utrecht.

PMID: 24594133

Abstract

The Dutch Health Care Inspectorate investigated the preparedness of Dutch hospitals for the emergence of antibiotic resistance, and concluded that hospitals are not well prepared and are insufficiently aware that infection prevention is a prerequisite for patient safety. These conclusions are based on observations of process indicators of current practice guidelines, without including the available outcome indicators that demonstrate the persistently low incidence of infections with antibiotic resistant bacteria in Dutch hospitals. The conclusions may have negative effects on the quality of infection prevention in Dutch hospitals. Therefore, it is advisable to use outcome indicators rather than process indicators to evaluate the quality of infection prevention.

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