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Costs versus earnings in colon surgery and coronary artery bypass grafting under a prospective payment system: Sufficient financial incentives to reduce surgical site infections?

Published online by Cambridge University Press:  22 August 2018

Fabrice Juchler
Affiliation:
Division of Infectious Diseases and Hospital Epidemiology, University Hospital Basel, Basel, Switzerland University of Basel, Basel, Switzerland
Jan A. Roth
Affiliation:
Division of Infectious Diseases and Hospital Epidemiology, University Hospital Basel, Basel, Switzerland University of Basel, Basel, Switzerland
Alexander Schweiger
Affiliation:
University of Basel, Basel, Switzerland Swissnoso, National Center for Infection Prevention, Bern, Switzerland
Marc Dangel
Affiliation:
Division of Infectious Diseases and Hospital Epidemiology, University Hospital Basel, Basel, Switzerland University of Basel, Basel, Switzerland
Massimo Gugliotta
Affiliation:
Department of Finance, University Hospital Basel, Basel, Switzerland
Manuel Battegay
Affiliation:
Division of Infectious Diseases and Hospital Epidemiology, University Hospital Basel, Basel, Switzerland University of Basel, Basel, Switzerland
Friedrich S. Eckstein
Affiliation:
University of Basel, Basel, Switzerland Department of Cardiac Surgery, University Hospital Basel, Basel, Switzerland
Christoph Kettelhack
Affiliation:
University of Basel, Basel, Switzerland Department of Visceral Surgery, University Hospital Basel, Basel, Switzerland
Christian Abshagen
Affiliation:
Department of Finance, University Hospital Basel, Basel, Switzerland
Balthasar L. Hug
Affiliation:
University of Basel, Basel, Switzerland Department of Internal Medicine, Kantonsspital Luzern, Lucerne, Switzerlandand
John M. Boyce
Affiliation:
J.M. Boyce Consulting, LLC, Middletown, Connecticut, United States of America
Andreas F. Widmer*
Affiliation:
Division of Infectious Diseases and Hospital Epidemiology, University Hospital Basel, Basel, Switzerland University of Basel, Basel, Switzerland Swissnoso, National Center for Infection Prevention, Bern, Switzerland
*
Author for correspondence: Andreas F. Widmer, MD, MS, Division of Infectious Diseases and Hospital Epidemiology, University Hospital Basel, Petersgraben 4, 4031 Basel, Switzerland. E-mail: andreas.widmer@usb.ch

Abstract

Based on a surgical site infection (SSI) cohort at an academic center, we showed a median potentially preventable loss per non-SSI case of $17,916 in colon surgery and of $34,741 in coronary artery bypass grafting.

Type
Concise Communication
Copyright
© 2018 by The Society for Healthcare Epidemiology of America. All rights reserved 

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Footnotes

a

Authors of equal contribution.

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