National Healthcare Agreement: P39-Healthcare-associated Staphylococcus aureus (including MRSA) bacteraemia in acute care hospitals, 2010

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termHealthcare-associated Staphylococcus aureus (including MRSA) bacteraemia, 2010
METEOR identifier:Help on this term395068
Registration status:Help on this term
Description:Help on this termHealthcare-associated Staphylococcus aureus (including MRSA) bacteraemia in acute care hospitals.
Indicator set:Help on this termNational Healthcare Agreement (2010)
Health, Superseded 08/06/2011
Outcome area:Help on this termHospital and Related Care
National Health Performance Authority (retired), Retired 01/07/2016
Health, Standard 07/07/2010
Quality statement:Help on this termNational Healthcare Agreement: P39-Healthcare-associated Staphylococcus aureus (including MRSA) bacteraemia in acute care hospitals, 2010 QS Health, Superseded 08/06/2011

Collection and usage attributes

Computation description:Help on this termA patient-episode of Staphylococcus aureus bacteraemia (SAB) is defined as a positive blood culture for Staphylococcus aureus. Only the first isolate per patient is counted, unless at least 14 days has passed without a positive blood culture, in which case an additional episode is recorded.
Computation:Help on this termCount only
Numerator:Help on this term

For public acute-care hospitals in Peer Group A and B, the number of patient episodes of Staphylococcus aureus bacteraemia (both methicillin resistant and methicillin sensitive) where the time when the first positive blood culture was collected was 48 hours or more after admission to hospital
plus
The number of patient episodes of Staphylococcus aureus bacteraemia (both methicillin resistant and methicillin sensitive) where the time when the first positive blood culture was collected was within 48 hours of the time of a discharge from hospital
plus
The number of any additional patient episodes of Staphylococcus aureus bacteraemia (both methicillin resistant and methicillin sensitive) where the time when the first positive blood culture was collected was within 48 hours of the time of admission and one of the following clinical criteria were met:

  • SAB is a complication of the presence of an indwelling medical device
  • SAB occurs within 30 days of a surgical procedure and is related to the surgical site
  • SAB occurs within 48 hours of, and is related to, an invasive instrumentation or incision SAB is associated with neutropenia (<1 x 109/L) contributed to by cytotoxic therapy
Numerator data elements:Help on this term
Data Element / Data Set

Data Element

Episode of admitted patient care—condition onset flag

Data Source

State/territory infection surveillance data

Guide for use

Data source type: Administrative by-product data

Data Element / Data Set

Data Element

Episode of care—additional diagnosis

Data Source

State/territory infection surveillance data

Guide for use

Data source type: Administrative by-product data

Data Element / Data Set

Data Element

Establishment—organisation identifier (Australian)

Data Source

State/territory infection surveillance data

Guide for use

Data source type: Administrative by-product data

Data Element / Data Set

Data Element

Hospital service—care type

Data Source

State/territory infection surveillance data

Guide for use

Data source type: Administrative by-product data

Data Element / Data Set

Data Element

Person—person identifier

Data Source

State/territory infection surveillance data

Guide for use

Data source type: Administrative by-product data

Denominator:Help on this termNo denominator required
Disaggregation data elements:Help on this term
Data Element / Data Set

Data Element

Establishment—Australian state/territory identifier

Data Source

State/territory infection surveillance data

Guide for use

Data source type: Administrative by-product data

Comments:Help on this term

Specified disaggregation: Nationally and state/territory by Indigenous status, remoteness area and SEIFA of residence.

Available disaggregation: State/territory.

Most recent data available for 2010 CRC baseline report: 2008-09.

Representational attributes

Representation class:Help on this termRate
Data type:Help on this termReal
Unit of measure:Help on this termEpisode
Format:Help on this termNN[N]

Indicator conceptual framework

Framework and dimensions:Help on this termSafety

Data source attributes

Data sources:Help on this term
Data Source

State/territory infection surveillance data

Frequency

Annual

Data custodian

State/territory health authorities

Accountability attributes

Reporting requirements:Help on this termNational Healthcare Agreement
Organisation responsible for providing data:Help on this termAustralian Institute of Health and Welfare
Benchmark:Help on this term

Related National Partnership Agreement benchmark/target:

The rate of Staphylococcus aureus (including MRSA) bacteraemia is no more than 2.0 per 10,000 occupied bed days for acute care public hospitals by 2011–12 in each state and territory.
Further data development / collection required:Help on this term

Specification: Interim

Development of an ICD-10-AM coding for healthcare-acquired Staphylococcus aureus bacteraemia.

Development of detailed data specifications to support data flows for national reporting, quality improvement and potentially for other reporting requirements for the future. This will include consideration of coverage (all hospitals/all public hospitals/a subset of public hospitals; level of disaggregation; use of peer groups), choice of denominator and additional data items (e.g. to distinguish between cases acquired in private hospitals/public hospitals/non-hospital healthcare).
Other issues caveats:Help on this term

Disaggregations are subject to data quality considerations. Some disaggregations may result in numbers too small for publication.

There are minor variations in the definitions used by jurisdictions and in the data collection arrangements they employ which will affect the calculation of values on a consistent basis across states and territories.

Source and reference attributes

Relational attributes

Related metadata references:Help on this term
See also National Healthcare Agreement: P38-Adverse drug events in hospitals, 2010
  • Health, Superseded 08/06/2011
See also National Healthcare Agreement: P40-Pressure ulcers in hospitals, 2010
  • Health, Superseded 08/06/2011
See also National Healthcare Agreement: P41-Falls resulting in patient harm in hospitals, 2010
  • Health, Superseded 08/06/2011
See also National Healthcare Agreement: P42-Intentional self-harm in hospitals, 2010
  • Health, Superseded 08/06/2011
See also National Healthcare Agreement: P43-Unplanned/unexpected readmissions within 28 days of selected surgical admissions, 2010
  • Health, Superseded 08/06/2011
See also National Healthcare Agreement: P50-Staphylococcus aureus (including MRSA) bacteraemia in residential aged care, 2010
  • Health, Superseded 08/06/2011
Has been superseded by National Healthcare Agreement: PI 39-Healthcare-associated Staphylococcus aureus (including MRSA) bacteraemia in acute care hospitals, 2011
  • Health, Superseded 31/10/2011