Abstract
Cost-effective balance of priorities in infection surveillance and control program activities is an important consideration. The value and methodology of surveillance is a subject of increasing discussion. Victoria General Hospital has maintained a comprehensive, computer-assisted prospective surveillance program since 1977. In light of recent publications and in conjunction with planning further refinement of our computer program, a study comparing our current methods versus utilization of retrospective medical record chart review was undertaken. Comparison of hospital-acquired infections during the first quarter of 1979 as identified by routine surveillance and/or by medical records review showed medical records review to be less reliable. Maintaining an ongoing prospective surveillance program with monitored sensitivity and specificity also offers other distinct advantages. Cost-effective balance of priorities in infection surveillance and control program activities is an important consideration. The value and methodology of surveillance is a subject of increasing discussion. Victoria General Hospital has maintained a comprehensive, computer-assisted prospective surveillance program since 1977. In light of recent publications and in conjunction with planning further refinement of our computer program, a study comparing our current methods versus utilization of retrospective medical record chart review was undertaken. Comparison of hospital-acquired infections during the first quarter of 1979 as identified by routine surveillance and/or by medical records review showed medical records review to be less reliable. Maintaining an ongoing prospective surveillance program with monitored sensitivity and specificity also offers other distinct advantages.
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