PATIENT SAFETY
March 2020

Healthcare-Associated Infections in the Long-Term Care Setting An Analysis of Reports from Pennsylvania

​​​​​​​​​​​​​AUTHOR BIOGRAPHIES

Shawn Kepner, Patient Safety Authority
Shawn Kepner is a statistician at the Patient Safety Authority.

Amy Harper, Patient Safety Authority
Amy Harper is an infection prevention analyst at the Patient Safety Authority.

Rebecca Jones, Patient Safety Authority
Rebecca Jones is the director of Data Science and Research for the Patient Safety Authority.

Caitlyn Allen, Patient Safety Authority
Caitlyn Allen (caiallen@pa.gov) is the director of Engagement at the Patient Safety Authority.

Regina Hoffman, Patient Safety Authority
Regina Hoffman is the executive director of the Patient Safety Authority.

Daniel Glunk, Patient Safety Authority Board Member
Daniel Glunk is the vice chair of the board of the Patient Safety Authority.

Eric Weitz, Patient Safety Authority Board Member
Eric Weitz is a board member of the Patient Safety Authority.

Stanton N. Smullens, Patient Safety Authority Board Member
Stanton Smullens is the chair of the board of the Patient Safety Authority.-0

Abstract

The Pennsylvania Patient Safety Reporting System (PA-PSRS) is the largest repository of patient safety data in the United States. In addition to over 3.6 million Acute Care records, PA-PSRS has collected more than 330,000 Long-Term Care (LTC) healthcare-associated in­fection reports since 2009. A total of 28,310 infections were reported in 2019, representing a 9% decrease from the prior year. The Northwest region of the state had the highest infection reporting rate, with 1.25 reports per 1,000 resident days. There was a 20% reduction in both the number and reporting rate of respiratory tract infections from 2018 to 2019; however, respiratory tract infections remained the most frequently reported infection type overall. Cellulitis, soft tissue, or wound infection was the most frequently reported infection subtype in 2019, followed by pneumonia and symptomatic urinary tract infection. With this information, nursing homes and interested parties can determine which trends or characteristics of the data are relevant for reduction in infections in nursing homes. Overall, this analysis demonstrates areas in which continued education and infection prevention measures can be applied to further enhance the safety for residents in long-term care facilities.

Keywords
​patient safety, data, long-term care, nursing homes