2024
COVID-19 Vaccination Coverage, and Rates of SARS-CoV-2 Infection and COVID-19–Associated Hospitalization Among Residents in Nursing Homes — National Healthcare Safety Network, United States, October 2023–February 2024
Franklin D, Barbre K, Rowe T, Reses H, Massey J, Meng L, Dollard P, Dubendris H, Stillions M, Robinson L, Clerville J, Slifka K, Benin A, Bell J. COVID-19 Vaccination Coverage, and Rates of SARS-CoV-2 Infection and COVID-19–Associated Hospitalization Among Residents in Nursing Homes — National Healthcare Safety Network, United States, October 2023–February 2024. MMWR Morbidity And Mortality Weekly Report 2024, 73: 339-344. PMID: 38635474, PMCID: PMC11037435, DOI: 10.15585/mmwr.mm7315a3.Peer-Reviewed Original ResearchConceptsNursing home residentsNational Healthcare Safety NetworkHome residentsPercentage of facilitiesCOVID-19-associated hospitalizationRates of SARS-CoV-2 infectionSARS-CoV-2 infectionRespiratory virus seasonIncident SARS-CoV-2 infectionProtect nursing home residentsCOVID-19 vaccination coverageWeekly percentageEvidence-based interventionsVaccination coverageEvaluate evidence-based interventionsFacility-level dataSafety NetworkVirus seasonCDC's National Healthcare Safety NetworkWeekly rateSARS-CoV-2Nursing homesNursesCOVID-19Severe COVID-19The National Healthcare Safety Network’s digital quality measures: CDC’s automated measures for surveillance of patient safety
Shehab N, Alschuler L, McILvenna S, Gonzaga Z, Laing A, deRoode D, Dantes R, Betz K, Zheng S, Abner S, Stutler E, Geimer R, Benin A. The National Healthcare Safety Network’s digital quality measures: CDC’s automated measures for surveillance of patient safety. Journal Of The American Medical Informatics Association 2024, 31: 1199-1205. PMID: 38563821, PMCID: PMC11031211, DOI: 10.1093/jamia/ocae064.Peer-Reviewed Original ResearchConceptsNational Healthcare Safety NetworkFast Healthcare Interoperability ResourcesPublic health surveillancePatient safetyHealth surveillanceHealthcare facility-onset Clostridioides difficile infectionPrevent patient harmQuality measuresBurden of reportingImprove data collectionPatient harmInteroperability ResourcesPublic healthSafety NetworkHealthData collectionValidity of dataClostridioides difficile infectionVenous thromboembolismCollaborative programSurveillanceNationalHealthcareHarmIncreasing speed
2023
Coverage with Influenza, Respiratory Syncytial Virus, and Updated COVID-19 Vaccines Among Nursing Home Residents — National Healthcare Safety Network, United States, December 2023
Reses H, Dubendris H, Haas L, Barbre K, Ananth S, Rowe T, Mothershed E, Hall E, Wiegand R, Lindley M, Meyer S, Patel S, Benin A, Kroop S, Srinivasan A, Bell J. Coverage with Influenza, Respiratory Syncytial Virus, and Updated COVID-19 Vaccines Among Nursing Home Residents — National Healthcare Safety Network, United States, December 2023. MMWR Morbidity And Mortality Weekly Report 2023, 72: 1371-1376. PMID: 38127673, PMCID: PMC10754267, DOI: 10.15585/mmwr.mm7251a3.Peer-Reviewed Original ResearchConceptsRespiratory syncytial virusNursing home residentsNational Healthcare Safety NetworkRespiratory virus seasonHome residentsVaccination coverageRespiratory virusesSyncytial virusCDC's National Healthcare Safety NetworkCOVID-19COVID-19 vaccination coverageHuman Services (HHS) regionsCOVID-19 vaccineSARS-CoV-2RSV vaccineSevere complicationsRespiratory illnessSevere outcomesNursing homesEligible residentsVaccinationInfluenzaSafety NetworkOlder adultsVaccineInfluenza and Up-to-Date COVID-19 Vaccination Coverage Among Health Care Personnel — National Healthcare Safety Network, United States, 2022–23 Influenza Season
Bell J, Meng L, Barbre K, Haanschoten E, Reses H, Soe M, Edwards J, Massey J, Reddy G, Woods A, Stuckey M, Kuhar D, Bolden K, Dubendris H, Wong E, Rowe T, Lindley M, Kalayil E, Benin A. Influenza and Up-to-Date COVID-19 Vaccination Coverage Among Health Care Personnel — National Healthcare Safety Network, United States, 2022–23 Influenza Season. MMWR Morbidity And Mortality Weekly Report 2023, 72: 1237-1243. PMID: 37943704, PMCID: PMC10651318, DOI: 10.15585/mmwr.mm7245a5.Peer-Reviewed Original ResearchConceptsNational Healthcare Safety NetworkCOVID-19 vaccination coverageHealth care personnelAcute care hospitalsVaccination coverageCOVID-19 vaccinationCare hospitalNursing homesInfluenza seasonCDC's National Healthcare Safety NetworkVaccine-preventable respiratory diseaseInfluenza vaccination coverageAnnual influenza vaccineHealth care facilitiesEvidence-based strategiesVaccine doseImmunization PracticesInfluenza vaccineRecommended vaccinesPrimary seriesRespiratory diseaseCare personnelCare facilitiesSafety NetworkVaccinationDeclines in Influenza Vaccination Coverage Among Health Care Personnel in Acute Care Hospitals During the COVID-19 Pandemic — United States, 2017–2023
Lymon H, Meng L, Reses H, Barbre K, Dubendris H, Shafi S, Wiegand R, Reddy G, Woods A, Kuhar D, Stuckey M, Lindley M, Haas L, Qureshi I, Wong E, Benin A, Bell J. Declines in Influenza Vaccination Coverage Among Health Care Personnel in Acute Care Hospitals During the COVID-19 Pandemic — United States, 2017–2023. MMWR Morbidity And Mortality Weekly Report 2023, 72: 1244-1247. PMID: 37943698, PMCID: PMC10651322, DOI: 10.15585/mmwr.mm7245a6.Peer-Reviewed Original ResearchConceptsNational Healthcare Safety NetworkHealth care personnelInfluenza vaccination coverageAcute care hospitalsVaccination coverageCare hospitalInfluenza vaccinationCare personnelCDC's National Healthcare Safety NetworkCOVID-19 pandemicInfluenza-related morbidityEvidence-based strategiesNHSN dataAnnual vaccinationPrepandemic periodVaccinationHospitalInfluenzaPandemicSafety NetworkMorbidityMortality
2022
Hospital-onset bacteremia and fungemia: An evaluation of predictors and feasibility of benchmarking comparing two risk-adjusted models among 267 hospitals
Yu K, Ye G, Edwards J, Gupta V, Benin A, Ai C, Dantes R. Hospital-onset bacteremia and fungemia: An evaluation of predictors and feasibility of benchmarking comparing two risk-adjusted models among 267 hospitals. Infection Control And Hospital Epidemiology 2022, 43: 1317-1325. PMID: 36082774, PMCID: PMC9588439, DOI: 10.1017/ice.2022.211.Peer-Reviewed Original ResearchEffectiveness of a COVID-19 Additional Primary or Booster Vaccine Dose in Preventing SARS-CoV-2 Infection Among Nursing Home Residents During Widespread Circulation of the Omicron Variant — United States, February 14–March 27, 2022
Prasad N, Derado G, Nanduri S, Reses H, Dubendris H, Wong E, Soe M, Li Q, Dollard P, Bagchi S, Edwards J, Shang N, Budnitz D, Bell J, Verani J, Benin A, Link-Gelles R, Jernigan J, Pilishvili T. Effectiveness of a COVID-19 Additional Primary or Booster Vaccine Dose in Preventing SARS-CoV-2 Infection Among Nursing Home Residents During Widespread Circulation of the Omicron Variant — United States, February 14–March 27, 2022. MMWR Morbidity And Mortality Weekly Report 2022, 71: 633-637. PMID: 35511708, PMCID: PMC9098239, DOI: 10.15585/mmwr.mm7118a4.Peer-Reviewed Original ResearchConceptsNational Healthcare Safety NetworkNursing home residentsPrimary series vaccinationSkilled nursing facilitiesBooster vaccine doseRelative vaccine effectivenessBooster doseVaccine effectivenessHome residentsSeries vaccinationVaccine doseCDC's National Healthcare Safety NetworkPreventing SARS-CoV-2 InfectionCOVID-19COVID-19-associated morbidityEarly COVID-19 vaccinationCOVID-19 vaccine doseSARS-CoV-2 infectionOmicron variant infectionVaccine-induced immunityNursing home staff membersPrimary doseVaccination coverage dataCOVID-19 prevention strategiesCOVID-19 vaccinationSurveillance of COVID-19 Vaccination in Nursing Homes, United States, December 2020–July 2021
Geller A, Budnitz D, Dubendris H, Gharpure R, Soe M, Wu H, Kalayil E, Benin A, Patel S, Lindley M, Link-Gelles R. Surveillance of COVID-19 Vaccination in Nursing Homes, United States, December 2020–July 2021. Public Health Reports 2022, 137: 239-243. PMID: 35125027, PMCID: PMC8900233, DOI: 10.1177/00333549211066168.Peer-Reviewed Original ResearchConceptsNational Healthcare Safety NetworkNursing home residentsCOVID-19 vaccinationCOVID-19 vaccination coverageVaccination coverageHome residentsLong-term care programsPharmacy PartnershipNursing homesCare programPrevention's National Healthcare Safety NetworkNew nursing home residentsPatient safety policiesVaccine doseAdditional dosesVaccination dataDisease controlVaccinationHigh coverage rateWeeksContinued monitoringPearson correlationStaffCoverage rateSafety NetworkAssociation between prevalence of laboratory-identified Clostridioides difficile infection (CDI) and antibiotic treatment for CDI in US acute-care hospitals, 2019
Xu K, Wu H, Li Q, Edwards J, O’Leary E, Leaptrot D, Benin A. Association between prevalence of laboratory-identified Clostridioides difficile infection (CDI) and antibiotic treatment for CDI in US acute-care hospitals, 2019. Infection Control And Hospital Epidemiology 2022, 43: 1847-1852. PMID: 35068404, PMCID: PMC10877317, DOI: 10.1017/ice.2022.6.Peer-Reviewed Original ResearchConceptsClostridioides difficile infectionFirst-line antibioticsAcute care hospitalsCDI prevalenceAntimicrobial useSignificant dose-response associationNational Healthcare Safety NetworkUS acute care hospitalsPositive dose-response relationshipDose-response associationHospital-level variationExtreme discordanceDose-response relationshipMedical school affiliationCDI eventsDifficile infectionAntibiotic treatmentPrevalence ratesHospitalNegative binomial regressionPrevalenceTreatment practicesBinomial regressionInfectionDiscordance
2021
Effectiveness of Pfizer-BioNTech and Moderna Vaccines in Preventing SARS-CoV-2 Infection Among Nursing Home Residents Before and During Widespread Circulation of the SARS-CoV-2 B.1.617.2 (Delta) Variant — National Healthcare Safety Network, March 1–August 1, 2021
Nanduri S, Pilishvili T, Derado G, Soe M, Dollard P, Wu H, Li Q, Bagchi S, Dubendris H, Link-Gelles R, Jernigan J, Budnitz D, Bell J, Benin A, Shang N, Edwards J, Verani J, Schrag S. Effectiveness of Pfizer-BioNTech and Moderna Vaccines in Preventing SARS-CoV-2 Infection Among Nursing Home Residents Before and During Widespread Circulation of the SARS-CoV-2 B.1.617.2 (Delta) Variant — National Healthcare Safety Network, March 1–August 1, 2021. MMWR Morbidity And Mortality Weekly Report 2021, 70: 1163-1166. PMID: 34437519, PMCID: PMC8389386, DOI: 10.15585/mmwr.mm7034e3.Peer-Reviewed Original ResearchConceptsNational Healthcare Safety NetworkSARS-CoV-2 infectionNursing home residentsLong-term care facility residentsMRNA COVID-19 vaccineCOVID-19 vaccineVaccine effectivenessCare facility residentsHome residentsDelta variantPfizer-BioNTechModerna vaccineMRNA vaccinesFacility residentsNursing homesCDC's National Healthcare Safety NetworkPreventing SARS-CoV-2 InfectionSevere COVID-19-associated outcomesVaccine-induced immunityNursing home staff membersProtective immune responseCOVID-19 prevention strategiesWeekly reportsEmergency use authorizationSkilled nursing facilitiesEcological Analysis of the Decline in Incidence Rates of COVID-19 Among Nursing Home Residents Associated with Vaccination, United States, December 2020-January 2021
Benin A, Soe M, Edwards J, Bagchi S, Link-Gelles R, Schrag S, Herzer K, Verani J, Budnitz D, Nanduri S, Jernigan J, Edens C, Gharpure R, Patel A, Wu H, Golshir B, Jaffe A, Li Q, Srinivasan A, Shulman E, Ling S, Moody-Williams J, Fleisher L, Pollock D, Bell J, Team T. Ecological Analysis of the Decline in Incidence Rates of COVID-19 Among Nursing Home Residents Associated with Vaccination, United States, December 2020-January 2021. Journal Of The American Medical Directors Association 2021, 22: 2009-2015. PMID: 34487687, PMCID: PMC8360974, DOI: 10.1016/j.jamda.2021.08.004.Peer-Reviewed Original ResearchConceptsNational Healthcare Safety NetworkNursing home residentsVaccination clinicsPharmacy PartnershipHome residentsLong-term care programsNursing homesCOVID-19 incidenceIncidence rateCOVID-19Care programCDC's National Healthcare Safety NetworkSARS-CoV-2 testingVaccination of residentsInfection prevention practicesCOVID-19 incidence ratesCOVID-19 ratesAdjusted reductionWidespread vaccinationVaccinationWeek 2County incidenceWeek 3Community casesPrevention practicesBuilding an Interactive Geospatial Visualization Application for National Health Care–Associated Infection Surveillance: Development Study
Zheng S, Edwards J, Dudeck M, Patel P, Wattenmaker L, Mirza M, Tejedor S, Lemoine K, Benin A, Pollock D. Building an Interactive Geospatial Visualization Application for National Health Care–Associated Infection Surveillance: Development Study. JMIR Public Health And Surveillance 2021, 7: e23528. PMID: 34328436, PMCID: PMC8367128, DOI: 10.2196/23528.Peer-Reviewed Original ResearchConceptsWeb-enabled systemModel-based systemData setsClinical quality measurementSpecific health care facilityWeb browserVisualization applicationsUser requirementsIntegrated visualizationUser feedbackVisualization technologyMultiple data setsData analystsAdditional usersPrototype versionSubject matter expertsProduction versionUsersVariety of purposesSafety NetworkData displayAnalytic resourcesDevelopment effortsMatter expertsEvent typesHospital capacities and shortages of healthcare resources among US hospitals during the coronavirus disease 2019 (COVID-19) pandemic, National Healthcare Safety Network (NHSN), March 27–July 14, 2020
Wu H, Soe M, Konnor R, Dantes R, Haass K, Dudeck M, Gross C, Leaptrot D, Sapiano M, Allen-Bridson K, Wattenmaker L, Peterson K, Lemoine K, Tejedor S, Edwards J, Pollock D, Benin A, Network F. Hospital capacities and shortages of healthcare resources among US hospitals during the coronavirus disease 2019 (COVID-19) pandemic, National Healthcare Safety Network (NHSN), March 27–July 14, 2020. Infection Control And Hospital Epidemiology 2021, 43: 1473-1476. PMID: 34167599, PMCID: PMC8280389, DOI: 10.1017/ice.2021.280.Peer-Reviewed Original ResearchConceptsNational Healthcare Safety NetworkPrevention's National Healthcare Safety NetworkHospital capacityCoronavirus disease 2019 (COVID-19) pandemicDisease 2019 pandemicVentilator usageCase burdenUS hospitalsHealthcare resourcesBed occupancyHealthcare personnelDisease controlSafety NetworkCOVID-19 pandemicHospitalWide variationPandemicChanges in the number of intensive care unit beds in US hospitals during the early months of the coronavirus disease 2019 (COVID-19) pandemic
Weiner-Lastinger L, Dudeck M, Allen-Bridson K, Dantes R, Gross C, Nkwata A, Tejedor S, Pollock D, Benin A. Changes in the number of intensive care unit beds in US hospitals during the early months of the coronavirus disease 2019 (COVID-19) pandemic. Infection Control And Hospital Epidemiology 2021, 43: 1477-1481. PMID: 34078507, PMCID: PMC8314191, DOI: 10.1017/ice.2021.266.Peer-Reviewed Original ResearchImpact of COVID-19 pandemic on central-line–associated bloodstream infections during the early months of 2020, National Healthcare Safety Network
Patel P, Weiner-Lastinger L, Dudeck M, Fike L, Kuhar D, Edwards J, Pollock D, Benin A. Impact of COVID-19 pandemic on central-line–associated bloodstream infections during the early months of 2020, National Healthcare Safety Network. Infection Control And Hospital Epidemiology 2021, 43: 790-793. PMID: 33719981, PMCID: PMC8047389, DOI: 10.1017/ice.2021.108.Peer-Reviewed Original ResearchConceptsNational Healthcare Safety NetworkStandardized infection ratioBloodstream infectionsPrevention's National Healthcare Safety NetworkAcute care hospitalsCOVID-19 pandemicInfection ratioDisease controlSafety NetworkInfectionBed sizeEarly monthsDescriptive analysisPandemicGeographic areasHospitalMonthsImpact of coronavirus disease 2019 (COVID-19) on US Hospitals and Patients, April–July 2020
Sapiano M, Dudeck M, Soe M, Edwards J, O’Leary E, Wu H, Allen-Bridson K, Amor A, Arcement R, Tejedor S, Dantes R, Gross C, Haass K, Konnor R, Kroop S, Leaptrot D, Lemoine K, Nkwata A, Peterson K, Wattenmaker L, Weiner-Lastinger L, Pollock D, Benin A, Team T. Impact of coronavirus disease 2019 (COVID-19) on US Hospitals and Patients, April–July 2020. Infection Control And Hospital Epidemiology 2021, 43: 32-39. PMID: 33602380, PMCID: PMC7943952, DOI: 10.1017/ice.2021.69.Peer-Reviewed Original ResearchConceptsNational Healthcare Safety NetworkPrevention's National Healthcare Safety NetworkSevere acute respiratory coronavirus virus 2COVID-19Hospital surveillance systemProportion of inpatientsCoronavirus disease 2019COVID-19 hospitalizationHospital bed occupancyNumber of inpatientsPublic health responsePatient outcomesNational surveillanceTotal inpatientDisease 2019Inpatient bedsUS hospitalsMechanical ventilatorBed occupancyHealth responsePatient censusDisease controlPandemic magnitudeInpatientsVirus 2Rates of COVID-19 Among Residents and Staff Members in Nursing Homes — United States, May 25–November 22, 2020
Bagchi S, Mak J, Li Q, Sheriff E, Mungai E, Anttila A, Soe M, Edwards J, Benin A, Pollock D, Shulman E, Ling S, Moody-Williams J, Fleisher L, Srinivasan A, Bell J. Rates of COVID-19 Among Residents and Staff Members in Nursing Homes — United States, May 25–November 22, 2020. MMWR Morbidity And Mortality Weekly Report 2021, 70: 52-55. PMID: 33444301, PMCID: PMC7808710, DOI: 10.15585/mmwr.mm7002e2.Peer-Reviewed Original ResearchConceptsNational Healthcare Safety NetworkNursing home residentsCOVID-19 casesHome residentsHigh riskNursing homesCDC's National Healthcare Safety NetworkCOVID-19Certain underlying medical conditionsSARS-CoV-2 transmissionUnderlying medical conditionsNursing home staff membersCoronavirus disease 2019 (COVID-19) pandemicHuman Services (HHS) regionsSARS-CoV-2Disease 2019 pandemicStaff membersHome staff membersCOVID-19 ratesCOVID-19 incidenceHigh-risk exposureSevere outcomesCongregate settingsMedical conditionsGeneral population
2019
Antimicrobial-resistant pathogens associated with pediatric healthcare-associated infections: Summary of data reported to the National Healthcare Safety Network, 2015–2017
Weiner-Lastinger L, Abner S, Benin A, Edwards J, Kallen A, Karlsson M, Magill S, Pollock D, See I, Soe M, Walters M, Dudeck M. Antimicrobial-resistant pathogens associated with pediatric healthcare-associated infections: Summary of data reported to the National Healthcare Safety Network, 2015–2017. Infection Control And Hospital Epidemiology 2019, 41: 19-30. PMID: 31762428, PMCID: PMC8276251, DOI: 10.1017/ice.2019.297.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAnti-Bacterial AgentsBacterial InfectionsCarbapenemsCatheter-Related InfectionsCatheters, IndwellingCenters for Disease Control and Prevention, U.S.ChildChild, PreschoolCross InfectionDrug Resistance, BacterialEnterococcus faecalisEquipment ContaminationEscherichia coliHospitalsHumansInfantInfant, NewbornKlebsiella pneumoniaePneumonia, Ventilator-AssociatedStaphylococcusSurgical Wound InfectionUnited StatesConceptsPediatric healthcare-associated infectionsNational Healthcare Safety NetworkCentral line-associated bloodstream infectionsSurgical site infectionHealthcare-associated infectionsCatheter-associated urinary tract infectionsVentilator-associated pneumoniaAntimicrobial resistance patternsHAI typesPediatric patientsSurgical categoriesResistance patternsDevice-associated HAIsPrevention's National Healthcare Safety NetworkCardiac surgical site infectionsLine-associated bloodstream infectionsNeonatal intensive care unitAbdominal surgical site infectionUrinary tract infectionIntensive care unitPediatric oncology unitPatient care locationsCoagulase-negative staphylococciAntimicrobial-resistant pathogensTract infections
2018
Improving Mandatory Vaccination Against Influenza: Minimizing Anxiety of Employees to Maximize Health of Patients
Benin A, Lockwood G, Creatore T, Donovan D, Predmore M, MacArthur S. Improving Mandatory Vaccination Against Influenza: Minimizing Anxiety of Employees to Maximize Health of Patients. American Journal Of Medical Quality 2018, 33: 372-382. PMID: 29301403, DOI: 10.1177/1062860617748738.Peer-Reviewed Original ResearchConceptsMandatory vaccination campaignPersonal anxietyNegative feelingsSubstantial anxietyMandatory vaccinationAnxietyEmployeesHospital-acquired influenzaInterview transcriptsHealth care workersConstant comparative methodPerception of vaccinationHealth of patientsStrong desireQualitative interviewsChildren's HospitalFree vaccinationVaccination campaignCare workersVaccinationSuch programsDesireInfluenzaPatientsHospital
2016
Electronic approaches to making sense of the text in the adverse event reporting system
Benin AL, Fodeh SJ, Lee K, Koss M, Miller P, Brandt C. Electronic approaches to making sense of the text in the adverse event reporting system. Journal Of Healthcare Risk Management 2016, 36: 10-20. PMID: 27547874, DOI: 10.1002/jhrm.21237.Peer-Reviewed Original ResearchConceptsRule-based queryMachine learningUse casesSemi-supervised machine learningWeb-based software toolSoftware systemsSoftware toolsHigh recallQueriesRich informationElectronic approachRobust programEvent reportsDaily workLearningImportant dataHigh precisionReporting systemInformationTextMachineSystemEvent Reporting SystemAdverse Event Reporting SystemError