HIRA Quality Assessment Programme

Comparisons

Background

Where it comes from

Highlighted claims

• HIRA conducted nine quality assessment waves from 2007 to 2020, four of which included elective spinal surgeries. — Impact of restricted prophylactic antibiotic guidelines on surgical site infection rates following spinal surgery in Korea: a nationwide cohort analysis
• The study was a nationwide retrospective cohort using HIRA quality assessment data linked to national health insurance claims data. — Impact of restricted prophylactic antibiotic guidelines on surgical site infection rates following spinal surgery in Korea: a nationwide cohort analysis
• The ninth QA wave changed prophylaxis from a flexible policy to a uniform, narrow, and time-limited approach compared with earlier waves. — Impact of restricted prophylactic antibiotic guidelines on surgical site infection rates following spinal surgery in Korea: a nationwide cohort analysis
• The Korean QA system applied standardised prophylaxis rules without accounting for individual patient risk variables. — Impact of restricted prophylactic antibiotic guidelines on surgical site infection rates following spinal surgery in Korea: a nationwide cohort analysis
• Tertiary hospitals had the highest compliance with antibiotic guidelines yet also had the highest adjusted SSI risk, creating a paradox explained by their more complex and sicker patient populations. — Impact of restricted prophylactic antibiotic guidelines on surgical site infection rates following spinal surgery in Korea: a nationwide cohort analysis