Résumé :
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[BDSP. Notice produite par INIST-CNRS jYR0xL4P. Diffusion soumise à autorisation]. Context : Hospital infection control policies that use patient isolation prevent nosocomial transmission of infectious diseases, but may inadvertently lead to patient neglect and errors. Objective : To examine the quality of medical care received by patients Isolated for infection control. Design, Setting, and Patients : We identified consecutive adults who were isolated for methicillin-resistant Staphylococcus aureus colonization or infection at 2 large North American teaching hospitals : a general cohort (patients admitted with all diagnoses between January 1,1999, and January 1,2000 ; n=78) ; and a disease-specific cohort (patients admitted with a diagnosis of congestive heart failure between January 1,1999, and July 1,2002 ; n=72). Two matched controls were selected for each isolated patient (n=156 general cohort controls and n=144 disease-specific cohort controls). Main Outcome Measures : Quality-of-care measures encompassing processes, outcomes, and satisfaction. Adjustments for study cohort and patient demographic, hospital, and clinical characteristics were conducted using multivariable regression Results Isolated and control patients generally had similar baseline characteristics ; however, isolated patients were twice as likely as control patients to experience adverse events during their hospitalization (31 vs 15 adverse events per 1000 days P<. this difference in adverse events reflected preventable vs per days p as opposed to non isolated patients were also more likely formally complain the hospital about their care than control have vital signs not recorded ordered and with no physician progress note differences mortality observed for groups conclusion : compared controls infection precautions experience express greater dissatisfaction treatment less documented care.>
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