National efforts to address hospital-acquired diseases such as drug-related adverse events and healthcare-associated infections have averted 20,500 hospital deaths and saved 7 , $ 7 billion in health care costs from 2014 to 2017, according to new data from the Agency for Health Research and Health Quality (AHRQ) and Medicare and Medicaid Service Centers (CMS) ).

According to a preliminary analysis of the data, there would have been about 910,000 fewer hospital-acquired illnesses between 2014 and 2017. The estimated rate of illnesses acquired in hospital decreased by 13%, from 99 per 1,000 outpaces of acute care at 86 per 1000 during the period of the study. (From 2010 to 2017 preliminary, the overall rate of illnesses acquired in hospital decreased by about 4.5%.)

Updated data show decreases in several hospital-acquired conditions, including drug-related adverse events Clostridioides difficult urinary tract infections associated with a catheter (-5%) and diseases associated with a central line blood infections (-6%), while pressure ulcers increased and surgical site infections remained stable.

Condition acquired at the hospital
% Change
Clostridioides difficult infections
Adverse effects of the drug
Venous thromboembolism
Assisted pneumonia
Infections of the central blood circulation
urinary tract infections associated with the catheter
Obstetric adverse events
Infections of the surgical site
+ 6%
All other conditions acquired at the hospital

"CMS is working to improve the quality and safety of US hospitals, and our work is not yet complete, and we will continue to work to hold providers accountable for results," said CMS Administrator Seema Verma. in a press release.

"The updated estimates reflect the successes we have seen in the ongoing reduction of conditions acquired in hospitals," added AHRQ director Gopal Khanna. "There is no doubt that the problem of hospital-acquired illnesses, such as pressure ulcers, remains difficult to resolve, but the progress highlighted today has been achieved through the sustained efforts of many stakeholders to improve the care of all patients. "

The objective of the CMS is to reduce by 20% the conditions acquired in hospitals between 2014 and 2019. If it is carried out, the AHRQ projects would reduce by 20% the number of conditions contracted in hospital during this period, which could lead to a reduction of 53,000 deaths and savings. $ 19.1 billion in hospital costs.

The full report is available online.

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