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Using hospital network-based surveillance for antimicrobial resistance as a more robust alternative to self-reporting
Hospital performance is often measured using self-reported statistics, such as the incidence of hospital-transmitted micro-organisms or those exhibiting antimicrobial resistance (AMR), encouraging hospitals with high levels to improve their performance. However, hospitals that increase screening efforts will appear to have a higher incidence and perform poorly, undermining comparison between hospitals and disincentivising testing, thus hampering infection control. We propose a surveillancedoi:10.1101/535252 fatcat:or65dqiqznfzvg4k3gg2qmeu5q