The “Zero Risk” Concept for Hospital-Acquired Infections

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The “Zero Risk” Concept for Hospital-Acquired Infections:A Risky Business!
Hospital-Acquired Infections and Zero Risk • CID  2009:49 (1 September) • 747

Nosocomial infections represent a serious public health problem. Some recent studies, most of which used strong educational
programs, showed a dramatic decrease in the rates of nosocomial infections, particularly catheter-related infections in the
intensive care unit. Thus, the concept of “zero risk” is flourishing in the recent literature, and some insurance networks
have decided to limit reimbursement for treatment of some of the health care–associated infections, on the grounds that
most of them are preventable. This viewpoint article emphasizes the risk of such a position and enumerates the reasons why
such a philosophy could be counterproductive. In particular, this philosophy does not fit with the concept of self-declaration
of severe adverse events and could push clinicians to underreport those events.