Controlling the chaos: Information management in home-infusion central-line-associated bloodstream infection (CLABSI) surveillance.
Controlling the chaos: Information management in home-infusion central-line-associated bloodstream infection (CLABSI) surveillance.
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DOI：
10.1017/ash.2023.134
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Keller, Sara C
中科院分区：
文献类型：
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作者：
Hannum, Susan M;Oladapo-Shittu, Opeyemi;Salinas, Alejandra B;Weems, Kimberly;Marsteller, Jill;Gurses, Ayse P;Shpitser, Ilya;Klein, Eili;Cosgrove, Sara E;Keller, Sara C
获得患者信息可能会影响家庭输液监测人员如何识别中心静脉相关血流感染（CLABSIs）。我们描述了家庭输液CLABSI监测中的信息危害，并确定了减轻信息危害的可能策略。采用半结构化访谈的定性研究。该研究包括21名参与CLABSI监测的临床工作人员，他们来自覆盖13个州和哥伦比亚特区的5家大型家庭输液机构。方法：1名研究者进行访谈。转录本由2名研究人员编码；经过讨论达成了共识。数据揭示了以下障碍：信息超载、信息欠载、信息分散、信息冲突、信息错误。受访者确定了缓解信息混乱的5种策略：(1)在编写报告时采用信息技术；(2)制定简化的流程，以便员工之间获取和共享数据；(3)使工作人员能够访问医院的电子健康记录；(4)使用单一的、经过验证的家庭输液CLABSI监测定义；(5)发展家庭输液监测人员与住院医护人员之间的关系。在家庭输液CLABSI监测中出现信息混乱，可能影响家庭输液治疗中准确CLABSI率的发展。实施最小化信息混乱的策略将加强团队内部和团队间的合作，并改善与患者相关的结果。
Access to patient information may affect how home-infusion surveillance staff identify central-line–associated bloodstream infections (CLABSIs). We characterized information hazards in home-infusion CLABSI surveillance and identified possible strategies to mitigate information hazards. Qualitative study using semistructured interviews. The study included 21 clinical staff members involved in CLABSI surveillance at 5 large home-infusion agencies covering 13 states and the District of Columbia. Methods: Interviews were conducted by 1 researcher. Transcripts were coded by 2 researchers; consensus was reached by discussion. Data revealed the following barriers: information overload, information underload, information scatter, information conflict, and erroneous information. Respondents identified 5 strategies to mitigate information chaos: (1) engage information technology in developing reports; (2) develop streamlined processes for acquiring and sharing data among staff; (3) enable staff access to hospital electronic health records; (4) use a single, validated, home-infusion CLABSI surveillance definition; and (5) develop relationships between home-infusion surveillance staff and inpatient healthcare workers. Information chaos occurs in home-infusion CLABSI surveillance and may affect the development of accurate CLABSI rates in home-infusion therapy. Implementing strategies to minimize information chaos will enhance intra- and interteam collaborations in addition to improving patient-related outcomes.