The electronic medical record as a tool for infection surveillance: Successful automation of device-days
The electronic medical record as a tool for infection surveillance: Successful automation of device-days
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DOI：
10.1016/j.ajic.2008.11.003
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发表时间：
2009-06-01
影响因子：
4.9
通讯作者：
Robicsek, Ari
中科院分区：
文献类型：
--
作者：
Wright, Marc-Oliver;Fisher, Adrienne;Robicsek, Ari
背景：手动收集中心静脉导管、呼吸机和留置导尿管装置非常耗时，通常仅限于重症监护病房 (ICU)，并且容易出错。方法：我们描述了使用电子病历来提取侵入性装置的现有临床文件。这使得能够在急症护理环境中自动计算设备相关感染监测的设备天数。结果：与图表审查相比，自动化系统具有高灵敏度特异性以及阳性和阴性预测值 (>0.90)。该系统不仅限于 ICU，在我们的环境中，保守估计每年可减少超过 3.5 个工作周的监测工作。 80% 的导尿管天数和 50% 的中心静脉导管天数发生在 ICU 之外。 结论：可以从现有电子病历中自动提取装置天数，其准确性比手动收集更高，同时节省了宝贵的人力资源。
Background: Manual collection of central venous catheter, ventilator, and indwelling urinary catheter device-days is time-consuming, often restricted to intensive care units (ICU) and prone to error.Methods: We describe the use of an electronic medical record to extract existing clinical documentation of invasive devices. This allowed automated device-days calculations for device-associated infection surveillance in an acute care setting.Results: The automated system had high sensitivity specificity, and positive and negative predictive values (>0.90) compared with chart review. The system is not restricted to ICUs and reduces surveillance efforts by a conservative estimate of over 3.5 work-weeks per year in our setting. Eighty percent of urinary catheter days and 50% of central venous catheter-days occurred outside the ICU.Conclusion: Device-days may be automatically extracted from an existing electronic medical record with a higher degree of accuracy than manual collection while saving valuable personnel resources.