Reducing Healthcare-Associated Infections using an Infection Control Network

使用感染控制网络减少医疗保健相关感染

• 批准号: 8054677
• 负责人: Marc B Rosenman
• 金额: $ 47.84万
• 依托单位: INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-30 至 2013-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8054677
• 关键词: Reducing; Healthcare; Associated; Infections; using

DESCRIPTION (provided by applicant): Healthcare-associated infections (HAI) are often caused by multidrug-resistant organisms (MDROs). MDROs are a growing epidemic associated with significant morbidity, mortality, and cost. An essential strategy for mitigating this epidemic is to prevent transmission of MDROs through infection control precautions. These measures can be implemented only if healthcare providers are aware - early on - that a patient is known to have a previous or new MDRO infection. Currently, recognition of MDROs occurs independently at each hospital: providers manually review patient records for a history of MDROs. Information is rarely shared between facilities, and recognition is limited to facility-level surveillance; regional population surveillance does not exist. There is no way to know if a presenting patient had an MDRO diagnosed at another institution. This leads to a delayed or unrecognized need for infection control precautions, perpetuating transmission of MDROs. Population surveillance is needed to improve recognition of patients with MDRO infections and to facilitate population-level studies; regional clinical decision support (CDS) is needed to more effectively prevent transmission of healthcare-associated MDROs. Biosurveillance using a health information exchange (HIE) can fill these gaps. Our goal is to reduce healthcare- associated MDROs by creating a regional electronic infection control network. The objective of this network is to provide surveillance and CDS for organizations in an HIE and establish a platform for population-level studies. The central hypothesis is that a regional infection control network will improve the ability of each institution to quickly identify MDRO infections and to implement interventions to prevent transmission. A previous project has proven the effectiveness of a MRSA-specific infection control network to reduce HAIs. We will build upon this success to develop software to process microbiology reports coming into our HIE in order to 1) identify patients with seven different MDRO infections, and 2) implement CDS. We will evaluate the accuracy and effect of the network in reducing healthcare-associated MDROs, and its ability to facilitate population-level studies of MDRO infections. We believe that this project is innovative because it leverages an HIE to provide automated surveillance of healthcare-associated MDRO infections and deliver CDS across multiple institutions. The project is significant because it improves recognition and control of HAIs by automating identification of healthcare-associated MDROs and by providing CDS alerts to ensure timely ordering of infection control interventions. PUBLIC HEALTH RELEVANCE: The proposed research is relevant to public health because it seeks to improve the recognition and prevention of healthcare-associated infections and to improve the quality, safety, efficiency, and effectiveness of health care for all Americans.

描述（由申请人提供）：医疗相关感染 (HAI) 通常由多重耐药微生物 (MDRO) 引起。多重耐药菌是一种日益严重的流行病，发病率、死亡率和费用都很高。缓解这一流行病的一个重要策略是通过感染控制预防措施来防止多重耐药菌的传播。只有当医疗保健提供者尽早意识到患者先前或新感染过 MDRO 时，才能实施这些措施。目前，MDRO 的识别在每家医院都是独立进行的：医疗服务提供者手动审查患者记录以了解 MDRO 病史。设施之间很少共享信息，识别仅限于设施级监视；不存在区域人口监测。无法知道就诊患者是否在其他机构诊断出多重耐药菌。这导致感染控制预防措施的需要被延迟或未被认识到，从而使多重耐药菌的传播永久化。需要进行人群监测，以提高对多重耐药菌感染患者的认识并促进人群水平的研究；需要区域临床决策支持 (CDS) 来更有效地预防与医疗保健相关的多重耐药菌的传播。使用健康信息交换（HIE）的生物监测可以填补这些空白。我们的目标是通过创建区域电子感染控制网络来减少与医疗保健相关的多重耐药菌。该网络的目标是为 HIE 中的组织提供监测和 CDS，并建立人口层面研究的平台。中心假设是区域感染控制网络将提高每个机构快速识别多重耐药菌感染并实施干预措施以防止传播的能力。之前的一个项目已经证明了 MRSA 特异性感染控制网络对于减少 HAI 的有效性。我们将在此成功的基础上开发软件来处理传入 HIE 的微生物学报告，以便 1) 识别患有七种不同 MDRO 感染的患者，2) 实施 CDS。我们将评估该网络在减少与医疗保健相关的多重耐药菌方面的准确性和效果，及其促进针对多重耐药菌感染进行人群水平研究的能力。我们相信这个项目是创新的，因为它利用 HIE 来提供与医疗保健相关的 MDRO 感染的自动监测，并跨多个机构提供 CDS。该项目意义重大，因为它通过自动识别与医疗保健相关的 MDRO 并提供 CDS 警报来确保及时订购感染控制干预措施，从而提高了对 HAI 的识别和控制。 公共卫生相关性：拟议的研究与公共卫生相关，因为它旨在提高对医疗保健相关感染的认识和预防，并提高所有美国人医疗保健的质量、安全性、效率和有效性。