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: 8308951
• 负责人: Marc B Rosenman
• 金额: $ 46.3万
• 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 2015-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8308951
• 关键词: Reducing; Healthcare; Associated; Infections; using

Project Summary 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.

项目总结

项目成果

Decolonization of children after incision and drainage for MRSA abscess: a retrospective cohort study.

MRSA 脓肿切开引流后儿童的去定植：一项回顾性队列研究。

• DOI: 10.1177/0009922814556059
• 发表时间: 2015
• 期刊: Clinical pediatrics
• 影响因子: 1.6
• 作者: Finnell,SMariaE;Rosenman,MarcB;Christenson,JohnC;Downs,StephenM
• 通讯作者: Downs,StephenM

Nascent regional system for alerting infection preventionists about patients with multidrug-resistant gram-negative bacteria: implementation and initial results.

用于向感染预防人员通报多重耐药革兰氏阴性菌患者的新生区域系统：实施和初步结果。

• DOI: 10.1086/677833
• 发表时间: 2014
• 期刊: Infection control and hospital epidemiology
• 影响因子: 4.5
• 作者: Rosenman,MarcB;Szucs,KingaA;Finnell,SMariaE;Khokhar,Shahid;Egg,James;Lemmon,Larry;Shepherd,DavidC;Friedlin,Jeff;Li,Xiaochun;Kho,AbelN
• 通讯作者: Kho,AbelN