Controlling the chaos: Information management in home-infusion central-line-associated bloodstream infection (CLABSI) surveillance

被引：4

作者：

Hannum, Susan M. ^{[1
]}

Oladapo-Shittu, Opeyemi ^{[2
]}

Salinas, Alejandra B. ^{[2
]}

Weems, Kimberly ^{[3
]}

Marsteller, Jill ^{[4
,5
]}

Gurses, Ayse P. ^{[4
,5
]}

Shpitser, Ilya ^{[6
]}

Klein, Eili ^{[2
,7
]}

Cosgrove, Sara E. ^{[2
,5
]}

Keller, Sara C. ^{[2
,5
]}

机构：

[1] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Hlth Behav & Soc, Baltimore, MD USA

[2] Johns Hopkins Univ, Dept Med, Sch Med, Baltimore, MD USA

[3] Johns Hopkins Univ Hosp, Dept Hosp Epidemiol & Infect Control, Baltimore, MD USA

[4] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Hlth Policy & Management, Baltimore, MD USA

[5] Johns Hopkins Univ, Armstrong Inst Patient Safety & Qual, Sch Med, Baltimore, MD USA

[6] Johns Hopkins Univ, Whiting Sch Engn, Dept Comp Sci, Baltimore, MD USA

[7] Johns Hopkins Univ, Dept Emergency Med, Sch Med, Baltimore, MD USA

来源：

ANTIMICROBIAL STEWARDSHIP & HEALTHCARE EPIDEMIOLOGY | 2023年 / 3卷 / 01期

基金：

美国医疗保健研究与质量局;

关键词：

CARE; COMMUNICATION; PERSPECTIVES; CHALLENGES; CONSENSUS;

D O I：

10.1017/ash.2023.134

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

Objectives: 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.Design: Qualitative study using semistructured interviews.Setting and participants: 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.Results: 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.Conclusions: 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.

引用

页数：6

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