A DYNAMIC PATIENT NETWORK MODEL OF HOSPITAL-ACQUIRED INFECTIONS

被引：7

作者：

Barnes, Sean ^{[1
]}

Golden, Bruce ^{[2
]}

Wasil, Edward ^{[3
]}

机构：

[1] Univ Maryland, Dept Math, College Pk, MD 20742 USA

[2] Univ Maryland, Robert H Smith Sch Business, College Pk, MD 20742 USA

[3] Amer Univ, Kogod Sch Business, Washington, DC 20016 USA

来源：

PROCEEDINGS OF THE 2010 WINTER SIMULATION CONFERENCE | 2010年

关键词：

D O I：

10.1109/WSC.2010.5678923

中图分类号：

TP39 [计算机的应用];

学科分类号：

081203 ; 0835 ;

摘要：

We investigate the transmission of infectious diseases in hospitals using a network-centric perspective. Patients who share a health care worker (HCW) are inherently connected to each other and those connections form a network through which transmission can occur. The structure of such networks can be a strong determinant of the extent and rate of transmission. We first examine how the density of the patient network affects transmission. Our experiments demonstrate that nurses are responsible for spreading more infection because they typically visit patients more often. However, doctors also pose a serious threat because their patient networks are more highly connected, which creates more opportunity for transmission to spread to multiple cohorts in the unit. We also explore the effects of patient sharing among HCWs, which temporarily alters the structure of the patient network. Our results suggest that this practice should be done in a structured manner to minimize additional transmission.

引用

页码：2249 / 2260

页数：12

共 9 条

[1]

BARNES SL, 2010, INFORMS J C IN PRESS

[2] Increasing the frequency of hand washing by healthcare workers does not lead to commensurate reductions in staphylococcal infection in a hospital ward [J].