Opportunities and challenges in utilizing electronic health records for infection surveillance, prevention, and control Ashish Atreja, MD, MPH, Steven.

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Presentation transcript:

Opportunities and challenges in utilizing electronic health records for infection surveillance, prevention, and control Ashish Atreja, MD, MPH, Steven M. Gordon, MD, Daniel A. Pollock, MD, Russell N. Olmsted, MPH, CIC, Patrick J. Brennan, MD American Journal of Infection Control Volume 36, Issue 3, Pages S37-S46 (April 2008) DOI: 10.1016/j.ajic.2008.01.002 Copyright © 2008 Association for Professionals in Infection Control and Epidemiology, Inc. Terms and Conditions

Fig 1 Core functional blocks of an electronic health record (EHR) in the order of increasing complexity.7 Image reproduced from Atreja et al, courtesy of Blackwell Publishing.8 American Journal of Infection Control 2008 36, S37-S46DOI: (10.1016/j.ajic.2008.01.002) Copyright © 2008 Association for Professionals in Infection Control and Epidemiology, Inc. Terms and Conditions

Fig 2 Schematic representation of a clinical decision support (CDS) demonstrating generation of alert suggesting airborne infection isolation and a negative-air room when an order is entered for sputum acid fast bacilli (AFB) collection. American Journal of Infection Control 2008 36, S37-S46DOI: (10.1016/j.ajic.2008.01.002) Copyright © 2008 Association for Professionals in Infection Control and Epidemiology, Inc. Terms and Conditions

Fig 3 The shifting paradigm from current manual surveillance strategies to automated surveillance strategies with a focus on education and interventions. Image adapted with courtesy of Healthcare Purchasing News and Cardinal Health.20 American Journal of Infection Control 2008 36, S37-S46DOI: (10.1016/j.ajic.2008.01.002) Copyright © 2008 Association for Professionals in Infection Control and Epidemiology, Inc. Terms and Conditions

Fig 4 Screenshot of National Healthcare Safety Network (NHSN) comparing ventilator-associated pneumonia rates of an organization (blue line) to national aggregate (red line). American Journal of Infection Control 2008 36, S37-S46DOI: (10.1016/j.ajic.2008.01.002) Copyright © 2008 Association for Professionals in Infection Control and Epidemiology, Inc. Terms and Conditions