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Agenda

Development of Automated Algorithms to Reduce the Surveillance Requirements for NHSN Reporting APIC Presentation: July 2013. Agenda. Introduction. Creating a CLABSI Surveillance Algorithm & Algorithm Results. Creating a CAUTI Surveillance Algorithm & Algorithm Results. Conclusion.

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Agenda

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Presentation Transcript

  1. Development of Automated Algorithms to Reduce the Surveillance Requirements for NHSN Reporting APIC Presentation: July 2013

  2. Agenda Introduction Creating a CLABSI Surveillance Algorithm & Algorithm Results Creating a CAUTI Surveillance Algorithm & Algorithm Results Conclusion

  3. Introduction

  4. The focus of this project was to develop an enterprise data warehouse (EDW) with the goal of creating an internally developed intervention database, surveillance screening tool, and reporting tool.

  5. Creating a Central Line Associated Bloodstream Infection (CLABSI) Algorithm & Algorithm Results

  6. Data Needs for CLABSI Algorithm • Need to Identify Following Data: • Hospital Admission and Discharge Date • Unit level admit and discharge preferred but not required • Blood Culture collection data • Blood Culture organism name • Central Line Insertion and Removal Date • Fever, chills, and hypotension • Allogeneic hematopoietic stem cell transplant recipient • GI GVHD, Diarrhea, and WBC Count

  7. CLABSI Algorithm for Adults

  8. CLABSI Results for Stanford

  9. Creating a Catheter Associated Urinary Tract Infection (CAUTI) Algorithm & Algorithm Results

  10. Data Needs for CAUTI Algorithm • Need to Identify Following Data: • Hospital Admission and Discharge Date • Unit level admit and discharge preferred but not required • Urine Culture collection data • Urine Culture organism name and CFU/ml • Indwelling urinary catheter insertion & removal date • Fever (>38°C), urgency*, frequency*; dysuria*; suprapubic tenderness*; costovertebral angle pain or tenderness* • *No other recognized cause of symptom

  11. CAUTI Algorithm for Adults: Automated

  12. CAUTI Algorithm for Adults: Stanford

  13. CAUTI Results for Stanford Algorithm

  14. CAUTI Algorithm for Adults: Minimum

  15. CAUTI Results for Minimum Algorithm

  16. Conclusion

  17. Conclusion • Value added by creating an electronic algorithm • Algorithm can be tailored to any institution with an electronic health record • Higher abundance of “workable” data allows for greater efficiency in surveillance

  18. Questions?

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