1. Beyond the abacus: Leveraging the electronic medical record for central line day surveillance
- Author
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Thomas G. Fraser, Patrick C. Burke, Michele Messam, Steven M. Gordon, Raymond Borkowski, Lori Eichmuller, and Deborah A. Duffy
- Subjects
Catheterization, Central Venous ,Time Factors ,Epidemiology ,Bacteremia ,Patient care ,Manual count ,03 medical and health sciences ,0302 clinical medicine ,Hospital Administration ,Risk Factors ,Chart review ,Health care ,Central Venous Catheters ,Electronic Health Records ,Humans ,Medicine ,030212 general & internal medicine ,National health ,Electronic Data Processing ,0303 health sciences ,Central line ,030306 microbiology ,business.industry ,Health Policy ,Gold standard ,Public Health, Environmental and Occupational Health ,Electronic medical record ,medicine.disease ,Intensive Care Units ,Infectious Diseases ,Catheter-Related Infections ,Population Surveillance ,Medical emergency ,business - Abstract
Manual counting is considered the gold standard for device day recording by the National Health Safety Network. We describe the development of a process for an electronic count of central line days across our ten-hospital health care system. Our validation process identified discordance between the electronic count and the manual count for 71% of patient care units. Adjudication of the count differences by chart review identified the electronic count to be correct 97% of the time.
- Published
- 2019
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