Adapting disease-specific isolation guidelines to a hospital information system
The authors modified the Centers for Disease Control's guideline for disease-specific isolation precautions to a hospital computerized information system. Entering a suspected diagnosis selected from the isolation option on computer terminals generated: a printout listing the isolation instruct...
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Published in | Infection control : IC Vol. 7; no. 8; p. 411 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
Published |
United States
01.08.1986
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Subjects | |
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Abstract | The authors modified the Centers for Disease Control's guideline for disease-specific isolation precautions to a hospital computerized information system. Entering a suspected diagnosis selected from the isolation option on computer terminals generated: a printout listing the isolation instructions, infective material(s), and persons who should avoid exposure; an order for the appropriate supplies; a patient charge based on the supplies required; and an option for stopping, changing, or listing the orders. In order to implement this system, both extensive in-service training for nurses and efforts to change ordering practices of physicians were necessary. Prevalence surveys before and after computerization were used to evaluate the new system. Combined surveys showed that isolation was ordered for only 21% of patients when indicated. Failure to isolate was identified as a significant problem. As a consequence, continuous surveillance and consultation of all infected patients were instituted, resulting in isolation orders for 81% when indicated. The computerized disease-specific system has resulted in better and more accurate use of isolation, probably due to in-service education and surveillance efforts. |
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AbstractList | The authors modified the Centers for Disease Control's guideline for disease-specific isolation precautions to a hospital computerized information system. Entering a suspected diagnosis selected from the isolation option on computer terminals generated: a printout listing the isolation instructions, infective material(s), and persons who should avoid exposure; an order for the appropriate supplies; a patient charge based on the supplies required; and an option for stopping, changing, or listing the orders. In order to implement this system, both extensive in-service training for nurses and efforts to change ordering practices of physicians were necessary. Prevalence surveys before and after computerization were used to evaluate the new system. Combined surveys showed that isolation was ordered for only 21% of patients when indicated. Failure to isolate was identified as a significant problem. As a consequence, continuous surveillance and consultation of all infected patients were instituted, resulting in isolation orders for 81% when indicated. The computerized disease-specific system has resulted in better and more accurate use of isolation, probably due to in-service education and surveillance efforts. |
Author | Johnson, D S Ross, C A Jacobson, J T Evans, R S Burke, J P Conti, M T |
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BackLink | https://www.ncbi.nlm.nih.gov/pubmed/3017880$$D View this record in MEDLINE/PubMed |
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SubjectTerms | Centers for Disease Control and Prevention (U.S.) Cross Infection - epidemiology Cross Infection - prevention & control Cross Infection - therapy Hospitals Humans Information Systems Patient Isolation Population Surveillance United States Utah |
Title | Adapting disease-specific isolation guidelines to a hospital information system |
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