An effective computerized reminder for contact isolation of patients colonized or infected with resistant organisms

Abel N. Kho, Paul Dexter, Jeff S. Warvel, Anne W. Belsito, Marie Commiskey, Stephen J. Wilson, Siu Hui, Clement J. McDonald

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Purpose: To improve contact isolation rates among patients admitted to the hospital with a known history of infection with Methicillin-resistant Staphylococcus aureus (MRSA) and Vancomycin-resistant Enterococci (VRE). Methods: A before and after interventional study implementing computerized reminders for contact isolation between February 25, 2005 and February 28, 2006. We measured rates of appropriate contact isolation, and time to isolation for the 4 month pre-intervention period, and the 12 month intervention period. We conducted a survey of ordering physicians at the midpoint of the intervention period. Results: Implementing a computerized reminder increased the rate of patients appropriately isolated from 33% to fully 89% (P < 0.0001). The median time to writing contact isolation orders decreased from 16.6 to 0.0 h (P < 0.0001). Physicians accepted the order 80% of the time on the first or second presentation. Ninety-five percent of physicians felt the reminder had no impact on workflow, or saved them time. Conclusion: A human reviewed computerized reminder can achieve high rates of compliance with infection control recommendations for contact isolation, and dramatically reduce the time to orders being written upon admission.

Original languageEnglish
Pages (from-to)194-198
Number of pages5
JournalInternational Journal of Medical Informatics
Volume77
Issue number3
DOIs
StatePublished - Mar 2008

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Patient Isolation
Physicians
Workflow
Methicillin-Resistant Staphylococcus aureus
Infection Control
Infection

Keywords

  • Clinical decision support systems
  • Enterococcus
  • Infection control
  • Methicillin-resistance
  • Reminder systems
  • Staphylococcus aureus
  • Vancomycin resistance

ASJC Scopus subject areas

  • Medicine(all)

Cite this

An effective computerized reminder for contact isolation of patients colonized or infected with resistant organisms. / Kho, Abel N.; Dexter, Paul; Warvel, Jeff S.; Belsito, Anne W.; Commiskey, Marie; Wilson, Stephen J.; Hui, Siu; McDonald, Clement J.

In: International Journal of Medical Informatics, Vol. 77, No. 3, 03.2008, p. 194-198.

Research output: Contribution to journalArticle

Kho, Abel N. ; Dexter, Paul ; Warvel, Jeff S. ; Belsito, Anne W. ; Commiskey, Marie ; Wilson, Stephen J. ; Hui, Siu ; McDonald, Clement J. / An effective computerized reminder for contact isolation of patients colonized or infected with resistant organisms. In: International Journal of Medical Informatics. 2008 ; Vol. 77, No. 3. pp. 194-198.
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