Healthcare Associated Infections: An Interoperable Infrastructure for Multidrug Resistant Organism Surveillance.
Roberta GazzarataMaria Eugenia MonteverdeCarmelina RuggieroNorbert MaggiDalia PalmieriGiustino ParrutiMauro GiacominiPublished in: International journal of environmental research and public health (2020)
Prevention and surveillance of healthcare associated infections caused by multidrug resistant organisms (MDROs) has been given increasing attention in recent years and is nowadays a major priority for health care systems. The creation of automated regional, national and international surveillance networks plays a key role in this respect. A surveillance system has been designed for the Abruzzo region in Italy, focusing on the monitoring of the MDROs prevalence in patients, on the appropriateness of antibiotic prescription in hospitalized patients and on foreseeable interactions with other networks at national and international level. The system has been designed according to the Service Oriented Architecture (SOA) principles, and Healthcare Service Specification (HSSP) standards and Clinical Document Architecture Release 2 (CDAR2) have been adopted. A description is given with special reference to implementation state, specific design and implementation choices and next foreseeable steps. The first release will be delivered at the Complex Operating Unit of Infectious Diseases of the Local Health Authority of Pescara (Italy).
Keyphrases
- healthcare
- multidrug resistant
- public health
- infectious diseases
- gram negative
- quality improvement
- end stage renal disease
- acinetobacter baumannii
- drug resistant
- ejection fraction
- newly diagnosed
- mental health
- primary care
- working memory
- deep learning
- health information
- peritoneal dialysis
- klebsiella pneumoniae
- risk assessment
- pseudomonas aeruginosa
- health promotion