電子カルテを用いた当院〔昭和大学横浜市北部病院〕における新しい院内感染対策とその効果

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To contribute to infection control activities in a university hospital, we developed a new system using electric medical records (EMR) . We programmed the following ERM functions at Showa University Northern Yokohama Hospital (661 beds) which opened in 2001 : 1) To prevent transmission of pathogens, the names of patients with pathogens appear in color on the display. Colors are classified according to protection method, blue for air-borne and green for contact precautions. Patients with blood stream pathogens such as hepatitis virus, syphilis or HIV are colored in red. 2) To regulate usage of antibiotics, all antibiotic prescriptions are monitored by the hospital pharmacy. Orders of intra-venous antibiotics longer than 16 days must report the reason to an infection control department. A warning message appears when prescribing specified antibiotics such as anti-MRSA drugs. 3) To detect outbreaks, numbers of patients who have infectious diseases are automatically counted every day and displayed on monitors in graphics. Results of this new system show the numbers of patients who had intravenous administration of antibiotics for longer than 15 days were 5.0±2.6 patients (mean ± SD) . Only five multi-drug resistant <I>Pseudomonas aeruginosa</I> (MDRP) were detected in 32 months from January 2002. Surveillance of central line catheter-related bloodstream infections (CR-BSI) revealed that infection occurred in only 0%, 2.2% and 2.0% per 1000 device days in the ICU and two common wards, respectively. Though many factors were involved in these results, we estimate the numbers of hospital-acquired infections remained low by introducing our new ERM system.
学校法人昭和大学・昭和医学会の論文

電子カルテを用いた当院〔昭和大学横浜市北部病院〕における新しい院内感染対策とその効果

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