Controlling the chaos: Information management in home-infusion central-line–associated bloodstream infection (CLABSI) surveillance

Susan M. Hannum; Opeyemi Oladapo-Shittu; Alejandra B. Salinas; Kimberly Weems; Jill Marsteller; Ayse P. Gurses; Ilya Shpitser; Eili Klein; Sara E. Cosgrove; Sara C. Keller

doi:10.1017/ash.2023.134

Antimicrobial Stewardship & Healthcare Epidemiology (Jan 2023)

Controlling the chaos: Information management in home-infusion central-line–associated bloodstream infection (CLABSI) surveillance

Susan M. Hannum,
Opeyemi Oladapo-Shittu,
Alejandra B. Salinas,
Kimberly Weems,
Jill Marsteller,
Ayse P. Gurses,
Ilya Shpitser,
Eili Klein,
Sara E. Cosgrove,
Sara C. Keller

Affiliations

Susan M. Hannum: ORCiD; Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
Opeyemi Oladapo-Shittu: ORCiD; Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland
Alejandra B. Salinas: ORCiD; Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland
Kimberly Weems: ORCiD; Department of Hospital Epidemiology and Infection Control, Johns Hopkins Hospital, Baltimore, Maryland
Jill Marsteller: ORCiD; Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland Armstrong Institute of Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, Maryland
Ayse P. Gurses: ORCiD; Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland Armstrong Institute of Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, Maryland
Ilya Shpitser: ORCiD; Department of Computer Science, Whiting School of Engineering, Johns Hopkins University, Baltimore, Maryland
Eili Klein: ORCiD; Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland Department of Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland
Sara E. Cosgrove: ORCiD; Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland Armstrong Institute of Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, Maryland
Sara C. Keller: ORCiD; Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland Armstrong Institute of Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, Maryland

DOI: https://doi.org/10.1017/ash.2023.134
Journal volume & issue: Vol. 3

Abstract

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Abstract Objectives: Access to patient information may affect how home-infusion surveillance staff identify central-line–associated bloodstream infections (CLABSIs). We characterized information hazards in home-infusion CLABSI surveillance and identified possible strategies to mitigate information hazards. Design: Qualitative study using semistructured interviews. Setting and participants: The study included 21 clinical staff members involved in CLABSI surveillance at 5 large home-infusion agencies covering 13 states and the District of Columbia. Methods: Interviews were conducted by 1 researcher. Transcripts were coded by 2 researchers; consensus was reached by discussion. Results: Data revealed the following barriers: information overload, information underload, information scatter, information conflict, and erroneous information. Respondents identified 5 strategies to mitigate information chaos: (1) engage information technology in developing reports; (2) develop streamlined processes for acquiring and sharing data among staff; (3) enable staff access to hospital electronic health records; (4) use a single, validated, home-infusion CLABSI surveillance definition; and (5) develop relationships between home-infusion surveillance staff and inpatient healthcare workers. Conclusions: Information chaos occurs in home-infusion CLABSI surveillance and may affect the development of accurate CLABSI rates in home-infusion therapy. Implementing strategies to minimize information chaos will enhance intra- and interteam collaborations in addition to improving patient-related outcomes.

Published in Antimicrobial Stewardship & Healthcare Epidemiology

ISSN: 2732-494X (Online)
Publisher: Cambridge University Press
Country of publisher: United Kingdom
LCC subjects: Medicine: Internal medicine: Infectious and parasitic diseases; Medicine: Public aspects of medicine
Website: https://www.cambridge.org/core/journals/antimicrobial-stewardship-and-healthcare-epidemiology

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