Factors Affecting the Timing of a Central Line Associated Bloodstream Infection Onset in Children with Cancer

2020 ◽  
Vol 38 (1) ◽  
pp. 26-35
Author(s):  
Mina Park ◽  
Young-mi Seo ◽  
Yoon Jung Shin ◽  
Jung Woo Han ◽  
Eunhee Cho ◽  
...  
Keyword(s):  
Bloodstream Infection ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Multivariable Analysis ◽  
Central Line ◽  
Catheter Insertion ◽  
Children With Cancer ◽  
Factors Affecting ◽  
Pediatric Cancer Patients ◽  
The Impact

Purpose: The purpose of this study is to identify controllable treatment-environment-related factors affecting the timing of a central line-associated bloodstream infection (CLABSI) onset in children with cancer with central venous catheters (CVC). Design: This study is a secondary data analysis with the data extracted from electronic medical records in a tertiary hospital in South Korea. This study was conducted by reviewing electronic medical records of 470 pediatric cancer patients younger than the age of 18 years from 2010 to 2016. Method: The timing of a CLABSI onset was identified through the onset of CLABSI and the duration of catheterization. Cox proportional hazards regression analysis was used to estimate the impact of variables on the timing of CLABSI onset. The duration of catheterization was estimated using the Kaplan–Meier method. Finding: Multivariable analysis by Cox proportional model analysis showed that there are six independent variables affecting the timing of a CLABSI onset: length of stay in hospital, catheter insertion location, use of antibiotics on day of catheter insertion, catheter function, number of blood transfusions per 100 days, and number of blood tests per 100 days. Conclusions: The findings of this study provide a foundation for the development of EBP-based CVC guidelines to effectively reduce CLABSIs and maintain a long-term CVC without a CLABSI.

scholarly journals Impact of Postplacement Adjustment of Peripherally Inserted Central Catheters on the Risk of Bloodstream Infection and Venous Thrombus Formation

2013 ◽  
Vol 34 (8) ◽  
pp. 785-792 ◽  
Author(s):  
Sanjiv M. Baxi ◽  
Emily K. Shuman ◽  
Christy A. Scipione ◽  
Benrong Chen ◽  
Aditi Sharma ◽  
...  
Keyword(s):  
Bloodstream Infection ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Thrombus Formation ◽  
Central Line ◽  
University Of Michigan ◽  
Venous Thrombus ◽  
System A ◽  
Increased Risk ◽  
Central Catheters

Objective.Peripherally inserted central catheter (PICC) tip malposition is potentially associated with complications, and postplacement adjustment of PICCs is widely performed. We sought to characterize the association between central line-associated bloodstream infection (CLABSI) or venous thrombus (VT) and PICC adjustment.Design.Retrospective cohort study.Setting.University of Michigan Health System, a large referral hospital.Patients.Patients who had PICCs placed between February 2007 and August 2007.Methods.The primary outcomes were development of CLABSI within 14 days or VT within 60 days of postplacement PICC adjustment, identified by review of patient electronic medical records.Results.There were 57 CLABSIs (2.69/1,000 PICC-days) and 47 VTs (1.23/1,000 PICC-days); 609 individuals had 1, 134 had 2, and 33 had 3 or more adjustments. One adjustment was protective against CLABSI (P = .04), whereas 2 or 3 or more adjustments had no association with CLABSI (P = .58 and .47, respectively). One, 2, and 3 or more adjustments had no association with VT formation (P = .59, .85, and .78, respectively). Immunosuppression (P< .01), power-injectable PICCs (P = .05), and 3 PICC lumens compared with 1 lumen (P = .02) were associated with CLABSI. Power-injectable PICCs were also associated with increased VT formation (P = .03).Conclusions.Immunosuppression and 3 PICC lumens were associated with increased risk of CLABSI. Power-injectable PICCs were associated with increased risk of CLABSI and VT formation. Postplacement adjustment of PICCs was not associated with increased risk of CLABSI or VT. Infect Control Hosp Epidemiol 2013;34(8):785-792

Electronic Medical Records and Public Perceptions

2013 ◽  
Vol 8 (3) ◽  
pp. 38-57
Author(s):  
Tarik Abdel-Monem ◽  
Mitchel N. Herian ◽  
Nancy Shank
Keyword(s):  
Electronic Medical Records ◽  
Medical Records ◽  
Online Survey ◽  
Public Attitudes ◽  
Public Perceptions ◽  
Deliberative Discussion ◽  
The Impact ◽  
Opinion Polls

Public attitudes about electronic medical records (EMRs) have been primarily gauged by one-time opinion polls. The authors investigated the impact of an interactive deliberative polling process on general attitudes towards EMRs and perceptions of governmental roles in the area. An initial online survey was conducted about EMRs among a sample of respondents (n = 138), and then surveyed a sub-sample after they had engaged in a deliberative discussion about EMR issues with peers and policymakers (n = 24). Significant changes in opinions about EMRs and governmental roles were found following the deliberative discussion. Overall support for EMRs increased significantly, although concerns about security and confidentiality remained. This indicates that one way to address concerns about EMRs is to provide opportunities for deliberation with policymakers. The policy and theoretical implications of these findings are briefly discussed within.

scholarly journals Factors affecting the utilisation of electronic medical records system in Malawian central hospitals

2017 ◽  
Vol 29 (3) ◽  
pp. 247 ◽  
Author(s):  
Khwima E. Mkalira Msiska ◽  
Andrew Kumitawa ◽  
Benjamin Kumwenda
Keyword(s):  
Electronic Medical Records ◽  
Medical Records ◽  
Factors Affecting ◽  
Medical Records System
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