Artikel
First steps towards an intersectoral electronic hygiene report
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Autoren
Veröffentlicht: | 5. Juli 2021 |
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Gliederung
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Background: The growing number of patients being cared for by different facilities simultaneously or in succession causes an increasing risk of nosocomial infections. The German Infection Prevention Act (IfSG) [1] requires appropriate documentation and information of the parties involved to coordinate care regarding infection prevention aspects. If this information is not communicated sufficiently, it results in discontinuity of care and avoidable illnesses [2].
The timely electronic exchange of hygiene-relevant information between the parties involved could improve this situation. Therefore, standardized data models are needed to ensure interoperability between electronic systems.
Objectives: This study answers the questions:
- 1.
- Which hygiene-related information is relevant?
- 2.
- What structure must these data have?
Design and methods: The three-phase multi-methods procedural model for building reference models - in particular the first phase [3] - was used to answer the research questions. Pursuant to this model, a literature search was conducted using the database Pubmed and various databases of hygiene-relevant associations and institutions. An initial set of items and their values was created from the extracted information using content analysis methods.
Results: The literature search resulted in 73 relevant publications. 75 items (e.g. risk of infection, symptoms) and their values could be identified and were assigned to 8 sections.
Conclusions: The extracted information, their values and structure represent an initial literature-based data set that can be empirically verified, modelled, and consented in the following phases. It can serve as a data model for a medical information object (MIO) within the German telematics infrastructure.
Declaration of competing interests:
- G. Schulte declares that there is no competing interest.
- M. Przysucha declares that there is no competing interest.
- U. Hübner declares that there is no competing interest.
Funding: The study was conducted as part of the ROSE project (Das lernende Gesundheitssystem in der Region Osnabrück-Emsland) funded by the Lower Saxony Ministry of Science and Culture, funding code VWZN3103
References
- 1.
- Bundesministerium für Justiz und Verbraucherschutz (o. J.): Gesetz zur Verhütung und Bekämpfung von Infektionskrankheiten beim Menschen. http://www.gesetze-im-internet.de/ifsg/index.html. Last Access: 19.03.2021
- 2.
- Haggerty JL, Reid RJ, Freeman GK, Starfield BH, Adair CE, McKendry R. Continuity of care: a multidisciplinary review. BMJ. 2003 Nov 22;327(7425):1219-21. DOI: 10.1136/bmj.327.7425.1219
- 3.
- Hübner U, Schulte G, Flemming D. Der elektronische Wundbericht als Grundlage für eine interprofessionelle Kommunikation in der intersektoralen Versorgung. Wund Management. 2016;10(4):188-95