Automated surveillance for surgical site infections (SSI) in hospitals and surveillance networks–expert perspectives for implementation
Abstract Background This work aims at providing practical recommendations for implementing automated surveillance (AS) of surgical site infections (SSI) in hospitals and surveillance networks. It also provides an overview of the steps, choices, and obstacles that need to be taken into consideration...
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| Format: | Article |
| Language: | English |
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BMC
2024-12-01
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| Series: | Antimicrobial Resistance and Infection Control |
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| Online Access: | https://doi.org/10.1186/s13756-024-01505-2 |
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| author | Luisa A. Denkel Isabelle Arnaud Manon Brekelmans Mireia Puig-Asensio Hoger Amin Sophie Gubbels Pernille Iversen Mohamed Abbas Elisabeth Presterl Pascal Astagneau Stephanie van Rooden PRAISE SSI working group |
| author_facet | Luisa A. Denkel Isabelle Arnaud Manon Brekelmans Mireia Puig-Asensio Hoger Amin Sophie Gubbels Pernille Iversen Mohamed Abbas Elisabeth Presterl Pascal Astagneau Stephanie van Rooden PRAISE SSI working group |
| author_sort | Luisa A. Denkel |
| collection | DOAJ |
| description | Abstract Background This work aims at providing practical recommendations for implementing automated surveillance (AS) of surgical site infections (SSI) in hospitals and surveillance networks. It also provides an overview of the steps, choices, and obstacles that need to be taken into consideration when implementing such surveillance. Hands-on experience with existing automated surveillance systems of SSI (AS SSI systems) in Denmark, France, the Netherlands and Spain is described regarding trend monitoring, benchmarking, quality control, and research for surveillance purposes. Methods Between April and October 2023, specific aspects/options of various surveillance purposes for AS SSI were identified during regular meetings of the SSI working group in the PRAISE (Providing a Roadmap for Automated Infection Surveillance in Europe) network. Expert discussions provided the basis for this perspective article. Results Decisions for implementation of AS SSI systems highly depend on the purpose of the surveillance. AS SSI systems presented here differ according to study population, setting, central or local implementation; the level of automation, design, and the data sources used. However, similarities were found for the rationales of automation, design principles and obstacles that were identified. There was consensus among all the experts that shortcomings in interoperability of databases, limited time, a want of commitment on the part of stakeholders, and a shortage of resources for information technology (IT) specialists represent the main obstacles for implementing AS SSI. To overcome obstacles, various solutions were reported, including training in the development of AS systems and the interpretation of AS SSI results, early consultation of end-users, and regular exchanges between management levels, IT departments, infection prevention and control (IPC) teams, and clinicians. Conclusion Clarity on the intended application (e.g. purpose of surveillance) and information on the availability of electronic and structured data are crucial first steps necessary for guiding decisions on the design of AS systems. Adequate resources for IT specialists and regular communication between management, IT departments, IPC teams, and clinicians were identified as essential for successful implementation. This perspective article may be helpful for a wider implementation of more homogeneous AS SSI systems in Europe. |
| format | Article |
| id | doaj-art-81f491e2b777424982fa0c6fa7ec2a56 |
| institution | DOAJ |
| issn | 2047-2994 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Antimicrobial Resistance and Infection Control |
| spelling | doaj-art-81f491e2b777424982fa0c6fa7ec2a562025-08-20T02:43:27ZengBMCAntimicrobial Resistance and Infection Control2047-29942024-12-0113111710.1186/s13756-024-01505-2Automated surveillance for surgical site infections (SSI) in hospitals and surveillance networks–expert perspectives for implementationLuisa A. Denkel0Isabelle Arnaud1Manon Brekelmans2Mireia Puig-Asensio3Hoger Amin4Sophie Gubbels5Pernille Iversen6Mohamed Abbas7Elisabeth Presterl8Pascal Astagneau9Stephanie van Rooden10PRAISE SSI working groupInstitute of Hygiene and Environmental Medicine, Charité Universitätsmedizin Berlin, Humboldt-Universität Zu Berlin and Berlin Institute of HealthCentre for Prevention of Healthcare-Associated Infections, Assistance Publique-Hôpitaux de ParisCentre for Infectious Diseases Control, National Institute for Public Health and the EnvironmentDepartment of Infectious Diseases, Bellvitge University Hospital, L’Hospitalet de LlobregatDepartment of Data Integration and Analysis, Staten Serum InstitutDepartment of Data Integration and Analysis, Staten Serum InstitutRegionernes Kliniske KvalitetsudviklingsprogramInfection Control Programme and WHO Collaborating Centre on Infection Prevention and Control and Antimicrobial Resistance, Geneva University HospitalsDepartment of Hospital Epidemiology and Infection Control, Medical University of ViennaCentre for Prevention of Healthcare-Associated Infections, Assistance Publique-Hôpitaux de ParisCentre for Infectious Diseases Control, National Institute for Public Health and the EnvironmentAbstract Background This work aims at providing practical recommendations for implementing automated surveillance (AS) of surgical site infections (SSI) in hospitals and surveillance networks. It also provides an overview of the steps, choices, and obstacles that need to be taken into consideration when implementing such surveillance. Hands-on experience with existing automated surveillance systems of SSI (AS SSI systems) in Denmark, France, the Netherlands and Spain is described regarding trend monitoring, benchmarking, quality control, and research for surveillance purposes. Methods Between April and October 2023, specific aspects/options of various surveillance purposes for AS SSI were identified during regular meetings of the SSI working group in the PRAISE (Providing a Roadmap for Automated Infection Surveillance in Europe) network. Expert discussions provided the basis for this perspective article. Results Decisions for implementation of AS SSI systems highly depend on the purpose of the surveillance. AS SSI systems presented here differ according to study population, setting, central or local implementation; the level of automation, design, and the data sources used. However, similarities were found for the rationales of automation, design principles and obstacles that were identified. There was consensus among all the experts that shortcomings in interoperability of databases, limited time, a want of commitment on the part of stakeholders, and a shortage of resources for information technology (IT) specialists represent the main obstacles for implementing AS SSI. To overcome obstacles, various solutions were reported, including training in the development of AS systems and the interpretation of AS SSI results, early consultation of end-users, and regular exchanges between management levels, IT departments, infection prevention and control (IPC) teams, and clinicians. Conclusion Clarity on the intended application (e.g. purpose of surveillance) and information on the availability of electronic and structured data are crucial first steps necessary for guiding decisions on the design of AS systems. Adequate resources for IT specialists and regular communication between management, IT departments, IPC teams, and clinicians were identified as essential for successful implementation. This perspective article may be helpful for a wider implementation of more homogeneous AS SSI systems in Europe.https://doi.org/10.1186/s13756-024-01505-2Surgical site infectionAutomated surveillanceBarriersExperiencesExpert recommendations |
| spellingShingle | Luisa A. Denkel Isabelle Arnaud Manon Brekelmans Mireia Puig-Asensio Hoger Amin Sophie Gubbels Pernille Iversen Mohamed Abbas Elisabeth Presterl Pascal Astagneau Stephanie van Rooden PRAISE SSI working group Automated surveillance for surgical site infections (SSI) in hospitals and surveillance networks–expert perspectives for implementation Antimicrobial Resistance and Infection Control Surgical site infection Automated surveillance Barriers Experiences Expert recommendations |
| title | Automated surveillance for surgical site infections (SSI) in hospitals and surveillance networks–expert perspectives for implementation |
| title_full | Automated surveillance for surgical site infections (SSI) in hospitals and surveillance networks–expert perspectives for implementation |
| title_fullStr | Automated surveillance for surgical site infections (SSI) in hospitals and surveillance networks–expert perspectives for implementation |
| title_full_unstemmed | Automated surveillance for surgical site infections (SSI) in hospitals and surveillance networks–expert perspectives for implementation |
| title_short | Automated surveillance for surgical site infections (SSI) in hospitals and surveillance networks–expert perspectives for implementation |
| title_sort | automated surveillance for surgical site infections ssi in hospitals and surveillance networks expert perspectives for implementation |
| topic | Surgical site infection Automated surveillance Barriers Experiences Expert recommendations |
| url | https://doi.org/10.1186/s13756-024-01505-2 |
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