RESUMO
In a 12-month study, a nurse driven protocol was implemented at a tertiary academic medical center. The purpose of the nurse driven protocol was to identify community-onset Clostridioides difficile infections, expeditiously isolate patients with presumed C difficile diarrheal illness, and prevent transmission while simultaneously decreasing the incidence of hospital-onset C difficile. The overall adherence to fidelity of the protocol was poor and failed to have a significant impact on infection rates.
Assuntos
Infecções por Clostridium/enfermagem , Infecção Hospitalar/prevenção & controle , Diarreia/enfermagem , Enterocolite Pseudomembranosa/enfermagem , Controle de Infecções/organização & administração , Centros Médicos Acadêmicos , Clostridioides difficile , Infecções por Clostridium/microbiologia , Diarreia/microbiologia , Enterocolite Pseudomembranosa/microbiologia , Humanos , Incidência , Serviço Hospitalar de Enfermagem , Isolamento de PacientesRESUMO
We assessed the impact of an embedded electronic medical record decision-support matrix (Cerner software system) for the reduction of hospital-onset Clostridioides difficile. A critical review of 3,124 patients highlighted excessive testing frequency in an academic medical center and demonstrated the impact of decision support following a testing fidelity algorithm.