Morrison James, Kaufman John
Dotter Interventional Institute, Oregon Health and Science University, 3720 SW Bond Ave #400, 3181 SW Sam Jackson Park Rd, Portland, OR, 97239, USA.
J Digit Imaging. 2016 Dec;29(6):737-741. doi: 10.1007/s10278-016-9891-z.
Vascular access is invaluable in the treatment of hospitalized patients. Central venous catheters provide a durable and long-term solution while saving patients from repeated needle sticks for peripheral IVs and blood draws. The initial catheter placement procedure and long-term catheter usage place patients at risk for infection. The goal of this project was to develop a system to track and evaluate central line-associated blood stream infections related to interventional radiology placement of central venous catheters. A customized web-based clinical database was developed via open-source tools to provide a dashboard for data mining and analysis of the catheter placement and infection information. Preliminary results were gathered over a 4-month period confirming the utility of the system. The tools and methodology employed to develop the vascular access tracking system could be easily tailored to other clinical scenarios to assist in quality control and improvement programs.
血管通路在住院患者的治疗中非常重要。中心静脉导管提供了一种持久的长期解决方案，同时使患者免受外周静脉输液和抽血时反复针刺之苦。最初的导管置入程序和长期使用导管会使患者面临感染风险。本项目的目标是开发一个系统，用于跟踪和评估与介入放射学放置中心静脉导管相关的中心静脉导管相关血流感染。通过开源工具开发了一个定制的基于网络的临床数据库，以提供一个用于数据挖掘以及分析导管置入和感染信息的仪表盘。在4个月的时间里收集了初步结果，证实了该系统的实用性。开发血管通路跟踪系统所采用的工具和方法可以很容易地应用于其他临床场景，以协助质量控制和改进计划。
