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将地理信息系统用于医院日常感染控制的用途拓展

Repurposing Geographic Information Systems for Routine Hospital Infection Control.

作者信息

Hebert Courtney, Root Elisabeth Dowling

出版信息

Adv Health Care Manag. 2019 Oct 24;18. doi: 10.1108/S1474-823120190000018003.

Abstract

This chapter discusses the potential role of geographic information systems (GIS) for infection control within the hospital system. The chapter provides a brief overview of the role of GIS in public health and reviews current work applying these methods to the hospital setting. Finally, it outlines the potential opportunities and challenges for adapting GIS for use in the hospital setting for infection prevention. A targeted literature review is used to illustrate current use of GIS in the hospital setting. The discussion of complexity was compiled using the nonadoption, abandonment, scale-up, spread, and sustainability (NASSS) framework. Challenges and opportunities were then extracted from this exercise by the authors. There are multiple challenges to implementation of a Hospital GIS for infection prevention, mainly involving the domains of technology, organization, and adaptation. Use of a transdisciplinary approach can address many of these challenges. More research, specifically prospective, reproducible clinical trials, needs to be done to better assess the potential impact and effectiveness of a Hospital GIS in real-world settings. This chapter highlights a powerful but rarely used tool for infection prevention within the hospital. Given the importance of reducing hospital-acquired infection rates, it is vital to identify relevant methods from other fields that could be translated into the field of hospital epidemiology.

摘要

本章讨论了地理信息系统(GIS)在医院系统感染控制中的潜在作用。本章简要概述了GIS在公共卫生中的作用,并回顾了将这些方法应用于医院环境的当前工作。最后,概述了将GIS应用于医院环境进行感染预防的潜在机遇和挑战。通过有针对性的文献综述来说明GIS在医院环境中的当前应用。关于复杂性的讨论是使用未采用、放弃、扩大规模、传播和可持续性(NASSS)框架进行编纂的。然后作者从这项工作中提取了挑战和机遇。实施用于感染预防的医院GIS存在多重挑战,主要涉及技术、组织和适应性领域。采用跨学科方法可以应对其中许多挑战。需要开展更多研究,特别是前瞻性、可重复的临床试验,以更好地评估医院GIS在现实环境中的潜在影响和有效性。本章重点介绍了一种用于医院感染预防的强大但很少使用的工具。鉴于降低医院获得性感染率的重要性,识别其他领域中可转化为医院流行病学领域的相关方法至关重要。

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本文引用的文献

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Novel Visualization of Infections in Intensive Care Units.重症监护病房感染的新型可视化技术
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