Emerg Infect Dis. 2020 Sep;26(9):2046-2053. doi: 10.3201/eid2609.191691.
To identify facilities at risk of receiving patients colonized or infected with multidrug-resistant organisms (MDROs), we developed an interactive web-based interface for visualization of patient-sharing networks among healthcare facilities in Tennessee, USA. Using hospital discharge data and the Centers for Medicare and Medicaid Services' claims and Minimum Data Set, we constructed networks among hospitals and skilled nursing facilities. Networks included direct and indirect transfers, which accounted for <365 days in the community outside of facility admissions. Authorized users can visualize a facility of interest and tailor visualizations by year, network dataset, length of time in the community, and minimum number of transfers. The interface visualizes the facility of interest with its connected facilities that receive or send patients, the number of interfacility transfers, and facilities at risk of receiving transfers from the facility of interest. This tool will help other health departments enhance their MDRO outbreak responses.
为了识别有接收定植或感染多药耐药菌（MDRO）患者风险的医疗机构，我们开发了一个美国田纳西州医疗机构间患者共享网络的可视化交互式网络界面。我们使用医院出院数据和医疗保险和医疗补助服务中心的索赔和最低数据集，构建了医院和熟练护理设施之间的网络。网络包括直接和间接转移，这些转移在设施入院前的社区中占不到 365 天。授权用户可以可视化查看感兴趣的医疗机构，并通过年份、网络数据集、社区逗留时间和最低转移次数来调整可视化效果。该界面用接收或发送患者的相关医疗机构及其连接的医疗机构、界面间的转移次数以及有接收来自感兴趣的医疗机构转移风险的医疗机构来可视化感兴趣的医疗机构。该工具将帮助其他卫生部门加强 MDRO 疫情应对。
