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Surgical site infection surveillance in German hospitals: a national survey to determine the status quo of digitalization

BACKGROUND: Surveillance of surgical site infections (SSI) relies on access to data from various sources. Insights into the practices of German hospitals conducting SSI surveillance and their information technology (IT) infrastructures are scarce. The aim of this study was to evaluate current SSI su...

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Autores principales: Aghdassi, Seven Johannes Sam, Goodarzi, Hengameh, Gropmann, Alexander, Clausmeyer, Jörg, Geffers, Christine, Piening, Brar, Gastmeier, Petra, Behnke, Michael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10197484/
https://www.ncbi.nlm.nih.gov/pubmed/37208780
http://dx.doi.org/10.1186/s13756-023-01253-9
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author Aghdassi, Seven Johannes Sam
Goodarzi, Hengameh
Gropmann, Alexander
Clausmeyer, Jörg
Geffers, Christine
Piening, Brar
Gastmeier, Petra
Behnke, Michael
author_facet Aghdassi, Seven Johannes Sam
Goodarzi, Hengameh
Gropmann, Alexander
Clausmeyer, Jörg
Geffers, Christine
Piening, Brar
Gastmeier, Petra
Behnke, Michael
author_sort Aghdassi, Seven Johannes Sam
collection PubMed
description BACKGROUND: Surveillance of surgical site infections (SSI) relies on access to data from various sources. Insights into the practices of German hospitals conducting SSI surveillance and their information technology (IT) infrastructures are scarce. The aim of this study was to evaluate current SSI surveillance practices in German hospitals with a focus on employed IT infrastructures. METHODS: German surgical departments actively participating in the national SSI surveillance module “OP-KISS” were invited in August 2020 to participate in a questionnaire-based online survey. Depending on whether departments entered all data manually or used an existing feature to import denominator data into the national surveillance database, departments were separated into different groups. Selected survey questions differed between groups. RESULTS: Of 1,346 invited departments, 821 participated in the survey (response rate: 61%). Local IT deficits (n = 236), incompatibility of import specifications and hospital information system (n = 153) and lack of technical expertise (n = 145) were cited as the most frequent reasons for not using the denominator data import feature. Conversely, reduction of workload (n = 160) was named as the main motivation to import data. Questions on data availability and accessibility in the electronic hospital information system (HIS) and options to export data from the HIS for the purpose of surveillance, yielded diverse results. Departments utilizing the import feature tended to be from larger hospitals with a higher level of care. CONCLUSIONS: The degree to which digital solutions were employed for SSI surveillance differed considerably between surgical departments in Germany. Improving availability and accessibility of information in HIS and meeting interoperability standards will be prerequisites for increasing the amount of data exported directly from HIS to national databases and laying the foundation for automated SSI surveillance on a broad scale. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13756-023-01253-9.
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spelling pubmed-101974842023-05-20 Surgical site infection surveillance in German hospitals: a national survey to determine the status quo of digitalization Aghdassi, Seven Johannes Sam Goodarzi, Hengameh Gropmann, Alexander Clausmeyer, Jörg Geffers, Christine Piening, Brar Gastmeier, Petra Behnke, Michael Antimicrob Resist Infect Control Research BACKGROUND: Surveillance of surgical site infections (SSI) relies on access to data from various sources. Insights into the practices of German hospitals conducting SSI surveillance and their information technology (IT) infrastructures are scarce. The aim of this study was to evaluate current SSI surveillance practices in German hospitals with a focus on employed IT infrastructures. METHODS: German surgical departments actively participating in the national SSI surveillance module “OP-KISS” were invited in August 2020 to participate in a questionnaire-based online survey. Depending on whether departments entered all data manually or used an existing feature to import denominator data into the national surveillance database, departments were separated into different groups. Selected survey questions differed between groups. RESULTS: Of 1,346 invited departments, 821 participated in the survey (response rate: 61%). Local IT deficits (n = 236), incompatibility of import specifications and hospital information system (n = 153) and lack of technical expertise (n = 145) were cited as the most frequent reasons for not using the denominator data import feature. Conversely, reduction of workload (n = 160) was named as the main motivation to import data. Questions on data availability and accessibility in the electronic hospital information system (HIS) and options to export data from the HIS for the purpose of surveillance, yielded diverse results. Departments utilizing the import feature tended to be from larger hospitals with a higher level of care. CONCLUSIONS: The degree to which digital solutions were employed for SSI surveillance differed considerably between surgical departments in Germany. Improving availability and accessibility of information in HIS and meeting interoperability standards will be prerequisites for increasing the amount of data exported directly from HIS to national databases and laying the foundation for automated SSI surveillance on a broad scale. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13756-023-01253-9. BioMed Central 2023-05-19 /pmc/articles/PMC10197484/ /pubmed/37208780 http://dx.doi.org/10.1186/s13756-023-01253-9 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Aghdassi, Seven Johannes Sam
Goodarzi, Hengameh
Gropmann, Alexander
Clausmeyer, Jörg
Geffers, Christine
Piening, Brar
Gastmeier, Petra
Behnke, Michael
Surgical site infection surveillance in German hospitals: a national survey to determine the status quo of digitalization
title Surgical site infection surveillance in German hospitals: a national survey to determine the status quo of digitalization
title_full Surgical site infection surveillance in German hospitals: a national survey to determine the status quo of digitalization
title_fullStr Surgical site infection surveillance in German hospitals: a national survey to determine the status quo of digitalization
title_full_unstemmed Surgical site infection surveillance in German hospitals: a national survey to determine the status quo of digitalization
title_short Surgical site infection surveillance in German hospitals: a national survey to determine the status quo of digitalization
title_sort surgical site infection surveillance in german hospitals: a national survey to determine the status quo of digitalization
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10197484/
https://www.ncbi.nlm.nih.gov/pubmed/37208780
http://dx.doi.org/10.1186/s13756-023-01253-9
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