Closing the Loop by Operationalizing Systems Engineering and Design (CLOSED)
Motivation:
Specific Aims :
Aim 1:​Use systems engineering and patient engagement to design, develop, and refine a highly reliable “closed loop” system for diagnostic tests and referrals that ensures diagnostic orders and follow-up occur reliably within clinically- and patient-important time-frames.
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Aim 2: Use systems engineering and patient engagement to design, develop, and refine a highly reliable “closed loop” system for symptoms that ensures clinicians receive and act on feedback about evolving symptoms and physical findings of concern to patients or clinicians.
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Aim 3: Design for generalizability across health systems more broadly so that the processes created in Aims 1 and 2 are effective in (1) a practice in an underserved community, (2) a large tele-medicine system, and (3) a representative range of simulated other health system settings and populations.
Partners:
Sunday, June 2, 2019
Sunday, June 2, 2019
Approach:
Sunday, June 2, 2019
Results to Date:
Research >> Surgical Site Infection Reduction >> SSI C. Diff
SSI Clostridium Difficile
About
C. difficile is a common hospital-acquired bacterial infection which spreads through contact with contaminated surfaces. It causes 500,000 infections and 29,000 deaths per year in the United States, and costs up to $4.8 billion annually in excess healthcare costs. Due to emergence of resistant strains of bacteria, C. difficile-related deaths have increased 400% between 2000-2007. Rigorous surveillance and early detection of outbreaks could save both lives and money. Previous SPC surveillance work at HSyE has focused on surgical site infections (SSIs), and has demonstrated that optimized SPC methods can detect SSI outbreaks with high accuracy. Using these findings we are now conducting preliminary explorations of optimizing SPC charts for C. difficile.
Aim
To investigate the use of such optimized SPC methods to monitor and detect C. difficile infection outbreaks.
Partners & Research Team
From the Duke Center for Antimicrobial Stewardship and Infection Prevention:
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Deverick Anderson, MD, MPH
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Arthur Baker, MD, MPH
From the Healthcare Systems Engineering Institute:
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Postdoctoral Fellow: Iulian Ilies, PhD
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Undergraduate Students: Nathan Holler, Nicole Nehls, Erin Joyce
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Project Manager: Margo Jacobsen
Results
Poster accepted to the 2018 Society for Health Systems (SHS) Health System Process Improvement Conference. More results will be available as projects are finished.