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The use of information technology to improve interdisciplinary communication during infectious diseases ward rounds on the paediatric intensive care unit

Jef Willems (UGent) , Adeline Heyndrickx, Petra Schelstraete (UGent) , Bram Gadeyne (UGent) , Pieter De Cock (UGent) , Stien Vandendriessche (UGent) and Pieter Depuydt (UGent)
(2024) SCIENTIFIC REPORTS. 14(1).
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Abstract
Prospective audit with feedback during infectious diseases ward rounds (IDWR) is a common antimicrobial stewardship (AMS) practice on the Paediatric Intensive Care Unit (PICU). These interdisciplinary meetings rely on the quality of handover, with high risk of omission of information. We developed an electronic platform integrating infection-related patient data (COSARAPed). In the mixed PICU of a Belgian tertiary hospital we conducted an observational prospective cohort study comparing patient handovers during IDWRs using the COSARAPed-platform to those with access only to conventional resources. The quality of handover was investigated directly by assessment if the narrative was in accordance with Situation-Background-Assessment-Recommendation principles and if adequate demonstration of diagnostic information occurred, and also indirectly by registration if this was only achieved after intervention by the non-presenting AMS team members. We also recorded all AMS-recommendations. During a 6-month study period, 24 IDWRs and 82 patient presentations were assessed. We could only find a statistically significant advantage in favor of COSARAPed by indirect evaluation. We registered 92 AMS-recommendations, mainly resulting in reduced antibiotic pressure. We concluded that the IDWR is an appropriate platform for AMS on the PICU and that the utilisation of COSARAPed may enhance the quality of patient handover.
Keywords
IMPACT, SURVEILLANCE, SYSTEM

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MLA
Willems, Jef, et al. “The Use of Information Technology to Improve Interdisciplinary Communication during Infectious Diseases Ward Rounds on the Paediatric Intensive Care Unit.” SCIENTIFIC REPORTS, vol. 14, no. 1, 2024, doi:10.1038/s41598-024-51986-9.
APA
Willems, J., Heyndrickx, A., Schelstraete, P., Gadeyne, B., De Cock, P., Vandendriessche, S., & Depuydt, P. (2024). The use of information technology to improve interdisciplinary communication during infectious diseases ward rounds on the paediatric intensive care unit. SCIENTIFIC REPORTS, 14(1). https://doi.org/10.1038/s41598-024-51986-9
Chicago author-date
Willems, Jef, Adeline Heyndrickx, Petra Schelstraete, Bram Gadeyne, Pieter De Cock, Stien Vandendriessche, and Pieter Depuydt. 2024. “The Use of Information Technology to Improve Interdisciplinary Communication during Infectious Diseases Ward Rounds on the Paediatric Intensive Care Unit.” SCIENTIFIC REPORTS 14 (1). https://doi.org/10.1038/s41598-024-51986-9.
Chicago author-date (all authors)
Willems, Jef, Adeline Heyndrickx, Petra Schelstraete, Bram Gadeyne, Pieter De Cock, Stien Vandendriessche, and Pieter Depuydt. 2024. “The Use of Information Technology to Improve Interdisciplinary Communication during Infectious Diseases Ward Rounds on the Paediatric Intensive Care Unit.” SCIENTIFIC REPORTS 14 (1). doi:10.1038/s41598-024-51986-9.
Vancouver
1.
Willems J, Heyndrickx A, Schelstraete P, Gadeyne B, De Cock P, Vandendriessche S, et al. The use of information technology to improve interdisciplinary communication during infectious diseases ward rounds on the paediatric intensive care unit. SCIENTIFIC REPORTS. 2024;14(1).
IEEE
[1]
J. Willems et al., “The use of information technology to improve interdisciplinary communication during infectious diseases ward rounds on the paediatric intensive care unit,” SCIENTIFIC REPORTS, vol. 14, no. 1, 2024.
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  abstract     = {{Prospective audit with feedback during infectious diseases ward rounds (IDWR) is a common antimicrobial stewardship (AMS) practice on the Paediatric Intensive Care Unit (PICU). These interdisciplinary meetings rely on the quality of handover, with high risk of omission of information. We developed an electronic platform integrating infection-related patient data (COSARAPed). In the mixed PICU of a Belgian tertiary hospital we conducted an observational prospective cohort study comparing patient handovers during IDWRs using the COSARAPed-platform to those with access only to conventional resources. The quality of handover was investigated directly by assessment if the narrative was in accordance with Situation-Background-Assessment-Recommendation principles and if adequate demonstration of diagnostic information occurred, and also indirectly by registration if this was only achieved after intervention by the non-presenting AMS team members. We also recorded all AMS-recommendations. During a 6-month study period, 24 IDWRs and 82 patient presentations were assessed. We could only find a statistically significant advantage in favor of COSARAPed by indirect evaluation. We registered 92 AMS-recommendations, mainly resulting in reduced antibiotic pressure. We concluded that the IDWR is an appropriate platform for AMS on the PICU and that the utilisation of COSARAPed may enhance the quality of patient handover.}},
  articleno    = {{1657}},
  author       = {{Willems, Jef and Heyndrickx, Adeline and Schelstraete, Petra and Gadeyne, Bram and De Cock, Pieter and Vandendriessche, Stien and Depuydt, Pieter}},
  issn         = {{2045-2322}},
  journal      = {{SCIENTIFIC REPORTS}},
  keywords     = {{IMPACT,SURVEILLANCE,SYSTEM}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{7}},
  title        = {{The use of information technology to improve interdisciplinary communication during infectious diseases ward rounds on the paediatric intensive care unit}},
  url          = {{http://doi.org/10.1038/s41598-024-51986-9}},
  volume       = {{14}},
  year         = {{2024}},
}
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