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COSARA: integrated service platform for infection surveillance and antibiotic management in the ICU

Kristof Steurbaut (UGent) , Kirsten Colpaert (UGent) , Bram Gadeyne (UGent) , Pieter Depuydt (UGent) , Peter Vosters (UGent) , Christian Danneels (UGent) , Dominique Benoit (UGent) , Johan Decruyenaere (UGent) and Filip De Turck (UGent)
(2012) JOURNAL OF MEDICAL SYSTEMS. 36(6). p.3765-3775
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Abstract
The Intensive Care Unit is a data intensive environment where large volumes of patient monitoring and observational data are daily generated. Today, there is a lack of an integrated clinical platform for automated decision support and analysis. Despite the potential of electronic records for infection surveillance and antibiotic management, different parts of the clinical data are stored across databases in their own formats with specific parameters, making access to all data a complex and time-consuming challenge. Moreover, the motivation behind physicians' therapy decisions is currently not captured in existing information systems. The COSARA research project offers automated data integration and services for infection control and antibiotic management for Ghent University Hospital. The platform not only gathers and integrates all relevant data, it also presents the information visually at the point of care. In this paper, we describe the design and value of COSARA for clinical treatment and infectious diseases monitoring. On the one hand, this platform can facilitate daily bedside follow-up of infections, antibiotic therapies and clinical decisions for the individual patient, while on the other hand, the platform serves as management view for infection surveillance and care quality improvement within the complete ICU ward. It is shown that COSARA is valuable for registration, real-time presentation and management of infection-related and antibiotics data.
Keywords
CLINICAL-DATA WAREHOUSE, DESIGN, Service-oriented architecture, Data integration, Intensive care unit, Antibiotic management, Infection surveillance, DECISION-SUPPORT, IBCN

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MLA
Steurbaut, Kristof, Kirsten Colpaert, Bram Gadeyne, et al. “COSARA: Integrated Service Platform for Infection Surveillance and Antibiotic Management in the ICU.” JOURNAL OF MEDICAL SYSTEMS 36.6 (2012): 3765–3775. Print.
APA
Steurbaut, K., Colpaert, K., Gadeyne, B., Depuydt, P., Vosters, P., Danneels, C., Benoit, D., et al. (2012). COSARA: integrated service platform for infection surveillance and antibiotic management in the ICU. JOURNAL OF MEDICAL SYSTEMS, 36(6), 3765–3775.
Chicago author-date
Steurbaut, Kristof, Kirsten Colpaert, Bram Gadeyne, Pieter Depuydt, Peter Vosters, Christian Danneels, Dominique Benoit, Johan Decruyenaere, and Filip De Turck. 2012. “COSARA: Integrated Service Platform for Infection Surveillance and Antibiotic Management in the ICU.” Journal of Medical Systems 36 (6): 3765–3775.
Chicago author-date (all authors)
Steurbaut, Kristof, Kirsten Colpaert, Bram Gadeyne, Pieter Depuydt, Peter Vosters, Christian Danneels, Dominique Benoit, Johan Decruyenaere, and Filip De Turck. 2012. “COSARA: Integrated Service Platform for Infection Surveillance and Antibiotic Management in the ICU.” Journal of Medical Systems 36 (6): 3765–3775.
Vancouver
1.
Steurbaut K, Colpaert K, Gadeyne B, Depuydt P, Vosters P, Danneels C, et al. COSARA: integrated service platform for infection surveillance and antibiotic management in the ICU. JOURNAL OF MEDICAL SYSTEMS. 2012;36(6):3765–75.
IEEE
[1]
K. Steurbaut et al., “COSARA: integrated service platform for infection surveillance and antibiotic management in the ICU,” JOURNAL OF MEDICAL SYSTEMS, vol. 36, no. 6, pp. 3765–3775, 2012.
@article{3081277,
  abstract     = {{The Intensive Care Unit is a data intensive environment where large volumes of patient monitoring and observational data are daily generated. Today, there is a lack of an integrated clinical platform for automated decision support and analysis. Despite the potential of electronic records for infection surveillance and antibiotic management, different parts of the clinical data are stored across databases in their own formats with specific parameters, making access to all data a complex and time-consuming challenge. Moreover, the motivation behind physicians' therapy decisions is currently not captured in existing information systems. The COSARA research project offers automated data integration and services for infection control and antibiotic management for Ghent University Hospital. The platform not only gathers and integrates all relevant data, it also presents the information visually at the point of care. In this paper, we describe the design and value of COSARA for clinical treatment and infectious diseases monitoring. On the one hand, this platform can facilitate daily bedside follow-up of infections, antibiotic therapies and clinical decisions for the individual patient, while on the other hand, the platform serves as management view for infection surveillance and care quality improvement within the complete ICU ward. It is shown that COSARA is valuable for registration, real-time presentation and management of infection-related and antibiotics data.}},
  author       = {{Steurbaut, Kristof and Colpaert, Kirsten and Gadeyne, Bram and Depuydt, Pieter and Vosters, Peter and Danneels, Christian and Benoit, Dominique and Decruyenaere, Johan and De Turck, Filip}},
  issn         = {{0148-5598}},
  journal      = {{JOURNAL OF MEDICAL SYSTEMS}},
  keywords     = {{CLINICAL-DATA WAREHOUSE,DESIGN,Service-oriented architecture,Data integration,Intensive care unit,Antibiotic management,Infection surveillance,DECISION-SUPPORT,IBCN}},
  language     = {{eng}},
  number       = {{6}},
  pages        = {{3765--3775}},
  title        = {{COSARA: integrated service platform for infection surveillance and antibiotic management in the ICU}},
  url          = {{http://dx.doi.org/10.1007/s10916-012-9849-8}},
  volume       = {{36}},
  year         = {{2012}},
}

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