Preventing Hospital Acquired Infections through a Workflow-based Cyber-physical System

Maria Iuliana Bocicor, Arthur-Jozsef Molnar, Cristian Taslitchi

Abstract

Hospital acquired infections (HAI) are infections acquired within the hospital from healthcare workers, patients or from the environment, but which have no connection to the initial reason for the patient’s hospital admission. HAI are a serious world-wide problem, leading to an increase in mortality rates, duration of hospitalisation as well as significant economic burden on hospitals. Although clear preventive guidelines exist, studies show that compliance to them is frequently poor. This paper details the software perspective for an innovative, business process software based cyber-physical system that will be implemented as part of a European Union-funded research project. The system is composed of a network of sensors mounted in different sites around the hospital, a series of wearables used by the healthcare workers and a server side workflow engine. For better understanding, we describe the system through the lens of a single, simple clinical workflow that is responsible for a significant portion of all hospital infections. The goal is that when completed, the system will be configurable in the sense of facilitating the creation and automated monitoring of those clinical workflows that when combined, account for over 90% of hospital infections.

References

  1. Australian Commission on Safety and Quality in Health Care (2008). Reducing harm to patients from health care associated infection: the role of surveillance.
  2. BIOVIGIL Healthcare Systems, Inc. (2015). Biovigil and our team. http://www.biovigilsystems.com/about/. Accessed: 2015-12-02.
  3. Canadian Union of Public Employees (2014). Health care associated infections: backgrounder and fact sheet. http://cupe.ca/health-care-associated-infectionsbackgrounder-and-fact-sheet. Accessed: 2016-01-07.
  4. Coello, R., Glenister, H., Fereres, J., Bartlett, C., Leigh, D., Sedgwick, J., and Cooke, E. (1993). The cost of infection in surgical patients: a case-control study. Journal of Hospital Infections, 25:239-250.
  5. Curtis, D., Hlady, C., Kanade, G., Pemmaraju, S., Polgreen, P., and Segre, A. (2013). Healthcare worker contact networks and the prevention of hospitalacquired infections. Plos One. DOI: 10.1371/journal.pone.0079906.
  6. European Centre for Disease Prevention and Control (2015). Annual epidemiological report. antimicrobial resistance and healthcare-associated infections. 2014. http://ecdc.europa.eu/en/publications/Publications/ antimicrobial-resistance-annual-epidemiologicalreport.pdf. Accessed: 2016-01-06.
  7. Excelion Technology Inc. (2013). Accreditrack. http:// www.exceliontech.com/accreditrack.html. Accessed: 2015-12-04.
  8. General Sensing (2014). Medsense clear. hand hygiene compliance monitoring. http:// www.generalsensing.com/medsenseclear/. Accessed: 2015-12-11.
  9. Government of Newfoundland and Labrador. Department of Health and Community Services (2013). Hai report 2009-2012. http://www.health.gov.nl.ca/health/ publichealth/cdc/hai/hai 2012.pdf. Accessed: 2016- 01-07.
  10. Hammer, S. (2013). Hand washing: Reducing nosocomial infections. http://iwsp.human.cornell.edu/files/ 2013/09/Hand-Washing-Reducing-NosocomialInfections-2j1mlfb.pdf. Accessed: 2016-01-06.
  11. Health Level Seven International (2016). Hl7 version 3 product suite. https://www.hl7.org/implement/ standards/product brief.cfm?product id=186. Accessed: 2016-01-07.
  12. Hyginex (2015). Introducing hyginex generation 3. http:// www.hyginex.com/. Accessed: 2015-12-04.
  13. Magill, S. S. and et al., J. R. E. (2014). Multistate pointprevalence survey of health careassociated infections. The New England Journal of Medicine, 370:1198- 1208. DOI: 10.1056/NEJMoa1306801.
  14. M.L., L., A., A., and G., M. (2015). The burden of healthcare-associated infections in southeast asia: A systematic literature review and meta-analysis. Clinical Infectious Diseases, 60:1690-9. DOI: 10.1093/cid/civ095. and notation. http://www.bpmn.org/. Accessed: 2016- 01-07.
  15. Philips (2015). Protocolwatch - ssc sepsis. http:// www.healthcare.philips.com/main/products/patient monitoring/products/protocol watch/. Accessed: 2015-11-25.
  16. Plowman, R. (2000). The socioeconomic burden of hospital acquired infection. Eurosurveillance, 5.
  17. RL Solutions (2015). The rl6 suite / infection surveillance. http://www.rlsolutions.com/rl-products/infectionsurveillance. Accessed: 2015-12-02.
  18. Ryan, J. (2013). Medtech profiles: Intelligentm a simple yet powerful app to dramatically reduce hospital-acquired infections. https://medtechboston. medstro.com/profiles-intelligentm/. Accessed: 2015- 12-02.
  19. Shhedi, Z. A., Moldoveanu, A., Moldoveanu, F., and Taslitchi, C. (2015). Real-time hand hygiene monitoring system for hai prevention. In The 5th IEEE International Conference on E-Health and Bioengineering - EHB 2015, Grigore T. Popa University of Medicine and Pharmacy, Iai, Romania.
  20. Simonette, M. (2013). Tech solutions to hospital acquired infections. http://www.healthbizdecoded.com/2013/ 06/tech-solutions-to-hospital-acquired-infections/. Accessed: 2015-12-03.
  21. Surviving Sepsis Campaign (2012). International guidelines for management of severe sepsis and septic shock: 2012. http://www.sccm.org/Documents/ SSC-Guidelines.pdf. Accessed: 2015-11-25.
  22. Swipe Sense (2015). Hand hygiene. redefined. https:// www.swipesense.com/. Accessed: 2015-12-04.
  23. Tikhomirov, E. (1987). Who programme for the control of hospital infections. Chemioterapia, 6:148-151.
  24. World Health Organization (2002). Prevention of hospital-acquired infections - a practical guide. http://www.who.int/csr/resources/publications/ whocdscsreph200212.pdf. Accessed: 2015-11-25.
  25. World Health Organization (2009). WHO guidelines on hand hygiene in health care. http://apps.who.int/iris/ bitstream/10665/44102/1/9789241597906 eng.pdf. Accessed: 2016-01-06.
  26. World Health Organization (2010). The burden of health care-associated infection worldwide. http://www.who.int/gpsc/country work/summary 20100430 en.pdf. Accessed: 2016-01-07.
  27. World Health Organization (2016). Clean care is safer care - vfie moments for hand hygiene. http://www.who.int/ gpsc/tools/Five moments/en/. Accessed: 2016-01-07.
  28. Xenex (2015). Xenex germ-zapping robots. http:// www.xenex.com/. Accessed: 2015-12-11.
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Paper Citation


in Harvard Style

Bocicor M., Molnar A. and Taslitchi C. (2016). Preventing Hospital Acquired Infections through a Workflow-based Cyber-physical System . In Proceedings of the 11th International Conference on Evaluation of Novel Software Approaches to Software Engineering - Volume 1: ENASE, ISBN 978-989-758-189-2, pages 63-68. DOI: 10.5220/0005916900630068


in Bibtex Style

@conference{enase16,
author={Maria Iuliana Bocicor and Arthur-Jozsef Molnar and Cristian Taslitchi},
title={Preventing Hospital Acquired Infections through a Workflow-based Cyber-physical System},
booktitle={Proceedings of the 11th International Conference on Evaluation of Novel Software Approaches to Software Engineering - Volume 1: ENASE,},
year={2016},
pages={63-68},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0005916900630068},
isbn={978-989-758-189-2},
}


in EndNote Style

TY - CONF
JO - Proceedings of the 11th International Conference on Evaluation of Novel Software Approaches to Software Engineering - Volume 1: ENASE,
TI - Preventing Hospital Acquired Infections through a Workflow-based Cyber-physical System
SN - 978-989-758-189-2
AU - Bocicor M.
AU - Molnar A.
AU - Taslitchi C.
PY - 2016
SP - 63
EP - 68
DO - 10.5220/0005916900630068