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Interfacility transfer communication of multidrug-resistant organism colonization or infection status: Practices and barriers in the acute-care setting

Part of: SHEA Research Network Collection

Published online by Cambridge University Press:  16 April 2021

Katherine D. Ellingson ,
Brie N. Noble ,
Genevieve L. Buser ,
Graham M. Snyder ,
Jessina C. McGregor ,
Clare Rock ,
Teena Chopra ,
Lona Mody ,
Jon P. Furuno Open the ORCID record for Jon P. Furuno [Opens in a new window]  and
SHEA Research Committee
Katherine D. Ellingson
Affiliation:
Department of Epidemiology and Biostatistics, The University of Arizona College of Public Health, Tucson, Arizona
Brie N. Noble
Affiliation:
Department of Pharmacy Practice, Oregon State University College of Pharmacy, Portland, Oregon
Genevieve L. Buser
Affiliation:
Pediatric Infectious Diseases, Providence St Vincent Medical Center, Portland, Oregon
Graham M. Snyder
Affiliation:
Division of Infectious Diseases, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
Jessina C. McGregor
Affiliation:
Department of Pharmacy Practice, Oregon State University College of Pharmacy, Portland, Oregon
Clare Rock
Affiliation:
Division of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland
Teena Chopra
Affiliation:
Division of Infectious Diseases, Detroit Medical Center and Wayne State University, Detroit, Michigan
Lona Mody
Affiliation:
Geriatric Research Education and Clinical Center, Ann Arbor Veteran Affairs Healthcare System, Ann Arbor, Michigan Division of Geriatric and Palliative Medicine, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan
Jon P. Furuno*
Affiliation:
Department of Pharmacy Practice, Oregon State University College of Pharmacy, Portland, Oregon
*
Author for correspondence: Jon P. Furuno, E-mail: furuno@ohsu.edu
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Abstract

Objective:

To describe interfacility transfer communication (IFTC) methods for notification of multidrug-resistant organism (MDRO) status in a diverse sample of acute-care hospitals.

Design:

Cross-sectional survey.

Participants:

Hospitals within the Society for Healthcare Epidemiology of America (SHEA) Research Network (SRN).

Methods:

SRN members completed an electronic survey on protocols and methods for IFTC. We assessed differences in IFTC frequency, barriers, and perceived benefit by presence of an IFTC protocol.

Results:

Among 136 hospital representatives who were sent the survey, 54 (40%) responded, of whom 72% reported having an IFTC protocol in place. The presence of a protocol did not differ significantly by hospital size, academic affiliation, or international status. Of those with IFTC protocols, 44% reported consistent notification of MDRO status (>75% of the time) to receiving facilities, as opposed to 13% from those with no IFTC protocol (P = .04). Respondents from hospitals with IFTC protocols reported significantly fewer barriers to communication compared to those without (2.8 vs 4.3; P = .03). Overall, however, most respondents (56%) reported a lack of standardization in communication. Presence of an IFTC protocol did not affect whether respondents perceived IFTC protocols as having a significant impact on infection prevention or antimicrobial stewardship.

Conclusions:

Most respondents reported having an IFTC protocol, which was associated with reduced communication barriers at transfer. Standardization of protocols and clarity about expectations for sending and receipt of information related to MDRO status may facilitate IFTC and promote appropriate and timely infection prevention practices.

Type
Original Article
Information
Infection Control & Hospital Epidemiology , Volume 43 , Issue 4 , April 2022 , pp. 448 - 453
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Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

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