Use of a regional health information exchange to detect crossover of patients with MRSA between urban hospitals.
BACKGROUND
A significant portion of patients already known to be colonized or infected with Methicillin-Resistant Staphylococcus aureus (MRSA) may not be identified at admission by neighboring hospitals.


METHODS
We utilized data from a Regional Health Information Exchange to assess the frequency that patients known to have MRSA at one healthcare system are admitted to a neighboring healthcare system unaware of their MRSA status. We conducted a retrospective, registry trial from January 1999 through January 2006 involving three healthcare systems in central Indianapolis, representing six hospitals.


RESULTS
Over one year, 286 unique patients generated 587 admissions accounting for 4,335 inpatient days where the receiving hospital was not aware of the prior history of MRSA. The patients accounted for an additional 10% of MRSA admissions received by study hospitals over one year and over 3,600 inpatient days without contact isolation.


CONCLUSIONS
Information exchange could improve timely identification of known MRSA patients within an urban setting.
Kho
Abel N
AN
Northwestern University, Division of General Internal Medicine, Affiliated Scientist, Regenstrief Institute, Inc., Chicago, IL 60611, USA. abel.kho@nmff.org
Lemmon
Larry
L
Commiskey
Marie
M
Wilson
Stephen J
SJ
McDonald
Clement J
CJ
D003428:Cross Infection / Q000517:prevention & control; D006786:Hospitals, Urban; D006801:Humans; D008498:Medical Record Linkage; D016106:Methicillin Resistance; D012042:Registries; D012189:Retrospective Studies; D013203:Staphylococcal Infections / Q000453:epidemiology*; D013211:Staphylococcus aureus