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  1. Article ; Online: Computer Informatics for Infection Control.

    Lin, Michael Y / Trick, William E

    Infectious disease clinics of North America

    2021  Volume 35, Issue 3, Page(s) 755–769

    Abstract: Computer informatics have the potential to improve infection control outcomes in surveillance, prevention, and public health. Surveillance activities include surveillance of infections, device use, and facility/ward outbreak detection and investigation. ... ...

    Abstract Computer informatics have the potential to improve infection control outcomes in surveillance, prevention, and public health. Surveillance activities include surveillance of infections, device use, and facility/ward outbreak detection and investigation. Prevention activities include awareness of multidrug-resistant organism carriage on admission, identification of high-risk individuals or populations, reducing device use, and antimicrobial stewardship. Enhanced communication with public health and other health care facilities across networks includes automated electronic communicable disease reporting, syndromic surveillance, and regional outbreak detection. Computerized public health networks may represent the next major evolution in infection control. This article reviews the use of informatics for infection control.
    MeSH term(s) Computers ; Disease Outbreaks/prevention & control ; Humans ; Infection Control/methods ; Medical Informatics ; Public Health ; Public Health Surveillance
    Language English
    Publishing date 2021-07-02
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1077676-x
    ISSN 1557-9824 ; 0891-5520
    ISSN (online) 1557-9824
    ISSN 0891-5520
    DOI 10.1016/j.idc.2021.04.010
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  2. Article ; Online: Author response: Quantifying healthcare-acquired coronavirus disease 2019 (COVID-19) in hospitalized patients: A closer look.

    Trick, William E / Santos, Carlos A Q / Welbel, Sharon / Tseng, Marion / Zhang, Huiyuan / Donceras, Onofre / Martinez, Ashley I / Lin, Michael Y

    Infection control and hospital epidemiology

    2023  Volume 44, Issue 5, Page(s) 854–855

    MeSH term(s) Humans ; COVID-19 ; SARS-CoV-2 ; Patients ; Health Facilities ; Delivery of Health Care
    Language English
    Publishing date 2023-04-27
    Publishing country United States
    Document type Letter ; Research Support, U.S. Gov't, P.H.S. ; Comment
    ZDB-ID 639378-0
    ISSN 1559-6834 ; 0195-9417 ; 0899-823X
    ISSN (online) 1559-6834
    ISSN 0195-9417 ; 0899-823X
    DOI 10.1017/ice.2023.44
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  3. Article ; Online: Spatial, Ecologic, and Clinical Epidemiology of Community-Onset, Ceftriaxone-Resistant Enterobacteriaceae, Cook County, Illinois, USA.

    Sardá, Vanessa / Trick, William E / Zhang, Huiyuan / Schwartz, David N

    Emerging infectious diseases

    2021  Volume 27, Issue 8, Page(s) 2127–2134

    Abstract: We performed a spatial and mixed ecologic study of community-onset Enterobacteriaceae isolates collected from a public healthcare system in Cook County, Illinois, USA. Individual-level data were collected from the electronic medical record and census ... ...

    Abstract We performed a spatial and mixed ecologic study of community-onset Enterobacteriaceae isolates collected from a public healthcare system in Cook County, Illinois, USA. Individual-level data were collected from the electronic medical record and census tract-level data from the US Census Bureau. Associations between individual- and population-level characteristics and presence of ceftriaxone resistance were determined by logistic regression analysis. Spatial analysis confirmed nonrandom distribution of ceftriaxone resistance across census tracts, which was associated with higher percentages of Hispanic, foreign-born, and uninsured residents. Individual-level analysis showed that ceftriaxone resistance was associated with male sex, an age range of 35-85 years, race or ethnicity other than non-Hispanic Black, inpatient encounter, and percentage of foreign-born residents in the census tract of isolate provenance. Our findings suggest that the likelihood of community-onset ceftriaxone resistance in Enterobacteriaceae is influenced by geographic and population-level variables. The development of effective mitigation strategies might depend on better accounting for these factors.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Anti-Bacterial Agents/pharmacology ; Anti-Bacterial Agents/therapeutic use ; Ceftriaxone/pharmacology ; Enterobacteriaceae ; Hispanic or Latino ; Humans ; Illinois/epidemiology ; Male ; Middle Aged
    Chemical Substances Anti-Bacterial Agents ; Ceftriaxone (75J73V1629)
    Language English
    Publishing date 2021-07-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1380686-5
    ISSN 1080-6059 ; 1080-6040
    ISSN (online) 1080-6059
    ISSN 1080-6040
    DOI 10.3201/eid2708.204235
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  4. Article ; Online: Decision making during healthcare-associated infection surveillance: a rationale for automation.

    Trick, William E

    Clinical infectious diseases : an official publication of the Infectious Diseases Society of America

    2013  Volume 57, Issue 3, Page(s) 434–440

    Abstract: Attention to healthcare-associated infections has increased, in part due to legislative mandates for monitoring infections and federal payment policies. Current systems, which rely on considerable human involvement in finding and interpreting whether ... ...

    Abstract Attention to healthcare-associated infections has increased, in part due to legislative mandates for monitoring infections and federal payment policies. Current systems, which rely on considerable human involvement in finding and interpreting whether clinical events represent infection, can lead to biased institutional rankings. Relying on individuals employed by reporting institutions in an environment in which reporting healthcare-associated infections can be associated with punitive consequences is suboptimal. Cognitive psychology literature leads us to expect underreporting, economic theory suggests that underreporting will increase over time, and statistical theory indicates that there is a ceiling on reliability. With current systems, infection rates are likely to decline without meaningful improvement in practices. Fortunately, development of reliable and objective definitions and automated processes for infection determination has accelerated. Transition to such systems will be challenging; however, the result will be more valid interfacility comparisons.
    MeSH term(s) Automation/methods ; Cross Infection/epidemiology ; Decision Making ; Epidemiological Monitoring ; Health Facilities ; Humans
    Language English
    Publishing date 2013-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1099781-7
    ISSN 1537-6591 ; 1058-4838
    ISSN (online) 1537-6591
    ISSN 1058-4838
    DOI 10.1093/cid/cit249
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  5. Article ; Online: DiapHRaGM: A mnemonic to describe the work of breathing in patients with respiratory failure.

    Tulaimat, Aiman / Trick, William E

    PloS one

    2017  Volume 12, Issue 7, Page(s) e0179641

    Abstract: Background: The assessment of the work of breathing in the definitions of respiratory failure is vague and variable.: Objective: Identify a parsimonious set of signs to describe the work of breathing in hypoxemic, acutely ill patients.: Methods: ... ...

    Abstract Background: The assessment of the work of breathing in the definitions of respiratory failure is vague and variable.
    Objective: Identify a parsimonious set of signs to describe the work of breathing in hypoxemic, acutely ill patients.
    Methods: We examined consecutive medical ICU patients receiving oxygen with a mask, non-invasive ventilation, or T-piece. A physician inspected each patient for 10 seconds, rated the level of respiratory distress, and then examined the patient for vital signs and 17 other physical signs. We used the rating of distress as a surrogate for measuring the work of breathing, constructed three multivariate models to identify the one with the smallest number of signs and largest explained variance, and validated it with bootstrap analysis.
    Results: We performed 402 observations on 240 patients. Respiratory distress was absent in 78, mild in 157, moderate in 107, and severe in 60. Respiratory rate, hypoxia, heart rate, and frequency of most signs increased as distress increased. Respiratory rate and hypoxia explained 43% of the variance in respiratory distress. Diaphoresis, gasping, and contraction of the sternomastoid explained an additional 28%. Heart rate, blood pressure, alertness, agitation, body posture, nasal flaring, audible breathing, cyanosis, tracheal tug, retractions, paradox, scalene or abdominal muscles contraction did not increase the explained variance in respiratory distress.
    Conclusion: Most of the variance is respiratory distress can be explained by five signs summarized by the mnemonic DiapHRaGM (diaphoresis, hypoxia, respiratory rate, gasping, accessory muscle). This set of signs may allow for efficient, standardized assessments of the work of breathing of hypoxic patients.
    MeSH term(s) Humans ; Intensive Care Units ; Respiratory Insufficiency/physiopathology ; Work of Breathing
    Language English
    Publishing date 2017-07-03
    Publishing country United States
    Document type Journal Article ; Validation Study
    ISSN 1932-6203
    ISSN (online) 1932-6203
    DOI 10.1371/journal.pone.0179641
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  6. Article ; Online: Spatial, Ecologic, and Clinical Epidemiology of Community-Onset, Ceftriaxone-Resistant Enterobacteriaceae, Cook County, Illinois, USA

    Vanessa Sardá / William E. Trick / Huiyuan Zhang / David N. Schwartz

    Emerging Infectious Diseases, Vol 27, Iss 8, Pp 2127-

    2021  Volume 2134

    Abstract: We performed a spatial and mixed ecologic study of community-onset Enterobacteriaceae isolates collected from a public healthcare system in Cook County, Illinois, USA. Individual-level data were collected from the electronic medical record and census ... ...

    Abstract We performed a spatial and mixed ecologic study of community-onset Enterobacteriaceae isolates collected from a public healthcare system in Cook County, Illinois, USA. Individual-level data were collected from the electronic medical record and census tract–level data from the US Census Bureau. Associations between individual- and population-level characteristics and presence of ceftriaxone resistance were determined by logistic regression analysis. Spatial analysis confirmed nonrandom distribution of ceftriaxone resistance across census tracts, which was associated with higher percentages of Hispanic, foreign-born, and uninsured residents. Individual-level analysis showed that ceftriaxone resistance was associated with male sex, an age range of 35–85 years, race or ethnicity other than non-Hispanic Black, inpatient encounter, and percentage of foreign-born residents in the census tract of isolate provenance. Our findings suggest that the likelihood of community-onset ceftriaxone resistance in Enterobacteriaceae is influenced by geographic and population-level variables. The development of effective mitigation strategies might depend on better accounting for these factors.
    Keywords Enterobacteriaceae ; Escherichia coli ; ceftriaxone-resistance ; antimicrobial resistance ; bacteria ; bacterial infections ; Medicine ; R ; Infectious and parasitic diseases ; RC109-216
    Language English
    Publishing date 2021-08-01T00:00:00Z
    Publisher Centers for Disease Control and Prevention
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Joining Health Care and Homeless Data Systems Using Privacy-Preserving Record-Linkage Software.

    Trick, William E / Hill, Jennifer C / Toepfer, Peter / Rachman, Fred / Horwitz, Beth / Kho, Abel

    American journal of public health

    2021  Volume 111, Issue 8, Page(s) 1400–1403

    MeSH term(s) Confidentiality ; Continuity of Patient Care ; Electronic Health Records ; Ill-Housed Persons ; Humans ; Medical Record Linkage ; Software
    Language English
    Publishing date 2021-08-30
    Publishing country United States
    Document type Editorial ; Research Support, Non-U.S. Gov't
    ZDB-ID 121100-6
    ISSN 1541-0048 ; 0090-0036 ; 0002-9572
    ISSN (online) 1541-0048
    ISSN 0090-0036 ; 0002-9572
    DOI 10.2105/AJPH.2021.306304
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  8. Article ; Online: Informatics in Infection Control.

    Lin, Michael Y / Trick, William E

    Infectious disease clinics of North America

    2016  Volume 30, Issue 3, Page(s) 759–770

    Abstract: Informatics tools are becoming integral to routine infection control activities. Informatics has the potential to improve infection control outcomes in surveillance, prevention, and connections with public health. Surveillance activities include fully or ...

    Abstract Informatics tools are becoming integral to routine infection control activities. Informatics has the potential to improve infection control outcomes in surveillance, prevention, and connections with public health. Surveillance activities include fully or semiautomated surveillance of infections, surveillance of device use, and hospital/ward outbreak investigation. Prevention activities include awareness of multidrug-resistant organism carriage on admission, enhanced interfacility communication, identifying inappropriate infection precautions, reducing device use, and antimicrobial stewardship. Public health activities include electronic communicable disease reporting, syndromic surveillance, and regional outbreak detection. The challenge for infection control personnel is in translating the knowledge gained from electronic surveillance systems into action.
    MeSH term(s) Humans ; Infection Control ; Medical Informatics ; Public Health Surveillance
    Language English
    Publishing date 2016
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1077676-x
    ISSN 1557-9824 ; 0891-5520
    ISSN (online) 1557-9824
    ISSN 0891-5520
    DOI 10.1016/j.idc.2016.04.011
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  9. Article ; Online: DiapHRaGM

    Aiman Tulaimat / William E Trick

    PLoS ONE, Vol 12, Iss 7, p e

    A mnemonic to describe the work of breathing in patients with respiratory failure.

    2017  Volume 0179641

    Abstract: Background The assessment of the work of breathing in the definitions of respiratory failure is vague and variable. Objective Identify a parsimonious set of signs to describe the work of breathing in hypoxemic, acutely ill patients. Methods We examined ... ...

    Abstract Background The assessment of the work of breathing in the definitions of respiratory failure is vague and variable. Objective Identify a parsimonious set of signs to describe the work of breathing in hypoxemic, acutely ill patients. Methods We examined consecutive medical ICU patients receiving oxygen with a mask, non-invasive ventilation, or T-piece. A physician inspected each patient for 10 seconds, rated the level of respiratory distress, and then examined the patient for vital signs and 17 other physical signs. We used the rating of distress as a surrogate for measuring the work of breathing, constructed three multivariate models to identify the one with the smallest number of signs and largest explained variance, and validated it with bootstrap analysis. Results We performed 402 observations on 240 patients. Respiratory distress was absent in 78, mild in 157, moderate in 107, and severe in 60. Respiratory rate, hypoxia, heart rate, and frequency of most signs increased as distress increased. Respiratory rate and hypoxia explained 43% of the variance in respiratory distress. Diaphoresis, gasping, and contraction of the sternomastoid explained an additional 28%. Heart rate, blood pressure, alertness, agitation, body posture, nasal flaring, audible breathing, cyanosis, tracheal tug, retractions, paradox, scalene or abdominal muscles contraction did not increase the explained variance in respiratory distress. Conclusion Most of the variance is respiratory distress can be explained by five signs summarized by the mnemonic DiapHRaGM (diaphoresis, hypoxia, respiratory rate, gasping, accessory muscle). This set of signs may allow for efficient, standardized assessments of the work of breathing of hypoxic patients.
    Keywords Medicine ; R ; Science ; Q
    Subject code 610
    Language English
    Publishing date 2017-01-01T00:00:00Z
    Publisher Public Library of Science (PLoS)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article: When quality improvement with clinical decision support becomes iatrogenesis.

    Patel, Sanjay A / Trick, William E / Parra-Rodriguez, Luis

    British journal of hospital medicine (London, England : 2005)

    2018  Volume 79, Issue 7, Page(s) 412–413

    MeSH term(s) Compartment Syndromes/diagnosis ; Compartment Syndromes/etiology ; Decision Support Systems, Clinical ; Female ; Humans ; Iatrogenic Disease ; Intermittent Pneumatic Compression Devices/adverse effects ; International Normalized Ratio ; Middle Aged ; Quality Improvement ; Venous Thromboembolism/prevention & control
    Language English
    Publishing date 2018-07-11
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1750-8460
    ISSN 1750-8460
    DOI 10.12968/hmed.2018.79.7.412
    Database MEDical Literature Analysis and Retrieval System OnLINE

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