Multihospital infection prevention collaborative: informatics challenges and strategies to prevent MRSA.

Bradley N. Doebbeling*, Mindy E. Flanagan, Glenna Nall, Shawn Hoke, Marc Rosenman, Abel Kho

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


We formed a collaborative to spread effective MRSA prevention strategies. We conducted a two-phase, multisite, quasi-experimental study of seven hospital systems (11 hospitals) in IN, MT, ME and Ontario, Canada over six years. Patients with prior MRSA were identified at admission using regional health information exchange data. We developed a system to return an alert message indicating a prior history of MRSA, directed to infection preventionists and admissions. Alerts indicated the prior anatomic site, and the originating institution. The combined approach of training and coaching, implementation of MRSA registries, notifying hospitals on admission of previously infected or colonized patients, and change strategies was effective in reducing MRSA infections over 80%. Further research and development of electronic surveillance tools is needed to better integrate the varied data source and support preventing MRSA infections. Our study supports the importance of hospitals collaborating to share data and implement effective strategies to prevent MRSA.

Original languageEnglish (US)
Pages (from-to)317-325
Number of pages9
JournalAMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
StatePublished - 2013

ASJC Scopus subject areas

  • General Medicine


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