The design and evaluation of an antimicrobial resistance surveillance system for neonatal intensive care units in Iran

The design and evaluation of an antimicrobial resistance surveillance system for neonatal intensive care units in Iran


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دانشگاه علوم پزشکی تبریز
دانشگاه علوم پزشکی تبریز

نویسندگان: پیمان رضایی , طاها صمدسلطانی , کیوان میرنیا

کلمات کلیدی: Drug resistance; Microbial; Surveillance; Iran; Informatics; Neonatal

نشریه: 55247 , 1 , 115 , 2018

اطلاعات کلی مقاله
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نویسنده ثبت کننده مقاله طاها صمدسلطانی
مرحله جاری مقاله تایید نهایی
دانشکده/مرکز مربوطه دانشکده مدیریت و اطلاع رسانی پزشکی
کد مقاله 62749
عنوان فارسی مقاله The design and evaluation of an antimicrobial resistance surveillance system for neonatal intensive care units in Iran
عنوان لاتین مقاله The design and evaluation of an antimicrobial resistance surveillance system for neonatal intensive care units in Iran
ناشر 7
آیا مقاله از طرح تحقیقاتی و یا منتورشیپ استخراج شده است؟ خیر
عنوان نشریه (خارج از لیست فوق)
نوع مقاله Original Article
نحوه ایندکس شدن مقاله ایندکس شده سطح یک – ISI - Web of Science
آدرس لینک مقاله/ همایش در شبکه اینترنت

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Introduction Neonatal intensive care units (NICUs) have complex patients in terms of their diagnoses and required treatments. Antimicrobial treatment is a common therapy for patients in NICUs. To solve problems pertaining to empirical therapy, antimicrobial stewardship programs have recently been introduced. Despite the success of these programs in terms of data collection, there is still inefficiency in terms of analyzing and reporting the data. Thus, to successfully implement these stewardship programs, the design of antimicrobial resistance (AMR) surveillance systems is recommended as a first step. As a result, this study aimed to design an AMR surveillance system for use in the NICUs in northwestern Iranian hospitals to cover these information gaps. Methods The recommended system is compatible with the World Health Organization (WHO) guidelines. The business intelligence (BI) requirements were extracted in an interview with a product owner (PO) using a valid and reliable checklist. Following this, an AMR surveillance system was designed and evaluated in relation to user experiences via a user experience questionnaire (UEQ). Finally, an association analysis was performed on the database, and the results were reported by identifying the important multidrug resistances in the database. Results A customized software development methodology was proposed. The three major modules of the AMR surveillance are the data registry, dashboard, and decision support modules. The data registry module was implemented based on a three-tier architecture, and the Clinical Decision Support System (CDSS) and dashboard modules were designed based on the BI requirements of the Scrum product owner (PO). The mean values of UEQ measures were in a good range. This measures showed the suitable usability of the AMR surveillance system. Conclusion Applying efficient software development methodologies allows for the systems’ compatibility with users’ opinions and requirements. In addition, the construction of interdisciplinary communication models for research and software engineering allows for research and development concepts to be used in operational environments.

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نویسنده نفر چندم مقاله
پیمان رضاییاول
طاها صمدسلطانیدوم
کیوان میرنیاپنجم

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