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Updated: Aug 1, 2025

Safety Precautions and Operating Procedures in an ABSL-4 Laboratory: 3. Aerobiology
Published on: October 3, 2016
Healthcare personnel interactive pathogen exposure response system
Leigh L Smith1,2, Susan A Fallon2, Zunaira Q Virk1
1Division of Infectious Diseases, Johns Hopkins University School of Medicine, Baltimore, Maryland.
We created an electronic health record (EHR) algorithm to track healthcare personnel (HCP) interactions, improving accuracy and efficiency over traditional methods. This tool successfully identified all known transmissions, generating a practical contact list for exposure investigations.
Area of Science:
- Healthcare informatics
- Infectious disease epidemiology
- Health data analytics
Background:
- Traditional exposure investigations for healthcare-associated infections are resource-intensive.
- These methods are prone to recall bias, potentially compromising accuracy.
- Efficient identification of healthcare personnel (HCP) interactions is crucial for infection control.
Purpose of the Study:
- To develop and evaluate an algorithm for identifying HCP interactions using electronic health records (EHR).
- To compare the accuracy of the EHR-based algorithm against conventional exposure investigation methods.
- To assess the feasibility of using EHR data for generating manageable contact lists.
Main Methods:
- Development of a novel algorithm to extract HCP interaction data from EHR systems.
- Validation of the algorithm's performance by comparing its findings with established exposure investigation protocols.
- Implementation of a ranking system within the algorithm to prioritize and manage identified contacts.
Main Results:
- The EHR-based algorithm accurately identified all known transmission events.
- The algorithm successfully generated a manageable list of contacts, reducing the burden of traditional investigations.
- The developed system demonstrated superior efficiency and accuracy compared to conventional methods.
Conclusions:
- An EHR-based algorithm offers a more accurate and efficient approach to identifying HCP interactions for exposure investigations.
- This technology can significantly mitigate the labor intensity and recall bias associated with traditional methods.
- The algorithm provides a scalable solution for contact tracing in healthcare settings.
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