The rise in tuberculosis (TB) cases in the United States has highlighted the need for improved infection control measures in healthcare settings. Patients suspected of having TB require immediate isolation in specialized airborne infection isolation rooms to prevent disease transmission. However, determining when to safely discontinue isolation has been a challenge, affecting hospital capacity and clinical workflows.
To address this issue, a team at Massachusetts General Hospital (MGH) developed a TB risk scoring tool by analyzing past patient data. This tool, now integrated into the electronic health record under the name «TB or Not TB,» assists clinicians in making informed decisions about TB isolation. Once a patient’s TB evaluation is complete and results appear negative, the tool helps determine whether infection control precautions can be safely discontinued.
The implementation of «TB or Not TB» has significantly improved clinical efficiency and patient care. The tool has been rigorously validated and is now in use across all Mass General Brigham (MGB) sites. Analysis of TB evaluations over six years demonstrated that the tool correctly identified all TB-positive cases, ensuring continued isolation for those requiring it. Simultaneously, it flagged about 25% of cases as low risk, enabling earlier removal from isolation, which optimizes hospital resources and improves patient experience.
Beyond patient benefits, this tool alleviates the cognitive and administrative burden on clinicians, enhances clinician well-being, and supports hospital infection control teams in reducing unnecessary isolations. As a system-based solution, «TB or Not TB» represents a crucial advancement in balancing patient safety with hospital efficiency. Future steps include further refinement of the tool to expand its application in diverse healthcare settings and ensure continued improvements in infection prevention protocols.
Article written by Erica Shenony
29/01/2025
Source:
Massachusettts general Hospital
https://www.massgeneral.org/news/press-release/clinician-decision-support-tool-for-tuberculosis