Literature DB >> 31125399

Prescriber Behavior in Clostridioides difficile Testing: A 3-Hospital Diagnostic Stewardship Intervention.

Masako Mizusawa1, Bryce A Small2, Yea-Jen Hsu3, Sima L Sharara4, Edina Advic5, Christopher Kauffman6, Aaron M Milstone7,8,9, Leonard Feldman10,11, Amit K Pahwa10,11, Julie B Trivedi4,12, Mark B Landrum13, Lisa L Maragakis4,8,14, Karen C Carroll15, Sara E Cosgrove4,8,14, Clare Rock4,8,14.   

Abstract

Computerized clinical decision support (CCDS) significantly reduced Clostridioides difficile testing at 3 hospitals; from 12.6 to 9.5, from 10.1 to 6.4, and from 14.0 to 9.6 average weekly tests per 1000 inpatient days. There were no related adverse events. Senior providers were more likely than interns or residents to follow CCDS.
© The Author(s) 2019. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail: journals.permissions@oup.com.

Entities:  

Keywords:  zzm321990 C. difficilezzm321990 ; computerized clinical decision support; diagnostic stewardship intervention; provider behavior

Year:  2019        PMID: 31125399     DOI: 10.1093/cid/ciz295

Source DB:  PubMed          Journal:  Clin Infect Dis        ISSN: 1058-4838            Impact factor:   9.079


  6 in total

1.  The Role of Diagnostic Stewardship in Clostridioides difficile Testing: Challenges and Opportunities.

Authors:  Frances J Boly; Kimberly A Reske; Jennie H Kwon
Journal:  Curr Infect Dis Rep       Date:  2020-02-17       Impact factor: 3.725

2.  Patient Outcomes With Prevented vs Negative Clostridioides difficile Tests Using a Computerized Clinical Decision Support Tool.

Authors:  Gregory R Madden; Kyle B Enfield; Costi D Sifri
Journal:  Open Forum Infect Dis       Date:  2020-03-18       Impact factor: 3.835

3.  Impact of a division-wide bundle on hospital-acquired Clostridioides difficile cases, antibiotic days of therapy, testing appropriateness, and associated financial costs.

Authors:  Elizabeth Wenqian Wang; Ashlee Weekley; Jennifer McCarty; Hoonmo Koo; Bradley Lembcke; Mayar Al Mohajer
Journal:  Avicenna J Med       Date:  2021-01-05

4.  Impact of Statewide Prevention and Reduction of Clostridioides difficile (SPARC), a Maryland public health-academic collaborative: an evaluation of a quality improvement intervention.

Authors:  Clare Rock; Rebecca Perlmutter; David Blythe; Jacqueline Bork; Kimberly Claeys; Sara E Cosgrove; Kate Dzintars; Valeria Fabre; Anthony D Harris; Emily Heil; Yea-Jen Hsu; Sara Keller; Lisa L Maragakis; Aaron M Milstone; Daniel J Morgan; Prashila Dullabh; Petry S Ubri; Christina Rotondo; Richard Brooks; Surbhi Leekha
Journal:  BMJ Qual Saf       Date:  2021-12-09       Impact factor: 7.035

Review 5.  Interventions to optimize antimicrobial stewardship.

Authors:  Nick J Tinker; Rachel A Foster; Brandon J Webb; Souha Haydoura; Whitney R Buckel; Edward A Stenehjem
Journal:  Antimicrob Steward Healthc Epidemiol       Date:  2021-11-10

6.  Improving Appropriate Diagnosis of Clostridioides difficile Infection Through an Enteric Pathogen Order Set With Computerized Clinical Decision Support: An Interrupted Time Series Analysis.

Authors:  Catherine Liu; Kristine Lan; Elizabeth M Krantz; H Nina Kim; Jacqlynn Zier; Chloe Bryson-Cahn; Jeannie D Chan; Rupali Jain; John B Lynch; Steven A Pergam; Paul S Pottinger; Ania Sweet; Estella Whimbey; Andrew Bryan
Journal:  Open Forum Infect Dis       Date:  2020-08-21       Impact factor: 3.835

  6 in total

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