Literature DB >> 31647044

Impact of an electronic hard-stop clinical decision support tool to limit repeat Clostridioides difficile toxin enzyme immunoassay testing on test utilization.

Jennie H Kwon1, Kimberly A Reske1, Tiffany Hink1, Ronald Jackups2, Carey-Ann D Burnham2, Erik R Dubberke1.   

Abstract

We performed an intervention evaluating the impact of an electronic hard-stop clinical decision support tool on repeat Clostridioides difficile (CD) toxin enzyme immunoassay (T-EIA) testing. The CD testing rate and number of admissions with repeat tests decreased significantly postintervention (P < .01 for both); the percentage of positive tests was unchanged (P = .27).

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Year:  2019        PMID： 31647044      PMCID： PMC7592157          DOI： 10.1017/ice.2019.275

Source DB:  PubMed          Journal:  Infect Control Hosp Epidemiol        ISSN： 0899-823X            Impact factor:   3.254


  16 in total

1.  Effects of computer-based clinical decision support systems on physician performance and patient outcomes: a systematic review.

Authors:  D L Hunt; R B Haynes; S E Hanna; K Smith
Journal:  JAMA       Date:  1998-10-21       Impact factor: 56.272

2.  Cumulative antibiotic exposures over time and the risk of Clostridium difficile infection.

Authors:  Vanessa Stevens; Ghinwa Dumyati; Lynn S Fine; Susan G Fisher; Edwin van Wijngaarden
Journal:  Clin Infect Dis       Date:  2011-07-01       Impact factor: 9.079

Review 3.  Diagnosis of Clostridium difficile infection: an ongoing conundrum for clinicians and for clinical laboratories.

Authors:  Carey-Ann D Burnham; Karen C Carroll
Journal:  Clin Microbiol Rev       Date:  2013-07       Impact factor: 26.132

4.  Unnecessary repeat Clostridium difficile PCR testing in hospitalized adults with C. difficile-negative diarrhea.

Authors:  J A Nistico; J E Hage; P E Schoch; B A Cunha
Journal:  Eur J Clin Microbiol Infect Dis       Date:  2012-08-15       Impact factor: 3.267

5.  Impact of clinical symptoms on interpretation of diagnostic assays for Clostridium difficile infections.

Authors:  Erik R Dubberke; Zhuolin Han; Linda Bobo; Tiffany Hink; Brenda Lawrence; Susan Copper; Joan Hoppe-Bauer; Carey-Ann D Burnham; William Michael Dunne
Journal:  J Clin Microbiol       Date:  2011-06-22       Impact factor: 5.948

6.  Coding algorithms for defining comorbidities in ICD-9-CM and ICD-10 administrative data.

Authors:  Hude Quan; Vijaya Sundararajan; Patricia Halfon; Andrew Fong; Bernard Burnand; Jean-Christophe Luthi; L Duncan Saunders; Cynthia A Beck; Thomas E Feasby; William A Ghali
Journal:  Med Care       Date:  2005-11       Impact factor: 2.983

7.  Reductions in Clostridium difficile Infection (CDI) Rates Using Real-Time Automated Clinical Criteria Verification to Enforce Appropriate Testing.

Authors:  Kathleen A Quan; Jennifer Yim; Doug Merrill; Usme Khusbu; Keith Madey; Linda Dickey; Amish A Dangodara; Scott E Rudkin; Margaret O'Brien; Daniel Thompson; Nimisha Parekh; C Gregory Albers; William C Wilson; Lauri Thrupp; Cassiana E Bittencourt; Susan S Huang; Shruti K Gohil
Journal:  Infect Control Hosp Epidemiol       Date:  2018-03-19       Impact factor: 3.254

8.  Identification of a pseudo-outbreak of Clostridium difficile infection (CDI) and the effect of repeated testing, sensitivity, and specificity on perceived prevalence of CDI.

Authors:  Marina Litvin; Kimberly A Reske; Jennie Mayfield; Kathleen M McMullen; Peter Georgantopoulos; Susan Copper; Joan E Hoppe-Bauer; Victoria J Fraser; David K Warren; Erik R Dubberke
Journal:  Infect Control Hosp Epidemiol       Date:  2009-12       Impact factor: 3.254

9.  Does my patient have Clostridium difficile infection?

Authors:  Lance R Peterson; Ari Robicsek
Journal:  Ann Intern Med       Date:  2009-08-04       Impact factor: 25.391

10.  Evaluation of repeat Clostridium difficile enzyme immunoassay testing.

Authors:  Diana M Cardona; Kenneth H Rand
Journal:  J Clin Microbiol       Date:  2008-09-24       Impact factor: 5.948
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  3 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.  Use of machine learning to predict clinical decision support compliance, reduce alert burden, and evaluate duplicate laboratory test ordering alerts.

Authors:  Jason M Baron; Richard Huang; Dustin McEvoy; Anand S Dighe
Journal:  JAMIA Open       Date:  2021-03-01

3.  Alternative Causes of Infectious Diarrhea in Patients with Negative Tests for Clostridoides Difficile.

Authors:  Jennie H Kwon; Caroline A O'Neil; Tiffany Hink; Kimberly A Reske; Rachel E Bosserman; Erik R Dubberke; Carey-Ann D Burnham
Journal:  J Appl Lab Med       Date:  2022-03-02
  3 in total

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