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Improvement in Prescribing Habits and Economic Outcomes Associated With the Introduction of a Standardized Approach for Surgical Antimicrobial Prophylaxis

Published online by Cambridge University Press:  02 January 2015

Elizabeth D. Hermsen*
Affiliation:
Department of Pharmaceutical and Nutrition Care, Nebraska Medical Center, University of Nebraska Medical Center, Omaha, Nebraska Department of Pharmacy Practice, College of Pharmacy, University of Nebraska Medical Center, Omaha, Nebraska Section of Infectious Diseases, Department of Internal Medicine, College of Medicine, University of Nebraska Medical Center, Omaha, Nebraska
Sara Smith Shull
Affiliation:
Department of Pharmaceutical and Nutrition Care, Nebraska Medical Center, University of Nebraska Medical Center, Omaha, Nebraska
Susan E. Puumala
Affiliation:
Biostatistics Division, College of Public Health, University of Nebraska Medical Center, Omaha, Nebraska
Mark E. Rupp
Affiliation:
Section of Infectious Diseases, Department of Internal Medicine, College of Medicine, University of Nebraska Medical Center, Omaha, Nebraska
*
Department of Pharmaceutical and Nutrition Care, Nebraska Medical Center, 988485 Nebraska Medical Center, Omaha, NE 68198-8485, (ehermsen@nebraskamed.com)

Abstract

A quasi-experimental before-after study was conducted to determine the impact on prescribing habits and economic outcomes of an intervention that required use of an order form for surgical antimicrobial prophylaxis. Implementation of this intervention improved compliance with guidelines for prevention of surgical site infections, particularly with respect to choice of antibiotic, duration of use, and dosage, and resulted in decreased cost of surgical prophylaxis.

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2008

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