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Implementation of a Clinical Decision Support System for Antimicrobial Stewardship

Published online by Cambridge University Press:  02 January 2015

Elizabeth D. Hermsen*
Affiliation:
Pharmacy Relations and Clinical Decision Support, Nebraska Medical Center, Omaha, Nebraska; and Department of Pharmacy Practice, College of Pharmacy, University of Nebraska Medical Center, Omaha, Nebraska Division of Infectious Diseases, Department of Internal Medicine, College of Medicine, University of Nebraska Medical Center, Omaha, Nebraska
Trevor C. VanSchooneveld
Affiliation:
Division of Infectious Diseases, Department of Internal Medicine, College of Medicine, University of Nebraska Medical Center, Omaha, Nebraska
Harlan Sayles
Affiliation:
Biostatistics Department, College of Public Health, University of Nebraska Medical Center, Omaha, Nebraska
Mark E. Rupp
Affiliation:
Division of Infectious Diseases, Department of Internal Medicine, College of Medicine, University of Nebraska Medical Center, Omaha, Nebraska
*
65 Hayden Avenue, Lexington, MA 02421 (elizabeth.hermsen@cubist.com)

Abstract

Clinical decision support systems (CDSSs) for antimicrobial stewardship require considerable human resources and financial investments. This pre-/postimplementation study evaluated the effect of a CDSS on performance of prospective audit with intervention and feedback and demonstrated an increase in interventions and recommendation acceptance countered by a substantial number of non-actionable alerts.

Type
Concise Communication
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2012

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