Evidence map›Paper›PMID 25848418›Full record

ArticleApplied clinical informatics2015

Use of computer decision support in an antimicrobial stewardship program (ASP).

R S Evans, J A Olson, E Stenehjem, W R Buckel, E A Thorell, S Howe, X Wu, P S Jones, J F Lloyd

Abstract read
In one paragraph

Article in Applied clinical informatics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Interventions to optimize antimicrobial stewardship.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2021
    Review
  5. Article
  6. Children with reported penicillin allergy: Public health impact and safety of delabeling.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2020
    Review
  7. Article
  8. Intermediate care units : Recommendations on facilities and structure.Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2018
    Review
  9. Identifying opportunities in EHR to improve the quality of antibiotic allergy data.Journal of the American Medical Informatics Association : JAMIA · 2016
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

R S EvansMedical Informatics, Intermountain Healthcare, University of Utah , Salt Lake City, Utah ; Biomedical Informatics, University of Utah, University of Utah , Salt Lake City, Utah.
J A OlsonPharmacy, Primary Children's Medical Center, University of Utah , Salt Lake City, Utah.
E StenehjemClinical Epidemiology and Infectious Diseases, Intermountain Medical Center, University of Utah , Salt Lake City, Utah.
W R BuckelPharmacy, Intermountain Medical Center, University of Utah , Salt Lake City, Utah.
E A ThorellPediatric Infectious Diseases, University of Utah , Salt Lake City, Utah.
S HoweMedical Informatics, Intermountain Healthcare, University of Utah , Salt Lake City, Utah.
X WuMedical Informatics, Intermountain Healthcare, University of Utah , Salt Lake City, Utah.
P S JonesClinical Epidemiology and Infectious Diseases, Intermountain Medical Center, University of Utah , Salt Lake City, Utah.
J F LloydMedical Informatics, Intermountain Healthcare, University of Utah , Salt Lake City, Utah.

Funding

PHS HHS 740 399
6 · The paper itself

Abstract

objectiveDocument information needs, gaps within the current electronic applications and reports, and workflow interruptions requiring manual information searches that decreased the ability of our antimicrobial stewardship program (ASP) at Intermountain Healthcare (IH) to prospectively audit and provide feedback to clinicians to improve antimicrobial use.

methodsA framework was used to provide access to patient information contained in the electronic medical record, the enterprise-wide data warehouse, the data-driven alert file and the enterprise-wide encounter file to generate alerts and reports via pagers, emails and through the Centers for Diseases and Control's National Healthcare Surveillance Network.

resultsFour new applications were developed and used by ASPs at Intermountain Medical Center (IMC) and Primary Children's Hospital (PCH) based on the design and input from the pharmacists and infectious diseases physicians and the new Center for Diseases Control and Prevention/National Healthcare Safety Network (NHSN) antibiotic utilization specifications. Data from IMC and PCH now show a general decrease in the use of drugs initially targeted by the ASP at both facilities.

conclusionsTo be effective, ASPs need an enormous amount of "timely" information. Members of the ASP at IH report these new applications help them improve antibiotic use by allowing efficient, timely review and effective prioritization of patients receiving antimicrobials in order to optimize patient care.

Indexed as

Anti-Bacterial AgentsChildClinical AuditCritical IllnessDecision Support Systems, ClinicalElectronic MailHospitalsHumansStatistics as TopicAnti-Bacterial Agentsantibiotic resistanceantimicrobial stewardshipantimicrobial stewardship programASPClinical decision supportcomputer decision supportmedical informaticspatient specific alerts

Identifiers

PMID25848418
PMCPMC4377565

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.