ArticleApplied clinical informatics2018
Design and Implementation of a Visual Analytics Electronic Antibiogram within an Electronic Health Record System at a Tertiary Pediatric Hospital.
Article in Applied clinical informatics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
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Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Centralized Multipatient Dashboards' Impact on Intensive Care Unit Clinician Performance and Satisfaction: A Systematic Review.Applied clinical informatics · 2024Pooled it
- Syndromic Antibiograms and Nursing Home Clinicians' Antibiotic Choices for Urinary Tract Infections.JAMA network open · 2023Trial
- Point-Counterpoint: The "obsoletogram"-are annual hospital antibiograms still relevant?Journal of clinical microbiology · 2026Article
- Leveraging patient data to detect systematic shifts in daptomycin susceptibility testing associated with reduced prescribing.Journal of clinical microbiology · 2026Article
- Regional Variation in UrinaryMicroorganisms · 2024Article
- Assessing the potential for improved predictive capacity of antimicrobial resistance in outpatient Staphylococcus aureus isolates using seasonal and spatial antibiograms.Antimicrobial resistance and infection control · 2024Article
- Deficiencies of Rule-Based Technology-Generated Antibiograms for Specialized Care Units.Antibiotics (Basel, Switzerland) · 2023Article
- Beyond Information Design: Designing Health Care Dashboards for Evidence-Driven Decision-Making.Applied clinical informatics · 2023Article
- Digital Antimicrobial Stewardship Decision Support to Improve Antimicrobial Management.Applied clinical informatics · 2023Article
- What's New in Antibiograms? Updating CLSI M39 Guidance with Current Trends.Journal of clinical microbiology · 2022Review
- Visualization of cross-resistance between antimicrobial agents by asymmetric multidimensional scaling.Journal of clinical pharmacy and therapeutics · 2022Article
- A Risk-Based Clinical Decision Support System for Patient-Specific Antimicrobial Therapy (iBiogram): Design and Retrospective Analysis.Journal of medical Internet research · 2021Article
- The antibiogram: key considerations for its development and utilization.JAC-antimicrobial resistance · 2021Review
- Cystic Fibrosis Point of Personalized Detection (CFPOPD): An Interactive Web Application.JMIR medical informatics · 2020Article
- Considerations for Designing EHR-Embedded Clinical Decision Support Systems for Antimicrobial Stewardship in Pediatric Emergency Departments.Applied clinical informatics · 2020Article
- Influence of analysis conditions for antimicrobial susceptibility test data on susceptibility rates.PloS one · 2020Article
- Usability Testing of an Interactive Dashboard for Surgical Quality Improvement in a Large Congenital Heart Center.Applied clinical informatics · 2019Article
- Design and Evaluation of an Integrated, Patient-Focused Electronic Health Record Display for Emergency Medicine.Applied clinical informatics · 2019Article
- A Visual Analytics Dashboard to Summarize Serial Anesthesia Records in Pediatric Radiation Treatment.Applied clinical informatics · 2019Article
- Rapid Analysis of Diagnostic and Antimicrobial Patterns in R (RadaR): Interactive Open-Source Software App for Infection Management and Antimicrobial Stewardship.Journal of medical Internet research · 2019Article
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHospitals use antibiograms to guide optimal empiric antibiotic therapy, reduce inappropriate antibiotic usage, and identify areas requiring intervention by antimicrobial stewardship programs. Creating a hospital antibiogram is a time-consuming manual process that is typically performed annually.
objectiveWe aimed to apply visual analytics software to electronic health record (EHR) data to build an automated, electronic antibiogram ("e-antibiogram") that adheres to national guidelines and contains filters for patient characteristics, thereby providing access to detailed, clinically relevant, and up-to-date antibiotic susceptibility data.
methodsWe used visual analytics software to develop a secure, EHR-linked, condition- and patient-specific e-antibiogram that supplies susceptibility maps for organisms and antibiotics in a comprehensive report that is updated on a monthly basis. Antimicrobial susceptibility data were grouped into nine clinical scenarios according to the specimen source, hospital unit, and infection type. We implemented the e-antibiogram within the EHR system at Children's Hospital of Philadelphia, a tertiary pediatric hospital and analyzed e-antibiogram access sessions from March 2016 to March 2017.
resultsThe e-antibiogram was implemented in the EHR with over 6,000 inpatient, 4,500 outpatient, and 3,900 emergency department isolates. The e-antibiogram provides access to rolling 12-month pathogen and susceptibility data that is updated on a monthly basis. E-antibiogram access sessions increased from an average of 261 sessions per month during the first 3 months of the study to 345 sessions per month during the final 3 months.
conclusionAn e-antibiogram that was built and is updated using EHR data and adheres to national guidelines is a feasible replacement for an annual, static, manually compiled antibiogram. Future research will examine the impact of the e-antibiogram on antibiotic prescribing patterns.
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