ArticleApplied clinical informatics2019
Comparison of Antibiotic Dosing Before and After Implementation of an Electronic Order Set.
Article in Applied clinical informatics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- OrderRex clinical user testing: a randomized trial of recommender system decision support on simulated cases.Journal of the American Medical Informatics Association : JAMIA · 2020Trial
- Effects of a Pharmacist-Designed Clinical Decision Support System on Antimicrobial Stewardship.Applied clinical informatics · 2024Article
- A five-year quasi-experimental study to evaluate the impact of empiric antibiotic order sets on antibiotic use metrics among hospitalized adult patients.Infection control and hospital epidemiology · 2024Article
- Digital Antimicrobial Stewardship Decision Support to Improve Antimicrobial Management.Applied clinical informatics · 2023Article
- Antimicrobial stewardship using electronic prescribing systems in hospital settings: a scoping review of interventions and outcome measures.JAC-antimicrobial resistance · 2022Article
- Assessment of Community Pediatric Providers' Approach to Children WithJPGN reports · 2021Article
- User-Centered Design in Pediatric Acute Care Settings Antimicrobial Stewardship.Applied clinical informatics · 2021Article
- Effect of an Electronic Order Set on Newborn Hepatitis B Immunization Rates.HCA healthcare journal of medicine · 2020Article
- Physician Usage and Acceptance of a Machine Learning Recommender System for Simulated Clinical Order Entry.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2020Article
- Sustained Improvement in Inflammatory Bowel Disease Quality Measures Using an Electronic Health Record Intervention.Applied clinical informatics · 2019Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo maximize resources, the antimicrobial stewardship program at a pediatric tertiary care hospital made pediatric dosing specific guidance within the electronic health record available to all hospitals within the health system.
objectiveThe objective of this study was to compare the appropriateness of antibiotic dosing before and after the implementation of an electronic intravenous (IV) antibiotic order set.
methodsThis was a retrospective cohort study evaluating orders from patients younger than 18 years who received cefepime, piperacillin-tazobactam, tobramycin, or gentamicin at 12 health-system hospitals. Antibiotic dosing regimens and order set use were evaluated in patients who received the specified antibiotics during the 6-month time frame prior to and following electronic order set availability at each hospital.
resultsIn the before and after implementation periods, 360 and 387 total antibiotic orders were included, respectively. Most orders were gentamicin (55.8% in the before implementation period and 54.5% in the after implementation period) followed by piperacillin-tazobactam (22.5% in the before period and 22.2% in the after period). Overall, 663 orders were classified as appropriate (88.8%). Appropriateness was similar in the before or after implementation periods (87.8 vs. 89.7%,
conclusionNo difference in antibiotic appropriateness overall was found in the before and after implementation periods. However, when specifically compared with the appropriateness of dosing when blank order forms were used, dosing was more appropriate when electronic antibiotic order sets were used.
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