ArticleJournal of the American College of Emergency Physicians open2025
Impact of an Algorithm to Triage Patients Discharged From the Emergency Department With Blood Cultures Positive for
Article in Journal of the American College of Emergency Physicians open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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11 authors.
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Abstract
Objectives: Blood cultures obtained in the emergency department (ED) may become positive after discharge. Healthcare professionals must determine if these results represent true infection or a likely contaminant. An institutional algorithm was developed to assist with healthcare professional response to positive blood cultures for Methods: We conducted a single system, multisite cohort study comparing before and after implementation of an ED decision-making algorithm from November 2022 to December 2023. Adults were included if they were discharged from the ED before blood cultures became positive for Results: A total of 253 patients, 188 pre- and 65 postimplementation, were enrolled. There was a 7.3% reduction in patients called back to the ED after algorithm implementation (95% CI [-21.1 to 6.3], Conclusions: This time-saving algorithm was well received by our ED professionals and served as a helpful tool in safely and effectively triaging patients who had positive blood cultures for
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