ArticleApplied clinical informatics2025
Optimizing Wound Culture Ordering in Electronic Health Records: A Case Report.
Article in Applied clinical informatics, 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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18 authors.
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Abstract
At a large quaternary health system, tissue specimens were frequently sent to the microbiology laboratory with an incorrect wound culture order meant for swab specimens due to poor electronic health record (EHR) menu design. Wound cultures were also requested in chronic wound cases with a low index of suspicion for acute infection.This study aimed to present a case report on specific changes to the design of the electronic test menu that resulted in higher numbers of appropriate ordering practices."Wound Culture" test was renamed to "Wound Swab Culture" to distinguish it from tissue specimens, and "Tissue Culture" was added as a new available quick order in the microbiology menu alongside the existing wound culture quick order. In addition, a diagnostic questionnaire was added to "Wound Swab Culture" quick orders that inquired about the presence of pus/exudate and erythema and if the wound was a surgical wound to guide and assess the appropriateness of the culture order.The number of tissue specimens erroneously submitted with a wound culture order decreased from 6.6% in July 2022 (preintervention) to 0% in July 2023 (postintervention). The diagnostic questionnaire was utilized in 27.5% of wound culture orders. In 6 out of 98 orders (6.1%), the wound was not surgical, and there was an absence of pus/exudate and erythema (
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