ArticleAntimicrobial stewardship & healthcare epidemiology : ASHE2026
Impact of incorporating electronic medical record tools on optimal antibiotic durations at discharge for uncomplicated community-acquired pneumonia: a quasi-experimental study.
Article in Antimicrobial stewardship & healthcare epidemiology : ASHE, 2026. 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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Authors and funding
10 authors.
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Abstract
Objective: To evaluate the impact of electronic medical record (EMR) transitions of care tools on antibiotic durations for uncomplicated community-acquired pneumonia (CAP). Design: IRB-approved, quasi-experiment. Setting: Five acute-care hospitals in Michigan. Patients: Hospitalized adults with uncomplicated CAP between 07/01/2023 and 11/30/2023 (pre-intervention) and 07/01/2024 and 11/30/2024 (post-intervention) were included. Patients were excluded if antibiotics were completed prior to discharge date, admitted to intensive care unit, respiratory culture with methicillin-resistant Methods: EMR tools implemented March-May 2024 included a total antibiotic days counter and an inpatient stop date carryover on discharge order. The primary outcome was the proportion of patients prescribed ≤6-calendar-days of therapy. Secondary outcomes included 30-day CAP-related readmission, Results: 234 patients were included: 124 pre- and 110 post-intervention. A higher proportion of post-intervention patients received ≤6-days of therapy (54% pre- vs 72.7% post-intervention, Conclusion: Implementation of EMR transitions of care tools significantly improved antibiotic durations in hospitalized adults with CAP, without negatively impacting patient outcomes.
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