ArticleAntimicrobial stewardship & healthcare epidemiology : ASHE2026
Indication-based clinical decision support for inpatient urine testing: impacts on utilization, appropriateness, and antibiotic prescribing.
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.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Authors and funding
8 authors.
Funding
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Abstract
Across a healthcare system, an indication-based clinical decision support (CDS) tool for inpatient urine testing immediately reduced urinalysis-with-reflex-to-culture (-62.7/1,000 patient-days) and urine culture ordering, while increasing urinalysis utilization(41.4/1,000 patient-days). Intervention effect was not fully sustained. Ordering appropriateness remained low, and antibiotics were often prescribed without documented symptoms, suggesting CDS alone is insufficient.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.