Does electronic stewardship work?

Lambl, Barbara B; Kaufman, Nathan; Kurowski, Janice; O'Neill, W; Buckley, Frederick; Duram, Maureen; Swartz, Barbara; Phillips, Duncan et al. · J Am Med Inform Assoc · 2017

case_series · Level IV

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Abstract

Faced with national requirements to promote antimicrobial stewardship and reduce drug-resistant infections, community hospitals are challenged to make the best use of existing resources. Eighteen months after building antibiotic decision support into our electronic order platform, high-risk antibiotic use decreased by 83% (P < .001) at our community hospital. Hospital-acquired Clostridium difficile infections declined 24% (P = .07).

Medical subject headings