Clinical Study of an Online Tool for Standardizing Hospital Care
| Autor: | Deanne T. Kashiwagi, Paul R. Daniels, Brian D. Lahr, Mary J. Burgess, Mark J. Enzler, Larry D. Baddour, M. Rizwan Sohail, Farrell J. Lloyd, Andi J. Selby |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Care process
medicine.medical_specialty Antibiotic regimen Hospitalized patients 030204 cardiovascular system & hematology Clinical decision support system Article Clinical study 03 medical and health sciences 0302 clinical medicine Medicine Humans 030212 general & internal medicine Quality of care business.industry Health Policy Public Health Environmental and Occupational Health Cellulitis Decision Support Systems Clinical Hospital care Patient Discharge Anti-Bacterial Agents Hospitalization Emergency medicine sense organs business |
| Popis: | We assessed if use of an online clinical decision support tool improved standardization and quality of care in hospitalized patients with lower extremity cellulitis (LEC). This was a 14-month preintervention and postintervention study of 85 LEC admissions. There was significantly higher usage of the online LEC care process model (CPM) in the postintervention phase (p < .001). There was a trend toward higher rates of appropriate antibiotic regimen in the postintervention group both initially and at discharge (p = .063 for both). A sensitivity analysis of CPM users versus nonusers demonstrated a significantly higher rate of appropriate initial antibiotics prescribed when the CPM was used (p < .001). Use of this online CPM was associated with improved standardization, as demonstrated by increased ordering of an appropriate initial antibiotic regimen for hospitalized patients with LEC. |
| Databáze: | OpenAIRE |
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