Implementation of a Mobile Clinical Decision Support Application to Augment Local Antimicrobial Stewardship
| Autor: | Brett H. Heintz, Michael J Brownlee, Dilek Ince, Diana C. Ford, Vincent Masse, Bradley Ford, Daniel J Livorsi, Brian M Hoff, Erika J. Ernst |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
Quality management Process management Computer science 030106 microbiology Health Informatics lcsh:Computer applications to medicine. Medical informatics Clinical decision support system Pathology and Forensic Medicine 03 medical and health sciences Disk formatting 0302 clinical medicine lcsh:Pathology Technical Note Infection control Antimicrobial stewardship 030212 general & internal medicine Business case Descriptive statistics Antibiogram mobile application Computer Science Applications antimicrobial stewardship lcsh:R858-859.7 Mobile device guideline lcsh:RB1-214 |
| Zdroj: | Journal of Pathology Informatics Journal of Pathology Informatics, Vol 9, Iss 1, Pp 10-10 (2018) |
| ISSN: | 2153-3539 2229-5089 |
| Popis: | Background: Medical applications for mobile devices allow clinicians to leverage microbiological data and standardized guidelines to treat patients with infectious diseases. We report the implementation of a mobile clinical decision support (CDS) application to augment local antimicrobial stewardship. Methods: We detail the implementation of our mobile CDS application over 20 months. Application utilization data were collected and evaluated using descriptive statistics to quantify the impact of our implementation. Results: Project initiation focused on engaging key stakeholders, developing a business case, and selecting a mobile platform. The preimplementation phase included content development, creation of a pathway for content approval within the hospital committee structure, engaging clinical leaders, and formatting the first version of the guide. Implementation involved a media campaign, staff education, and integration within the electronic medical record and hospital mobile devices. The postimplementation phase required ongoing quality improvement, revision of outdated content, and repeated staff education. The evaluation phase included a guide utilization analysis, reporting to hospital leadership, and sustainability and innovation planning. The mobile application was downloaded 3056 times and accessed 9259 times during the study period. The companion web viewer was accessed 8214 times. Conclusions: Successful implementation of a customizable mobile CDS tool enabled our team to expand beyond microbiological data to clinical diagnosis, treatment, and antimicrobial stewardship, broadening our influence on antimicrobial prescribing and incorporating utilization data to inspire new quality and safety initiatives. Further studies are needed to assess the impact on antimicrobial utilization, infection control measures, and patient care outcomes. |
| Databáze: | OpenAIRE |
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