Clinical decision support to improve antibiotic prescribing for acute respiratory infections: results of a pilot study
| Autor: | Jeffrey, Linder, Jeffrey L, Schnipper, Lynn A, Volk, Ruslana, Tsurikova, Matvey, Palchuk, Maya, Olsha-Yehiav, Andrea J, Melnikas, Blackford, Middleton |
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| Rok vydání: | 2007 |
| Předmět: |
Adult
Male Medical Records Systems Computerized Attitude of Health Personnel Data Collection technology industry and agriculture Pilot Projects Articles Decision Support Systems Clinical humanities respiratory tract diseases Anti-Bacterial Agents Drug Therapy Computer-Assisted Systems Integration User-Computer Interface Drug Utilization Review Acute Disease Humans Female Practice Patterns Physicians' Respiratory Tract Infections |
| Zdroj: | AMIA ... Annual Symposium proceedings. AMIA Symposium. |
| ISSN: | 1942-597X |
| Popis: | Acute Respiratory Infections (ARIs) are the number one reason for antibiotic prescribing in the United States, and much antibiotic prescribing for ARIs is inappropriate. We designed an electronic health record-integrated, documentation-based clinical decision support system for the care of patients with ARIs, the ARI Smart Form. To evaluate the ARI Smart Form and assess the feasibility of performing a larger trial, we conducted a pilot study with 10 clinicians who used the ARI Smart Form with 26 patients. Clinicians prescribed antibiotics to 6 of 6 patients with antibiotic-appropriate diagnoses and to 3 of 20 (15%) patients with antibiotic-inappropriate diagnoses. The average duration of use of the ARI Smart Form was 7.5 (SD+/-4.5) minutes. Eight of 10 respondents reported that the ARI Smart Form was either time-neutral or timesaving. The ARI Smart Form requires further evaluation but has the potential to improve workflow and reduce inappropriate antibiotic prescribing. |
| Databáze: | OpenAIRE |
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