Adoption of a clinical decision support system to promote judicious use of antibiotics for acute respiratory infections in primary care

International Journal of Medical Informatics

Volumn 81, Issue 8, 2012, Pages 521-526

  Litvin, Cara B ^a   Ornstein, Steven M ^a   Wessell, Andrea M ^a   Nemeth, Lynne S ^b   Nietert, Paul J ^b  

^a MEDICAL UNIVERSITY OF SOUTH CAROLINA   (United States)

^b MEDICAL UNIVERSITY OF SOUTH CAROLINA   (United States)

Author keywords

Anti bacterial agents; Clinical decision support systems; Decision support systems; Electronic health records; Primary care; Quality improvement; Respiratory tract infections

Indexed keywords

ANTI-BACTERIAL; CLINICAL DECISION SUPPORT SYSTEMS; ELECTRONIC HEALTH RECORD; PRIMARY CARE; QUALITY IMPROVEMENT; RESPIRATORY TRACT INFECTIONS;

ANTIBIOTICS; ARTIFICIAL INTELLIGENCE;

DECISION SUPPORT SYSTEMS;

ANTIBIOTIC AGENT;

ANTIBIOTIC THERAPY; ARTICLE; BRONCHITIS; CALCULATION; DECISION SUPPORT SYSTEM; FEEDBACK SYSTEM; HUMAN; MEDICAL AUDIT; MEDICAL DECISION MAKING; OTITIS MEDIA; PERFORMANCE; PHARYNGITIS; PNEUMONIA; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; RESPIRATORY TRACT INFECTION; SEMI STRUCTURED INTERVIEW; SINUSITIS; STREPTOCOCCAL PHARYNGITIS; UNITED STATES;

ACUTE DISEASE; ADULT; ANTI-BACTERIAL AGENTS; CHILD; DECISION SUPPORT TECHNIQUES; DRUG PRESCRIPTIONS; DRUG UTILIZATION; HUMANS; PRIMARY HEALTH CARE; RESPIRATORY TRACT INFECTIONS;

EID: 84863779533     PISSN: 13865056     EISSN: 18728243     Source Type: Journal    
DOI: 10.1016/j.ijmedinf.2012.03.002     Document Type: Article

References (17)

1. Spellberg B., et al. The epidemic of antibiotic-resistant infections: a call to action for the medical community from the Infectious Diseases Society of America. Clin. Infect. Dis. 2008, 46(2):155-164.
2. Grijalva C.G., Nuorti J.P., Griffin M.R. Antibiotic prescription rates for acute respiratory tract infections in US ambulatory settings. JAMA 2009, 302(7):758-766.
3. Arnold S.R., Straus S.E. Interventions to improve antibiotic prescribing practices in ambulatory care. Cochrane Database Syst. Rev. 2005, (4):CD003539.
4. Steinman M.A., et al. Improving antibiotic selection: a systematic review and quantitative analysis of quality improvement strategies. Med. Care 2006, 44(7):617-628.
5. Mainous A.G., et al. An evaluation of statewide strategies to reduce antibiotic overuse. Fam. Med. 2000, 32(1):22-29.
6. Steinman M.A., Landefeld C.S., Gonzales R. Predictors of broad-spectrum antibiotic prescribing for acute respiratory tract infections in adult primary care. JAMA 2003, 289(6):719-725.
7. Roumie C.L., et al. Trends in antibiotic prescribing for adults in the United States - 1995 to 2002. J. Gen. Intern. Med. 2005, 20(8):697-702.
8. Garg A.X., et al. Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review. JAMA 2005, 293(10):1223-1238.
9. Ebell M. AHRQ white paper: use of clinical decision rules for point-of-care decision support. Med. Decis. Mak. 2010, 30(6):712-721.
10. Jamal A., McKenzie K., Clark M. The impact of health information technology on the quality of medical and health care: a systematic review. HIM J. 2009, 38(3):26-37.
11. Linder J.A., et al. Documentation-based clinical decision support to improve antibiotic prescribing for acute respiratory infections in primary care: a cluster randomised controlled trial. Inform. Prim. Care 2009, 17(4):231-240.
12. Rubin M.A., et al. Use of a personal digital assistant for managing antibiotic prescribing for outpatient respiratory tract infections in rural communities. J. Am. Med. Inform. Assoc. 2006, 13(6):627-634.
13. CDC: Get Smart - Homepage, 1/27/2011; Available from: http://www.cdc.gov/getsmart/index.html.
14. Centor R.M., et al. The diagnosis of strep throat in adults in the emergency room. Med. Decis. Mak. 1981, 1(3):239-246.
15. Moxey A., et al. Computerized clinical decision support for prescribing: provision does not guarantee uptake. J. Am. Med. Inform. Assoc. 2010, 17(1):25-33.
16. Wears R.L., Berg M. Computer technology and clinical work: still waiting for Godot. JAMA 2005, 293(10):1261-1263.
17. Blumenthal D., Tavenner M. The "meaningful use" regulation for electronic health records. N. Engl. J. Med. 2010, 363(6):501-504.