Conversion of a single-facility pediatric antimicrobial stewardship program to multi-facility application with computerized provider order entry and clinical decision support

Applied Clinical Informatics

Volumn 4, Issue 4, 2013, Pages 556-568

  Webber, Emily C ^a   Warhurst, H M ^b   Smith, S S ^c   Cox, E G ^a   Crumby, A S ^b   Nichols, K R ^b  

^a INDIANA UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b RILEY HOSPITAL FOR CHILDREN   (United States)

^c INDIANA UNIVERSITY HEALTH   (United States)

Author keywords

Clinical decision support systems; Clinical pharmacy information systems; Medical order entry system; Workflow

Indexed keywords

ANTIINFECTIVE AGENT;

ARTICLE; CHILD; CLINICAL DECISION SUPPORT SYSTEMS; DECISION SUPPORT SYSTEM; HEALTH CARE FACILITY; HEALTH CARE QUALITY; HOSPITAL; HOSPITAL INFORMATION SYSTEM; HUMAN; MEDICAL INFORMATION SYSTEM; MEDICAL ORDER ENTRY SYSTEM; MEDICATION ERROR; METHODOLOGY; PEDIATRICS; PHARMACIST; PHYSICIAN; STATISTICS; TERTIARY HEALTH CARE; UTILIZATION REVIEW; WORKFLOW;

CLINICAL DECISION SUPPORT SYSTEMS; CLINICAL PHARMACY INFORMATION SYSTEMS; MEDICAL ORDER ENTRY SYSTEM; WORKFLOW;

ANTI-INFECTIVE AGENTS; CHILD; DECISION SUPPORT SYSTEMS, CLINICAL; HEALTH FACILITIES; HOSPITALS; HUMANS; MEDICAL ORDER ENTRY SYSTEMS; MEDICATION ERRORS; PEDIATRICS; PHARMACISTS; PHYSICIANS; QUALITY ASSURANCE, HEALTH CARE; TERTIARY HEALTHCARE;

EID: 84893030901     PISSN: None     EISSN: 18690327     Source Type: Journal    
DOI: 10.4338/ACI-2013-07-RA-0054     Document Type: Article

References (21)

1. Newland JG and AL Hersh. Purpose and design of antimicrobial stewardship programs in pediatrics. Pediatr Infect Dis J 2010; 29: 862-863.
2. Di Pentima MC, Chan S, Eppes SC and JD Klein. Antimicrobial prescription errors hospitalized children: role of antimicrobial stewardship program in detection and intervention. Clin Pediatr 2009; 48: 505-512.
3. Metjian TA, Prasad PA, Kogon A, Coffin SE and TE Zaoutis. Evaluation of an antimicrobial stewardship program at a pediatric teaching hospital. Pediatr Infect Dis J 2008; 27: 106-111.
4. Carling P, Fung T, Killion A Terrin N and M Barza. Favorable impact of a multidisciplinary antibiotic management program conducted during 7 years. Infect Control Hosp Epidemiol 2003; 24:699-706.
5. Hersh AL, Beekmann SE, Polgreen PM, Zaoutis TE and JG Newland. Antimicrobial stewardship programs in pediatrics. Infect Control Hosp Epidemiol. 2009: 30(12): 1211-1217.
6. Johannsson B, Beekmann SE, Srinivasan A, Hersh AL, Laxminaravan R, and PM Polgreen. Improving antimicrobial stewardship: the evolution of programmatic strategies and barriers. Infect Control Hosp Epidemiol 2011: 32(4): 367-374.
7. Sunenshine RH, Liedtke LA, Jernigan DB, and LJ Strausbaugh. Role of infectious diseases consultants in management of antimicrobial use in hospitals. Clin Infect Dis 2004: 38(7): 934-938.
8. The National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP). Accessed on September 11, 2013, http://www.nccmerp.org/
9. Agwu AL, Lee CK, Jain SK, Murray KL, Topolski J, Miller RE, Townsend T, and CU Lehmann. A World Wide Web-based antimicrobial stewardship program improves efficiency, communication, and user satisfaction and reduces cost in a tertiary care pediatric medical center. Clin Infect Dis 2008: 47(6): 747-753.
10. Evans RS, Pestotnik SL, Classen DC, Clemmer TP, Weaver LK, Orme JF Jr, Lloyd JF and JP Burke. A computer assisted management program for antibiotics and other antiinfective agents. N Engl J Med 1998; 338: 232-238.
11. Linder JA, Bates DW, Williams DH, Connolly MA and B Middleton. Acute infections in primary care: accuracy of electronic diagnoses and electronic antibiotic prescribing. J Am Med Inform Assoc 2006; 13: 61-66.
12. Mainous AG, Lambourne CA, Nietert PJ. Impact of a clinical decision support system on antibiotic prescribing for acute respiratory infections in primary care: quasi-experimental trial. J Am Med Inform Assoc 2013; 20: 317-324.
13. Pestotnik SL, Classen DC, Evans RS and JP Burke. Implementing antibiotic practice guidelines through computer-assisted decision support: clinical and financial outcomes. Ann Intern Med 1996; 124: 884-890.
14. McGregor JC, Weekes E, Forrest GN, Standiford HC, Perencevich EN, Furuno JP and AD Harris. Impact of a computerized clinical decision support system on reducing inappropriate antimicrobial use: a randomized control trial. J Am Med Inform Assoc 2006; 13: 378-384.
15. Sáez-Llorens X, Castrejón de Wong MM, Castaño E, De Suman O, De Morös D, and I De Atencio. Impact of an antibiotic restriction policy on hospital expenditures and bacterial susceptibilities: a lesson from a pediatric institution in a developing country. Pediatr Infect Dis J 2000; 19(3): 200-206.
16. Ozkurt Z, Erol S, Kadanali A, Ertek M, Ozden K, and MA Tasyaran. Changes in antibiotic use, cost and consumption after an antibiotic restriction policy applied by infectious disease specialists. Jpn J Infect Dis 2005; 58(6): 338-343.
17. Sick AC, Lehmann CU, Tamma PD, Lee CK, and Al Agwu. Sustained savings from a longitudinal cost analysis of an internet-based preapproval antimicrobial stewardship program. Infect Control Hosp Epidemiol 2013: 34(6): 573-580.
18. Wright A, Sittig DF, Ash JS, Feblowitz J, Meltzer S, McMullen C, Guappone K, Carpenter J, Richardson J, Simonaitis L, Evans RS, Nichol WP, and B Middleton. Development and evaluation of a comprehensive clinical decision support taxonomy: comparison of front-end tools in commercial and internally developed electronic health record systems. J Am Med Inform Assoc 2011; 18: 232-242.
19. Hermsen ED, VanSchooneveld TC, Sayles H and ME Rupp. Implementation of a clinical decision support system for antimicrobial stewardship. Infect Control Hosp Epidemiol 2012; 33: 412-414.
20. Dellit TH, Owens RC, McGowan JE Jr, Gerding DN, Weinstein RA, Burke JP, Huskins WC, Paterson DL, Fishman NO, Carpenter CF, Brennan PJ, Billeter M, and TM Hooton. Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America guidelines for developing an institutional program to enhance antimicrobial stewardship. Clin Infect Dis 2007: 15; 44(2): 159-177.
21. Thursky K. Use of computerized decision support systems to improve antibiotic prescribing. Expert Rev Anti Infect Ther 2006; 4: 491-507.