Implementation hurdles of an interactive, integrated, point-of-care computerised decision support system for hospital antibiotic prescription

International Journal of Antimicrobial Agents

Volumn 47, Issue 2, 2016, Pages 132-139

  Chow, A L ^a,b   Ang, A ^c   Chow, C Z ^a   Ng, T M ^a   Teng, C ^a,d   Ling, L M ^a   Ang, B S ^a,b   Lye, D C ^a,c  

^a TAN TOCK SENG HOSPITAL   (Singapore)

^b NANYANG TECHNOLOGICAL UNIVERSITY   (Singapore)

^c NATIONAL UNIVERSITY OF SINGAPORE   (Singapore)

^d NATIONAL UNIVERSITY OF SINGAPORE   (Singapore)

Author keywords

Antimicrobial stewardship; Computerised decision support system; Electronic medication prescription; Implementation

Indexed keywords

AGED; ANTIBIOTIC RESISTANCE UTILISATION AND SURVEILLANCE CONTROL; ANTIBIOTIC THERAPY; ARTICLE; ATTITUDE TO HEALTH; AWARENESS; COHORT ANALYSIS; COMPARATIVE STUDY; CONTROLLED STUDY; DECISION SUPPORT SYSTEM; DEMOGRAPHY; DRUG DOSE REGIMEN; ELECTRONIC INPATIENT PRESCRIBING SYSTEM; FEMALE; HEALTH CARE PLANNING; HOSPITAL ANTIBIOTIC PRESCRIPTION; HUMAN; INFORMATION SYSTEM; MAJOR CLINICAL STUDY; MALE; PHYSICIAN ATTITUDE; PNEUMONIA; POINT OF CARE TESTING; PRACTICE GUIDELINE; PRESCRIPTION; PRIORITY JOURNAL; QUALITATIVE ANALYSIS; RELIABILITY; SINGAPORE; TERTIARY CARE CENTER; URINARY TRACT INFECTION; ADULT; CLINICAL DECISION SUPPORT SYSTEM; DRUG UTILIZATION; HOSPITAL; MIDDLE AGED; PHYSICIAN ORDER ENTRY SYSTEM; POINT OF CARE SYSTEM; STANDARDS; VERY ELDERLY;

ANTIINFECTIVE AGENT;

ADULT; AGED; AGED, 80 AND OVER; ANTI-BACTERIAL AGENTS; COHORT STUDIES; DECISION SUPPORT SYSTEMS, CLINICAL; DECISION SUPPORT TECHNIQUES; DRUG UTILIZATION; FEMALE; HOSPITALS; HUMANS; MALE; MEDICAL ORDER ENTRY SYSTEMS; MIDDLE AGED; POINT-OF-CARE SYSTEMS; PRESCRIPTIONS; SINGAPORE;

EID: 84956878641     PISSN: 09248579     EISSN: 18727913     Source Type: Journal    
DOI: 10.1016/j.ijantimicag.2015.12.006     Document Type: Article

References (29)

1. M.R. Gillings, and H.W. Stokes Are humans increasing bacterial evolvability? Trends Ecol Evol 27 2012 346 352
2. C.M. Kunin, K.S. Johansen, A.M. Worning, and F.D. Daschner Report of a symposium on use and abuse of antibiotics worldwide Rev Infect Dis 12 1990 12 19
3. M. Paul, S. Andreassen, E. Tacconelli, A.D. Nielsen, N. Almanasreh, U. Frank, and et al. Improving empirical antibiotic treatment using TREAT, a computerized decision support system: cluster randomized trial J Antimicrob Chemother 58 2006 1238 1245
4. I.C. Gyssens All EU hands to the EU pumps: the Science Academies of Europe (EASAC) recommend strong support of research to tackle antibacterial resistance Clin Microbiol Infect 14 2008 889 891
5. D.M. Shlaes, D.N. Gerding, J.F. John Jr., W.A. Craig, D.L. Bornstein, R.A. Duncan, and et al. Society for Healthcare Epidemiology of America and Infectious Diseases Society of America Joint Committee on the Prevention of Antimicrobial Resistance: guidelines for the prevention of antimicrobial resistance in hospitals Infect Control Hosp Epidemiol 18 1997 275 291
6. Infectious Diseases Society of America B. Spellberg, M. Blaser, R.J. Guidos, H.W. Boucher, J.S. Bradley, and et al. Combating antimicrobial resistance: policy recommendations to save lives Clin Infect Dis 52 2011 S397 S428
7. L.C. McDonald Trends in antimicrobial resistance in health care-associated pathogens and effect on treatment Clin Infect Dis 42 2006 S65 S71
8. K. Marquet, A. Liesenborgs, J. Bergs, A. Vleugels, and N. Claes Incidence and outcome of inappropriate in-hospital empiric antibiotics for severe infection: a systematic review and meta-analysis Crit Care 19 2015 63
9. S.E. Cosgrove The relationship between antimicrobial resistance and patient outcomes: mortality, length of hospital stay, and health care costs Clin Infect Dis 42 2006 S82 S89
10. European Centre for Disease Prevention and Control The bacterial challenge: time to react 2009 ECDC Stockholm, Sweden http://www.ema.europa.eu/docs/en-GB/document-library/Report/2009/11/WC500008770.pdf [accessed 22.07.12]
11. A.G. Mainous, V.A. Diaz, E.M. Matheson, S.H. Gregorie, and W.J. Hueston Trends in hospitalizations with antibiotic-resistant infections: U.S., 1997-2006 Public Health Rep 126 2011 354 360
12. World Health Organization World health day 2011: policy briefs 2011 WHO Geneva, Switzerland http://www.who.int/world-health-day/2011/policybriefs/en/index.html [accessed 24.05.13].
13. Society for Healthcare Epidemiology of America; Infectious Diseases Society of America; Pediatric Infectious Diseases Society Policy statement on antimicrobial stewardship by the Society for Healthcare Epidemiology of America (SHEA), the Infectious Diseases Society of America (IDSA), and the Pediatric Infectious Diseases Society (PIDS) Infect Control Hosp Epidemiol 33 2012 322 327
14. T.H. Dellit, R.C. Owens, J.E. McGowan, D.N. Gerding, R.A. Weinstein, J.P. Burke, and et al. 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 44 2007 159 177
15. R.S. Evans, S.L. Pestotnik, D.C.. Classen, T.P. Clemmer, L.K. Weaver, J.F. Orme Jr., and et al. A computer-assisted management program for antibiotics and other antiinfective agents N Engl J Med 338 1998 232 238
16. J.C. McGregor, E. Weekes, G.N. Forrest, H.C. Standiford, E.N. Perencevich, J.P. Furuno, and et al. Impact of a computerized clinical decision support system on reducing inappropriate antimicrobial use: a randomized controlled trial J Am Med Inform Assoc 13 2006 378 384
17. E.D. Hermsen, T.C. VanSchooneveld, H. Sayles, and M.E. Rupp Implementation of a clinical decision support system for antimicrobial stewardship Infect Control Hosp Epidemiol 33 2012 412 415
18. C. MacDougall, and R.E. Polk Antimicrobial stewardship programs in health care systems Clin Microbiol Rev 18 2005 638 656
19. S.L. Pestotnik Expert clinical decision support systems to enhance antimicrobial stewardship programs: insights from the Society of Infectious Diseases Pharmacists Pharmacotherapy 25 2005 1116 1125
20. K. Kawamoto, C.A. Houlihan, E.A. Balas, and D.F. Lobach Improving clinical practice using clinical decision support systems: a systematic review of trials to identify features critical to success BMJ 330 2005 765
21. S.A. Pearson, A. Moxey, J. Robertson, I. Hains, M. Williamson, J. Reeve, and et al. Does electronic decision support for prescribing change practice? A critical review of literature (1990-2007) BMC Health Serv Res 9 2009 154
22. A.G. Mainous 3rd, C.A. Lambourne, and P.J. Nietert 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 20 2013 317 324
23. K.A. Thursky, K.L. Buising, N. Bak, L. Macgregor, A.C. Street, C.R. Macintyre, and et al. Reduction of broad-spectrum antibiotic use with computerized decision support in an intensive care unit Int J Qual Health Care 18 2006 224 231
24. K. Steurbaut, K. Colpaert, B. Gadeyne, P. Depuydt, P. Vosters, C. Danneels, and et al. COSARA: integrated service platform for infection surveillance and antibiotic management in the ICU J Med Syst 36 2012 3765 3775
25. P. Davey, E. Brown, E. Charani, L. Fenelon, I.M. Gould, A. Holmes, and et al. Interventions to improve antibiotic prescribing practices for hospital inpatients Cochrane Database Syst Rev 2013 CD003543
26. C.B. Teng, W. Lee, C.L. Yeo, S.Y. Lee, T.M. Ng, S.F. Yeoh, and et al. Guidelines for antimicrobial stewardship training and practice Ann Acad Med Singap 41 2012 29 34
27. D. Buenestado, J. Elorz, E.G. Pérez-Yarza, A. Iruetaguena, U. Segundo, R. Barrena, and et al. Evaluating acceptance and user experience of a guideline-based clinical decision support system execution platform J Med Syst 37 2013 9910
28. A. Moxey, J. Robertson, D. Newby, I. Hains, M. Williamson, and S.A. Pearson Computerized clinical decision support for prescribing: provision does not guarantee uptake J Am Med Inform Assoc 17 2010 25 33
29. V. De Souza, A. MacFarlane, A.W. Murphy, B. Hanahoe, A. Barber, and M. Cormican A qualitative study of factors influencing antimicrobial prescribing by non-consultant hospital doctors J Antimicrob Chemother 58 2006 840 843