Diagnostic stewardship for Clostridioides difficile testing in an acute care hospital: A quality improvement intervention.

ABSTRACT:

Objective

To evaluate the impact of a diagnostic stewardship intervention on Clostridioides difficile healthcare-associated infections (HAI).

Design

Quality improvement study.

Setting

Two urban acute care hospitals.

Interventions

All inpatient stool testing for C. difficile required review and approval prior to specimen processing in the laboratory. An infection preventionist reviewed all orders daily through chart review and conversations with nursing; orders meeting clinical criteria for testing were approved, orders not meeting clinical criteria were discussed with the ordering provider. The proportion of completed tests meeting clinical criteria for testing and the primary outcome of C. difficile HAI were compared before and after the i

SUBMITTER: Berg ML 

PROVIDER: S-EPMC10127245 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature