Using clinical decision support to improve urine testing and antibiotic utilization.

ABSTRACT:

Objective

Urine cultures collected from catheterized patients have a high likelihood of false-positive results due to colonization. We examined the impact of a clinical decision support (CDS) tool that includes catheter information on test utilization and patient-level outcomes.

Methods

This before-and-after intervention study was conducted at 3 hospitals in North Carolina. In March 2021, a CDS tool was incorporated into urine-culture order entry in the electronic health record, providing education about indications for culture and suggesting catheter removal or exchange prior to specimen collection for catheters present >7 days. We used an interrupted time-series analysis with Poisson regression to evaluate the impact of CDS implementation on utilization of urinalyses and u

SUBMITTER: Yarrington ME 

PROVIDER: S-EPMC10539479 | biostudies-literature | 2023 Oct

REPOSITORIES: biostudies-literature