Improving Appropriate Diagnosis of Clostridioides difficile Infection Through an Enteric Pathogen Order Set With Computerized Clinical Decision Support: An Interrupted Time Series Analysis.

ABSTRACT:

Background

Inappropriate testing for Clostridioides difficile leads to overdiagnosis of C difficile infection (CDI). We determined the effect of a computerized clinical decision support (CCDS) order set on C difficile polymerase chain reaction (PCR) test utilization and clinical outcomes.

Methods

This study is an interrupted time series analysis comparing C difficile PCR test utilization, hospital-onset CDI (HO-CDI) rates, and clinical outcomes before and after implementation of a CCDS order set at 2 academic medical centers: University of Washington Medical Center (UWMC) and Harborview Medical Center (HMC).

Results

Compared with the 20-month preintervention period, during the 12-month postimplementation of the CCDS order set, there was an

SUBMITTER: Liu C 

PROVIDER: S-EPMC7566360 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature