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Accuracy of Provider-Selected Indications for Antibiotic Orders

Published online by Cambridge University Press:  18 January 2018

Emily L. Heil ,
Lisa Pineles ,
Poonam Mathur ,
Daniel J. Morgan ,
Anthony D. Harris ,
Arjun Srinivasan ,
Kerri A. Thom  and
the CDC Prevention Epicenters
Emily L. Heil*
Affiliation:
Department of Pharmacy Science and Practice, University of Maryland School of Pharmacy, Baltimore, Maryland
Lisa Pineles
Affiliation:
Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland
Poonam Mathur
Affiliation:
Department of Medicine, Division of Infectious Diseases, University of Maryland School of Medicine, Baltimore, Maryland
Daniel J. Morgan
Affiliation:
Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland
Anthony D. Harris
Affiliation:
Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland
Arjun Srinivasan
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
Kerri A. Thom
Affiliation:
Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland
*
Address correspondence to Emily L. Heil, PharmD, 20 N Pine St, N413, Baltimore, MD 21224 ([email protected]).
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Abstract

Documentation of antibiotic indication provides helpful information for antimicrobial stewardship, but accuracy is not understood. Review of 396 antibiotic orders in a pediatric ICU and adult medicine step-down unit found 90% agreement between provider-selected indication and independent review. Prompts to enter antibiotic indication during order entry provide largely accurate information.

Infect Control Hosp Epidemiol 2018;39:111–113

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 39 , Issue 1 , January 2018 , pp. 111 - 113
Copyright
© 2018 by The Society for Healthcare Epidemiology of America. All rights reserved 

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Footnotes

PREVIOUS PRESENTAION. Preliminary results of this work were presented at ID Week 2017 on October 6, 2017, in San Diego, California, poster #1071.

References

REFERENCES

1. The Joint Commission. Antimicrobial Stewardship Standard. Joint Comm Perspect 2016;36:1–8.Google Scholar
2. Medicare and Medicaid Programs; Hospital and Critical Access Hospital (CAH) Changes to Promote Innovation, Flexibility, and Improvement in Patient Care. Federal Register 81 FR 39447, proposed June 16, 2016.CrossRefGoogle Scholar
3. Pollack, LA, Srinivasan, A. Core elements of hospital antibiotic stewardship programs from the centers for disease control and prevention. Clin Infect Dis 2014;59:S97–S100.CrossRefGoogle ScholarPubMed
4. Barlam, TF, Cosgrove, SE, Abbo, LM, et al. Implementing an antibiotic stewardship program: guidelines by the Infectious Disease Society of America and the Society for Healthcare Epidemiology of America. Clin Infect Dis 2016;62:e51–e77.Google Scholar
5. Survey and certification genera information public release of three hospital surveyor worksheets. Centers for Medicare and Medicaid Services website. https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Downloads/Survey-and-Cert-Letter-15-12-Attachment-1.pdf. Accessed July 1, 2017.Google Scholar
6. Dollard, E, Aragon, L, Cano, E, et al. Medication use evaluation for indication of antibiotics in a large tertiary medical center. Poster 167, ID Week 2015, San Diego, CA.Google Scholar
7. Patel, JA, Esterly, JS, Scheetz, MH, Postelnick, MJ. An analysis of the accuracy of physician-entered indications on computerized antimicrobial orders. Infect Control Hosp Epidemiol 2012;33:1066–1067.Google Scholar
8. Thom, K, Tamma, P, Pineles, L, et al. Provider prescribing activities in the post-prescription period: opportunities for intervention. Society for Healthcare Epidemiology of America (SHEA) 2016 Spring Meeting, Atlanta, GA, May 2016 (poster).Google Scholar
9. Thom, K, Tamma, P, Srinivasan, A, et al. Impact of an Antibiotic Time Out on Antibiotic Use. IDWeek 2017, San Diego, CA, October 2017 (oral).Google Scholar
10. Embi, PJ, Leonard, AC. Evaluating alert fatigue over time to HER-based clinical trial alerts: findings from a randomized controlled study. J Am Med Inform Assoc 2012;19:e145–e148.Google Scholar