论文信息 - Test stewardship, frequency and fidelity: Impact on reported hospital-onset Clostridioides difficile

Test stewardship, frequency and fidelity: Impact on reported hospital-onset Clostridioides difficile

We assessed the impact of an embedded electronic medical record decision-support matrix (Cerner software system) for the reduction of hospital-onset Clostridioides difficile. A critical review of 3,124 patients highlighted excessive testing frequency in an academic medical center and demonstrated the impact of decision support following a testing fidelity algorithm.

[1] K. Carroll,et al. National Healthcare Safety Network laboratory‐identified Clostridium difficile event reporting: A need for diagnostic stewardship , 2018, American journal of infection control.

[2] A. Mathers,et al. Reduced Clostridium difficile Tests and Laboratory-Identified Events With a Computerized Clinical Decision Support Tool and Financial Incentive , 2018, Infection Control & Hospital Epidemiology.

[3] Daniel J. Morgan,et al. Diagnostic Stewardship—Leveraging the Laboratory to Improve Antimicrobial Use , 2017, JAMA.

[4] C. Burnham,et al. Diagnosis of Clostridium difficile Infection: Treat the Patient, Not the Test. , 2015, JAMA internal medicine.

[5] R. Weinstein,et al. Diagnostic Stewardship for Healthcare-Associated Infections: Opportunities and Challenges to Safely Reduce Test Use , 2018, Infection Control & Hospital Epidemiology.