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

Infect Control Hosp Epidemiol. 2019 Jun;40(6):710-712. doi: 10.1017/ice.2019.63. Epub 2019 Apr 22.

Abstract

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.

MeSH terms

  • Academic Medical Centers
  • Algorithms
  • Anti-Bacterial Agents / therapeutic use
  • Clostridioides difficile / isolation & purification*
  • Clostridium Infections / diagnosis*
  • Decision Support Systems, Clinical*
  • Diagnostic Tests, Routine*
  • Electronic Health Records
  • Humans
  • Missouri
  • Retrospective Studies
  • Software*

Substances

  • Anti-Bacterial Agents