Utilizing a real-time discussion approach to improve the appropriateness of Clostridioides difficile testing and the potential unintended consequences of this strategy

Lana Dbeibo, Lana Dbeibo, Lana Dbeibo, Allison Brinkman, Cole Beeler, Cole Beeler, Cole Beeler, William Fadel, William Snyderman, Nicole Hatfield, Joshua Sadowski, Yun Wang, Kristen Kelley, Douglas Webb, Douglas Webb, Jose Azar, Jose Azar, Areeba Kara

Research output: Contribution to journalArticle

Abstract

We report electronic medical record interventions to reduce Clostridioides difficile testing risk 'alert fatigue.' We used a behavioral approach to diagnostic stewardship and observed a decrease in the number of tests ordered of ∼4.5 per month (P <.0001). Although the number of inappropriate tests decreased during the study period, delayed testing increased.

Original languageEnglish (US)
JournalInfection Control and Hospital Epidemiology
DOIs
StateAccepted/In press - 2020

ASJC Scopus subject areas

  • Epidemiology
  • Microbiology (medical)
  • Infectious Diseases

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    Dbeibo, L., Dbeibo, L., Dbeibo, L., Brinkman, A., Beeler, C., Beeler, C., Beeler, C., Fadel, W., Snyderman, W., Hatfield, N., Sadowski, J., Wang, Y., Kelley, K., Webb, D., Webb, D., Azar, J., Azar, J., & Kara, A. (Accepted/In press). Utilizing a real-time discussion approach to improve the appropriateness of Clostridioides difficile testing and the potential unintended consequences of this strategy. Infection Control and Hospital Epidemiology. https://doi.org/10.1017/ice.2020.276