Urine test stewardship for catheterized patients in the critical care setting: Provider perceptions and impact of electronic order set interventions.

Anti-Bacterial Agents / therapeutic use Critical Care / standards Electronic Health Records / standards Guideline Adherence / standards Humans Urine / chemistry
Electronic medical record support tool Intensive care unit Urine diagnostic stewardship

Journal

American journal of infection control
ISSN: 1527-3296
Titre abrégé: Am J Infect Control
Pays: United States
ID NLM: 8004854

Informations de publication

Date de publication:
10 2019
Historique:
received: 18 03 2019
revised: 09 04 2019
accepted: 09 04 2019
pubmed: 28 5 2019
medline: 7 8 2020
entrez: 27 5 2019
Statut: ppublish

Résumé

We implemented an electronic medical record (EMR) decision support tool for ordering urine cultures per evidence-based guidelines. Following the EMR change, we found a significant increase in proportion of cultures ordered for catheterized intensive care unit (ICU) patients meeting guidelines. We surveyed providers and found poor understanding of urine culture guidelines for catheterized ICU patients. EMR-based interventions and educational opportunities have potential to improve urine culture guideline adherence and reduce unnecessary testing and antibiotic use.

Identifiants

DOI: 10.1016/j.ajic.2019.04.005 PMID: 31128982
pubmed: 31128982
pii: S0196-6553(19)30233-0
doi: 10.1016/j.ajic.2019.04.005
pii:
doi:

Substances chimiques

Anti-Bacterial Agents 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1277-1279

Informations de copyright

Copyright © 2019 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

Auteurs

Grace Lin (G)

Division of Infectious Diseases, Department of Epidemiology and Infection Control, Virginia Commonwealth University, Richmond, VA. Electronic address: ling2@mymail.vcu.edu.

Shelley Knowlson (S)

Division of Infectious Diseases, Department of Epidemiology and Infection Control, Virginia Commonwealth University, Richmond, VA.

Huong Nguyen (H)

Division of Infectious Diseases, Department of Epidemiology and Infection Control, Virginia Commonwealth University, Richmond, VA.

Kaila Cooper (K)

Division of Infectious Diseases, Department of Epidemiology and Infection Control, Virginia Commonwealth University, Richmond, VA.

Rachel J Pryor (RJ)

Division of Infectious Diseases, Department of Epidemiology and Infection Control, Virginia Commonwealth University, Richmond, VA.

Michelle Doll (M)

Division of Infectious Diseases, Department of Epidemiology and Infection Control, Virginia Commonwealth University, Richmond, VA.

Emily J Godbout (EJ)

Division of Pediatric Infectious Diseases, Department of Pediatrics, Children's Hospital at Richmond at Virginia Commonwealth University, Richmond, VA.

Robin Hemphill (R)

Division of Infectious Diseases, Department of Epidemiology and Infection Control, Virginia Commonwealth University, Richmond, VA.

Michael P Stevens (MP)

Division of Infectious Diseases, Department of Epidemiology and Infection Control, Virginia Commonwealth University, Richmond, VA.

Gonzalo Bearman (G)

Division of Infectious Diseases, Department of Epidemiology and Infection Control, Virginia Commonwealth University, Richmond, VA.

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Classifications MeSH

questionsmedicales.fr › Actions chimiques et utilisations › Actions pharmacologiques › Utilisations thérapeutiques › Anti-infectieux › Antibactériens › Urine test stewardship for catheterized...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Soins aux patients › Soins de réanimation › Urine test stewardship for catheterized...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Documents › Dossiers médicaux › Systèmes informatisés de dossiers médicaux › Dossiers médicaux électroniques › Urine test stewardship for catheterized...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Qualité des soins de santé › Mécanismes d'évaluation des soins de santé › Adhésion aux directives › Urine test stewardship for catheterized...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Urine test stewardship for catheterized...
questionsmedicales.fr › Liquides et sécrétions biologiques › Liquides biologiques › Urine › Urine test stewardship for catheterized...