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| ID | Type | Description | Link |
|---|---|---|---|
| Merk Dr Fox | Other Grant/Funding Number | Proposal #38732 |
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The purpose of this study is to pilot the use of best practices alerts to enhance an antimicrobial stewardship program using the electronic medical record, EPIC.
The purpose of this study is to pilot the use of best practices to enhance an antimicrobial stewardship program using the electronic medical record, EPIC. Screening information technology tools via SETNET/Safety SUrveyor(Premier) and the electronic anti-infective order form would allow for sufficient medical record review to create best practices alerts for the purpose of appropriate de-escalation of anti-invectives.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| All prescribing MDs at UWHC | Observational for accept, reject, or accept with modification of Best Practice Alers |
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| Measure | Description | Time Frame |
|---|---|---|
| Percentage of best practice alerts(BPA) that were completely accepted, partially accepted, or rejected within 72 hours of issuing the BPA | after issuing the BPA for deescalation, the responding healthcare provider will respond in one of the manners above | One Year |
| Measure | Description | Time Frame |
|---|---|---|
| The number and type of antiinfectives that were administered before and after(11days) the best practice alert is issued. | The antiinfective use before and after the BPA will be analyzed in detail. The number of antibiotics, percentage decrease(or less likely increase) in antiinfectives in the 3 days before BPA , and 11 days after the BPA will be analyzed. A cost analysis will be performed. Patient outcomes will not be assessed. |
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Inclusion Criteria:
Exclusion Criteria:
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1285 consecutive patients issued BPA for de-escalation of antibiotics in EPIC
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| Name | Affiliation | Role |
|---|---|---|
| Barry C Fox, MD | University of Wisconsin, Madison | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Wisconsin Hospitals and Clinics | Madison | Wisconsin | 53792 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24225610 | Result | Schulz L, Osterby K, Fox B. The use of best practice alerts with the development of an antimicrobial stewardship navigator to promote antibiotic de-escalation in the electronic medical record. Infect Control Hosp Epidemiol. 2013 Dec;34(12):1259-65. doi: 10.1086/673977. Epub 2013 Oct 28. |
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| One year |