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| ID | Type | Description | Link |
|---|---|---|---|
| 2017P000432 | Other Identifier | Committee on Clinical Investigations Beth Israel Deaconess Medical Center |
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The goal of this study is to assess the utility of a data visualization tool for providers' understanding patients' past microbiological culture sensitivities. Providers that are ordering antibiotics for patients with previous culture data in the medical record will be asked to answer questions regarding past sensitivity results. They will be randomized to either using the visualization tool before answering the questions or using the standard medical record tools. They will then be surveyed about their decision-making, knowledge, and the usefulness of the tool.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Antibiotic visualization tool | Experimental | Provider will answer microbiological sensitivity questions using a new antibiotic visualization tool. |
|
| Standard practice | No Intervention | Provider will answer microbiological sensitivity questions using standard medical record tools. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Visualization tool | Other | Visual representation of past microbiological culture data |
|
| Measure | Description | Time Frame |
|---|---|---|
| Provider knowledge | Provider knowledge of patients' previous culture sensitivity results as determined by the proportion of correct answers on a questionnaire: Do you think this patient has had previous resistance to each of these antibiotics at BIDMC (Beth Israel Deaconess Medical Center)? [List of the top 4 antibiotic classes to which resistance is seen at BIDMC that the patient has previously had tested for antibiotic sensitivities] Yes (previous organisms resistant or with intermediate resistance) No (no previous resistance noted) | To be assessed at the time of patient enrollment, up to one day after the initial antibiotic is ordered. |
| Measure | Description | Time Frame |
|---|---|---|
| Post-intervention survey | Providers will be asked survey questions regarding their decision-making and the usability and usefulness of the tool using a 5 point Likert scale: I understand the previous culture data for this patient (Strongly disagree) 1 2 3 4 5 (Strongly agree) I feel like I made an informed antibiotic choice (Strongly disagree) 1 2 3 4 5 (Strongly agree) The tool provided new information that you were not previously aware of (Strongly disagree) 1 2 3 4 5 (Strongly agree) The tool enabled you to more quickly understand this patient's microbiological data (Strongly disagree) 1 2 3 4 5 (Strongly agree) The tool was easy to use (Strongly disagree) 1 2 3 4 5 (Strongly agree) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Steven Horng, MD | Beth Israel Deaconess Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beth Israel Deaconess Medical Center | Boston | Massachusetts | 02215 | United States |
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| ID | Term |
|---|---|
| D003141 | Communicable Diseases |
| ID | Term |
|---|---|
| D007239 | Infections |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| To be assessed at the time of patient enrollment, up to one day after the initial antibiotic is ordered. |
| Antibiotic order changes | Antibiotic orders that are not complete by the time of the intervention will be monitored for any cancellation or change in orders | To be assessed at the time of patient enrollment + 1 day |
| Final culture results | Final culture results drawn from that visit will be compared to antibiotic orders for effectiveness | To be assessed at the time of patient enrollment + 1 week |