Clinical Study of an Online Tool for Standardizing Hospital Care. Issue 6 (November 2016)

• Record Type: Journal Article
• Authors: Burgess, Mary J.; Enzler, Mark J.; Kashiwagi, Deanne T.; Selby, Andi J.; Sohail, M. Rizwan; Daniels, Paul R.; Lahr, Brian D.; Lloyd, Farrell; Baddour, Larry D.
• Is Part Of: Journal for healthcare quality. Volume 38:Issue 6(2016:Nov./Dec.)
• Publication Date: 2016-11
• Subjects: lower extremity cellulitis -- CPM -- online tool -- standardization of care; Medical care -- Quality control -- Periodicals; Quality assurance -- Periodicals; 362.1
• DOI: 10.1097/JHQ.0000000000000070
• Languages: English
• ISSNs: 1062-2551

Abstract

Abstract : Abstract: We assessed if use of an online clinical decision support tool improved standardization and quality of care in hospitalized patients with lower extremity cellulitis (LEC). This was a 14-month preintervention and postintervention study of 85 LEC admissions. There was significantly higher usage of the online LEC care process model (CPM) in the postintervention phase ( p < .001). There was a trend toward higher rates of appropriate antibiotic regimen in the postintervention group both initially and at discharge ( p = .063 for both). A sensitivity analysis of CPM users versus nonusers demonstrated a significantly higher rate of appropriate initial antibiotics prescribed when the CPM was used ( p < .001). Use of this online CPM was associated with improved standardization, as demonstrated by increased ordering of an appropriate initial antibiotic regimen for hospitalized patients with LEC.