Utilizing a real-time discussion approach to improve the appropriateness of Clostridioides difficile testing and the potential unintended consequences of this strategy. (29th October 2020)

• Record Type: Journal Article
• Authors: Dbeibo, Lana; Brinkman, Allison; Beeler, Cole; Fadel, William; Snyderman, William; Hatfield, Nicole; Sadowski, Joshua; Wang, Yun; Kelley, Kristen; Webb, Douglas; Azar, Jose; Kara, Areeba
• Is Part Of: Infection control and hospital epidemiology. Volume 41:Number 10(2020)
• Page Start: 1215
• Page End: 1218
• Publication Date: 2020-10-29
• Subjects: Nosocomial infections -- Epidemiology -- Periodicals; Health facilities -- Sanitation -- Periodicals; Hospital buildings -- Sanitation -- Periodicals; Cross Infection -- Periodicals; Epidemiology -- Periodicals; Hospitals -- Periodicals; Infection Control -- Periodicals; 614.44
• DOI: 10.1017/ice.2020.276
• Languages: English
• ISSNs: 0899-823X

Abstract

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.