Evaluation of the accuracy of a mandatory indication field for outpatient antibiotic prescriptions

The use of antibiotic indication fields within computerized prescriber order entry (CPOE) is advocated for by the CDC to facilitate benchmarking and communication.1 Several institutions have investigated the accuracy of prescriber-selected indications for inpatient antibiotic orders, but none have a...

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Bibliographic Details
Published in:Antimicrobial stewardship & healthcare epidemiology : ASHE 2023, Vol.3 (1), p.e35-e35, Article e35
Main Authors: Papanikolla, Johanna, Bursua, Adam, Radosta, Jonathan, Borgetti, Scott A, Bleasdale, Susan, Van Dril, Elizabeth, Shilka, John, Gross, Alan E
Format: Article
Language:English
Subjects:
Accuracy
Ambulatory care
Antibiotics
Chronic obstructive pulmonary disease
Documentation
Electronic health records
Emergency medical care
Outpatient care facilities
Pharmacy
Prescriptions
Prophylaxis
Quality control
Research Brief
Sexually transmitted diseases
Sinusitis
STD
Urinary tract diseases
Urinary tract infections
Urogenital system
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Summary:The use of antibiotic indication fields within computerized prescriber order entry (CPOE) is advocated for by the CDC to facilitate benchmarking and communication.1 Several institutions have investigated the accuracy of prescriber-selected indications for inpatient antibiotic orders, but none have assessed the accuracy of outpatient antibiotic indication fields.6–9 The objective of this study was to validate the accuracy of the indication field upon antibiotic prescribing in the ambulatory care setting so this field may be used to for benchmarking to facilitate future stewardship interventions. Indication Frequency for Antibiotics Prescribed in the Outpatient Setting Selected Indications Prescriptions (N = 350), No. (%) Skin/soft-tissue infection 85 (24.3) Urinary tract infection 73 (20.9) Genital tract infection 72 (20.6) Other 38 (10.8) Prophylaxis or chronic suppression 24 (6.8) Sinusitis/otitis, acute bacterial 17 (4.8) Pharyngitis, bacterial 16 (4.6) Gastrointestinal 13 (3.7) Helicobacter pylori 5 (1.4) Bone/joint infection 3 (0.9) Pneumonia 2 (0.6) COPD exacerbation 1 (0.3) Surgical-site infection 1 (0.3) Shingles/herpes 0 Note. Half of the indication inaccuracies were due to prescribers selecting “genital tract infection” instead of “urinary tract infection” for patients with UTIs. [...]we have eliminated “genital tract infection” and replaced it with “sexually transmitted infection” to further direct prescribers to the appropriate choice.
ISSN:2732-494X
2732-494X
DOI:10.1017/ash.2022.368