The role of electronic health record and "add-on" clinical decision support systems to enhance antimicrobial stewardship programs

Increasingly, demands are placed on healthcare systems to meet antimicrobial stewardship standards and reporting requirements. This trend, combined with reduced financial and personnel resources, has created a need to adopt information technology (IT) to help ease these burdens and facilitate action...

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Bibliographic Details
Published in:Infection control and hospital epidemiology 2019-05, Vol.40 (5), p.501-511
Main Authors: Kuper, Kristi M, Nagel, Jerod L, Kile, Jarrod W, May, Larissa S, Lee, Francesca M
Format: Article
Language:English
Subjects:
Accreditation
Anti-Bacterial Agents - administration & dosage
Anti-Bacterial Agents - therapeutic use
Antibiotics
Antimicrobial agents
Antimicrobial Stewardship - methods
Antimicrobial Stewardship - standards
Artificial intelligence
Clinical decision making
Clinical outcomes
Computerized physician order entry
Decision support systems
Decision Support Systems, Clinical
Diagnostic Tests, Routine
Disease control
Drug resistance
Electronic Health Records
Health care policy
Hospitals
Humans
Informatics
Information technology
Interprofessional Relations
Long term health care
Monetary incentives
Nursing
Patient safety
Pay for performance
United States
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Summary:Increasingly, demands are placed on healthcare systems to meet antimicrobial stewardship standards and reporting requirements. This trend, combined with reduced financial and personnel resources, has created a need to adopt information technology (IT) to help ease these burdens and facilitate action. The incorporation of IT into an antimicrobial stewardship program can help improve stewardship intervention efficiencies and facilitate the tracking and reporting of key metrics, including outcomes. This paper provides a review of the stewardship-related functionality within these IT systems, describes how these platforms can be used to improve antimicrobial use, and identifies how they can support current and potential future antimicrobial stewardship regulatory and accreditation standards. Finally, recommendations to help close the gaps in existing systems are provided and suggestions for future areas of development within these programs are delineated.
ISSN:0899-823X
1559-6834
DOI:10.1017/ice.2019.51