Urine test stewardship for catheterized patients in the critical care setting: Provider perceptions and impact of electronic order set interventions

We implemented an electronic medical record (EMR) decision support tool for ordering urine cultures per evidence-based guidelines. Following the EMR change, we found a significant increase in proportion of cultures ordered for catheterized intensive care unit (ICU) patients meeting guidelines. We su...

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Bibliographic Details
Published in:American journal of infection control 2019-10, Vol.47 (10), p.1277-1279
Main Authors: Lin, Grace, Knowlson, Shelley, Nguyen, Huong, Cooper, Kaila, Pryor, Rachel J., Doll, Michelle, Godbout, Emily J., Hemphill, Robin, Stevens, Michael P., Bearman, Gonzalo
Format: Article
Language:English
Subjects:
Electronic medical record support tool
Intensive care unit
Urine diagnostic stewardship
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Summary:We implemented an electronic medical record (EMR) decision support tool for ordering urine cultures per evidence-based guidelines. Following the EMR change, we found a significant increase in proportion of cultures ordered for catheterized intensive care unit (ICU) patients meeting guidelines. We surveyed providers and found poor understanding of urine culture guidelines for catheterized ICU patients. EMR-based interventions and educational opportunities have potential to improve urine culture guideline adherence and reduce unnecessary testing and antibiotic use.
ISSN:0196-6553
1527-3296
DOI:10.1016/j.ajic.2019.04.005