Holding firm: Use of clinical correlation to improve Clostridioides difficile testing

•We improved testing practices related to hospital-onset C. difficile infection.•Iterative Plan-Do-Study-Act (PDSA) cycles helped us engage and align stakeholders.•Tools for quality improvement can successfully be used for diagnostic stewardship. A project involving 3 Plan-Do-Study-Act cycles was un...

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Bibliographic Details
Published in:American journal of infection control 2020-09, Vol.48 (9), p.1104-1107
Main Authors: Baghdadi, Jonathan, Ganz, David A., Chumpia, Maryanne, Chang, Evelyn T., de Peralta, Shelly S.
Format: Article
Language:English
Subjects:
Clinical decision support
Diagnostic stewardship
Quality improvement
Stakeholder engagement
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Summary:•We improved testing practices related to hospital-onset C. difficile infection.•Iterative Plan-Do-Study-Act (PDSA) cycles helped us engage and align stakeholders.•Tools for quality improvement can successfully be used for diagnostic stewardship. A project involving 3 Plan-Do-Study-Act cycles was undertaken to improve testing for Clostridioides difficile at a Veterans Administration medical center. The Plan-Do-Study-Act process facilitated stakeholder engagement and allowed each successive intervention to build on the prior, resulting in a decline in the rate of hospital-onset C difficile infection.
ISSN:0196-6553
1527-3296
DOI:10.1016/j.ajic.2019.11.016