Development of an antimicrobial stewardship module in an electronic health record: Options to enhance daily antimicrobial stewardship activities.
Am J Health Syst Pharm
; 78(21): 1968-1976, 2021 10 25.
Article
in English
| MEDLINE | ID: covidwho-1246684
ABSTRACT
PURPOSE:
The purpose of this manuscript is to describe our experience developing an antimicrobial stewardship (AS) module as a clinical decision support tool in the Epic electronic health record (EHR).SUMMARY:
Clinical decision support systems within the EHR can be used to decrease use of broad-spectrum antibiotics, improve antibiotic selection and dosing, decrease adverse effects, reduce antibiotic costs, and reduce the development of antibiotic resistance. The Johns Hopkins Hospital constructed an AS module within Epic. Customized stewardship alerts and scoring systems were developed to triage patients requiring stewardship intervention. This required a multidisciplinary approach with a team comprising AS physicians and pharmacists and Epic information technology personnel, with assistance from clinical microbiology and infection control when necessary. In addition, an intervention database was enhanced with stewardship-specific interventions, and workbench reports were developed specific to AS needs. We herein review the process, advantages, and challenges associated with the development of the Epic AS module.CONCLUSION:
Customizing an AS module in an EHR requires significant time and expertise in antimicrobials; however, AS modules have the potential to improve the efficiency of AS personnel in performing daily stewardship activities and reporting through a single system.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Decision Support Systems, Clinical
/
Antimicrobial Stewardship
/
Anti-Infective Agents
Type of study:
Prognostic study
Limits:
Humans
Language:
English
Journal:
Am J Health Syst Pharm
Journal subject:
Pharmacy
/
Hospitals
Year:
2021
Document Type:
Article
Affiliation country:
Ajhp
Similar
MEDLINE
...
LILACS
LIS