Outcomes of multisite antimicrobial stewardship programme implementation with a shared clinical decision support system

Abstract

Implementation of a collaborative multisite ASP supported by a centrally deployed CDSS was associated with changes in targeted antimicrobial use, decreased antimicrobial costs, decreased HCA-CDI rates, and no observable increase in LOS or mortality. Ongoing targeted interventions are suggested to promote sustainability.

Barriers to implementing antimicrobial stewardship programmes in three Saudi hospitals: Evidence from a qualitative study

“…IT can potentially improve interdepartmental communication and improve patient safety in hospitals [27]. Moreover, the use of sophisticated IT systems that include computerised clinical decision support systems can improve antimicrobial prescribing practices and reduce the rates of healthcare-associated Clostridium difficile infection [28]. Moreover, IT systems that support the integration of electronic healthcare records (EHRs) can enhance the adoption and implementation of ASPs in healthcare settings [29].…”

Implementation and outcomes of an advanced antimicrobial stewardship program at a quaternary care hospital in the United Arab Emirates

“…5 The use of the electronic medical record (EMR) and clinical decision support systems (CDSS) for antimicrobial stewardship has been reported widely in the United States and the international setting, and outcomes of such systems are well documented in the literature. [7][8][9][10][11][12][13] A recent survey conducted by the American Society of Health-System Pharmacists (ASHP) showed that 95% of hospitals have computerized prescriber-order-entry (CPOE) systems and of those, 39% of hospitals utilize clinical decision support for their ASPs. 14 There is a lack of literature documenting the use of CDSS and computerized surveillance systems for ASP in the Middle East.…”

Impact of clinical decision support on empirical antibiotic prescribing for children with community‐acquired pneumonia

“…However, integration does not guarantee uptake, and even efficient, integrated interventions have been poorly utilised in some EDs . Locally, our CDSS platform has resulted in statistically significant reductions in the overall use of broad‐spectrum antibiotics in adult hospitals . However, third‐generation cephalosporins were still overused for moderate CAP in some hospitals, with rates only reduced after more intensive audit, feedback and education were introduced .…”