Development of an antimicrobial stewardship module in an electronic health record : Options to enhance daily antimicrobial stewardship activities
© American Society of Health-System Pharmacists 2021. All rights reserved. For permissions, please e-mail: journals.permissionsoup.com..
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.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:78 |
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| Enthalten in: |
American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists - 78(2021), 21 vom: 25. Okt., Seite 1968-1976 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Dzintars, Kathryn [VerfasserIn] |
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| Links: |
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| Themen: |
Anti-Bacterial Agents |
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| Anmerkungen: |
Date Completed 05.11.2021 Date Revised 05.11.2021 published: Print Citation Status MEDLINE |
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| doi: |
10.1093/ajhp/zxab222 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM325925526 |
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| 245 | 1 | 0 | |a Development of an antimicrobial stewardship module in an electronic health record |b Options to enhance daily antimicrobial stewardship activities |
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| 500 | |a Date Revised 05.11.2021 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © American Society of Health-System Pharmacists 2021. All rights reserved. For permissions, please e-mail: journals.permissionsoup.com. | ||
| 520 | |a 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) | ||
| 520 | |a 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 | ||
| 520 | |a 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 | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a antimicrobial stewardship | |
| 650 | 4 | |a clinical decision support system | |
| 650 | 4 | |a interventions | |
| 650 | 7 | |a Anti-Bacterial Agents |2 NLM | |
| 650 | 7 | |a Anti-Infective Agents |2 NLM | |
| 700 | 1 | |a Fabre, Valeria M |e verfasserin |4 aut | |
| 700 | 1 | |a Avdic, Edina |e verfasserin |4 aut | |
| 700 | 1 | |a Smith, Janessa |e verfasserin |4 aut | |
| 700 | 1 | |a Adams-Sommer, Victoria |e verfasserin |4 aut | |
| 700 | 1 | |a Townsend, Jennifer |e verfasserin |4 aut | |
| 700 | 1 | |a Jenh Hsu, Alice |e verfasserin |4 aut | |
| 700 | 1 | |a Cosgrove, Sara E |e verfasserin |4 aut | |
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