Quality Assessment of Process Measures in Antimicrobial Stewardship: Concordance of Cefepime Indication Without Automatic Prospective Approval in Computerized Provider Order Entry

Quality Assessment of Process Measures in Antimicrobial Stewardship: Concordance of Valacyclovir Indication and Automatic Prospective Approval in Computerized Provider Order Entry

Reducing co-administration of proton pump inhibitors and antibiotics using a computerized order entry alert and prospective audit and feedback

BACKGROUND Antibiotics and proton pump inhibitors (PPIs) are associated with Clostridium difficile infection (CDI). Both a computer order entry alert to highlight this association as well as antimicrobial stewardship directed prospective audit and feedback represent novel interventions to reduce the co-administration of antibiotics and PPIs among hospitalized patients. METHODS Consecutive pat...

Conversion of a single-facility pediatric antimicrobial stewardship program to multi-facility application with computerized provider order entry and clinical decision support.

OBJECTIVE Antimicrobial stewardship programs (ASPs) help meet quality and safety goals with regard to antimicrobial use. Prior to CPOE implementation, the ASP at our pediatric tertiary hospital developed a paper-based order set containing recommendations for optimization of dosing. In adapting our ASP for CPOE, we aimed to preserve consistency in our ASP recommendations and expand ASP expertise...

Attitudes and Knowledge of Hormozgan University of Medical Sciences Nurses Regarding the Implementation of Computerized Physician Order Entry

Introduction: Despite potential benefits of CPOE (Computerized Physician Order Entry) systems, recent studies have cast some doubts on their role in reducing errors. CPOE systems with poorly designed interfaces have proven to cause dissatisfaction and introduce new kinds of errors in the ordering process. The main objective of this study is to identify problems related to a CPOE medication syst...

Redesign of computerized decision support to improve antimicrobial prescribing. A controlled before-and-after study.

OBJECTIVE To determine the impact of the introduction of new pre-written orders for antimicrobials in a computerized provider order entry (CPOE) system on 1) accuracy of documented indications for antimicrobials in the CPOE system, 2) appropriateness of antimicrobial prescribing, and 3) compliance with the hospital's antimicrobial policy. Prescriber opinions of the new decision support were als...