Leveraging Information Technology to Hardwire Diagnostic Stewardship
Journal Title: Journal of Medical Diagnostic Methods - Year 2018, Vol 7, Issue 4
Abstract
Objective: This article reports the impact of an electronic educational tool embedded in the electronic medical record on diagnostic stewardship of procalcitonin (PCT)-A biomarker used to differentiate bacterial from viral infection. This tool specifically targets the preanalytic (ordering and collection) phase of the PCT test. Methods: This retrospective study was conducted at a 401-bed academic medical center from February 2017- February 2018. The preintervention phase extended from February 2017-July 2017; intervention phase from August 2017- September 2017 and postintervention phase from October 2017-February 2018. Results: A total of 567 PCT orders were evaluated. There was an overall reduction in total PCT orders and an improvement in appropriate PCT orders. Total PCT orders reduced by 54.4% (P<0.001). Appropriate ordering for PCT improved by 33.4% (P<0.001). Conclusion: Our results further support the use of information technology to hardwire diagnostic stewardship, an important strategy to improve resource utilization and patient care.
Authors and Affiliations
Neha Nanda, Neeti Vyas
Keywords
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- EP ID EP580666
- DOI 10.4172/2168-9784.1000279
- Views 89
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