Use of Computerized Clinical Decision Support for Diagnostic Stewardship in Clostridioides difficile testing: an Academic Hospital Quasi-Experimental Study

Anne E Friedland¹, Sara Brown¹, Danielle R Glick¹, Martha C Lusby¹, Daniel Lemkin², Surbhi Leekha³

Affiliations

¹ University of Maryland Medical Center, Baltimore, MD, USA.
² University of Maryland School of Medicine, 110 S. Paca St, Baltimore, MD, 21201, USA.
³ University of Maryland School of Medicine, 110 S. Paca St, Baltimore, MD, 21201, USA. sleekha@som.umaryland.edu.

PMID: 30218259
PMCID: PMC6318163
DOI: 10.1007/s11606-018-4659-4

Use of Computerized Clinical Decision Support for Diagnostic Stewardship in Clostridioides difficile testing: an Academic Hospital Quasi-Experimental Study

Anne E Friedland et al. J Gen Intern Med. 2019 Jan.

. 2019 Jan;34(1):31-32.

doi: 10.1007/s11606-018-4659-4.

Authors

Anne E Friedland¹, Sara Brown¹, Danielle R Glick¹, Martha C Lusby¹, Daniel Lemkin², Surbhi Leekha³

Affiliations

¹ University of Maryland Medical Center, Baltimore, MD, USA.
² University of Maryland School of Medicine, 110 S. Paca St, Baltimore, MD, 21201, USA.
³ University of Maryland School of Medicine, 110 S. Paca St, Baltimore, MD, 21201, USA. sleekha@som.umaryland.edu.

PMID: 30218259
PMCID: PMC6318163
DOI: 10.1007/s11606-018-4659-4

No abstract available

Keywords: Clostridium difficile; clinical decision support; diagnostic stewardship; overdiagnosis.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflicts of interest.

Cited by

Incidence and Risk Factors for Inappropriate Use of Non-Culture-Based Fungal Assays: Implication for Diagnostic Stewardship.
Ito H, Okamoto K, Yamamoto S, Yamashita M, Kanno Y, Jubishi D, Ikeda M, Harada S, Okugawa S, Moriya K. Ito H, et al. Open Forum Infect Dis. 2021 Dec 6;9(1):ofab601. doi: 10.1093/ofid/ofab601. eCollection 2022 Jan. Open Forum Infect Dis. 2021. PMID: 35024373 Free PMC article.
Diagnostic stewardship in infectious diseases: a scoping review.
Shorten R, Pickering K, Goolden C, Harris C, Clegg A, J H. Shorten R, et al. J Med Microbiol. 2024 May;73(5):001831. doi: 10.1099/jmm.0.001831. J Med Microbiol. 2024. PMID: 38722316 Free PMC article.
Impact of Statewide Prevention and Reduction of Clostridioides difficile (SPARC), a Maryland public health-academic collaborative: an evaluation of a quality improvement intervention.
Rock C, Perlmutter R, Blythe D, Bork J, Claeys K, Cosgrove SE, Dzintars K, Fabre V, Harris AD, Heil E, Hsu YJ, Keller S, Maragakis LL, Milstone AM, Morgan DJ, Dullabh P, Ubri PS, Rotondo C, Brooks R, Leekha S. Rock C, et al. BMJ Qual Saf. 2022 Feb;31(2):153-162. doi: 10.1136/bmjqs-2021-014014. Epub 2021 Dec 9. BMJ Qual Saf. 2022. PMID: 34887357 Free PMC article.
The Role of Diagnostic Stewardship in Clostridioides difficile Testing: Challenges and Opportunities.
Boly FJ, Reske KA, Kwon JH. Boly FJ, et al. Curr Infect Dis Rep. 2020 Mar;22(3):7. doi: 10.1007/s11908-020-0715-4. Epub 2020 Feb 17. Curr Infect Dis Rep. 2020. PMID: 33762897 Free PMC article.

References

1. Rock C, Pana Z, Leekha S, Trexler P, Andonian J, Gadala A, Carroll KC, Maragakis LL, CDC Prevention Epicenters Program National Healthcare Safety Network laboratory-identified Clostridium difficile event reporting: a need for diagnostic stewardship. Am J Infect Control. 2018;46:456–458. doi: 10.1016/j.ajic.2017.10.011. - DOI - PMC - PubMed
1. Kelly SG, Yarrington M, Zembower TR, Sutton SH, Silkaitis C, Postelnick M, Mikolajczak A, Bolon MK. Inappropriate Clostridium difficile Testing and Consequent Overtreatment and Inaccurate Publicly Reported Metrics. Infect Control Hosp Epidemiol. 2016;37:1395–1400. doi: 10.1017/ice.2016.210. - DOI - PubMed
1. Kinlay J, Sandora TJ. A qualitative study to identify reasons for Clostridium difficile testing in pediatric inpatients receiving laxatives or stool softeners. Am J Infect Control. 2017;45:539–541. doi: 10.1016/j.ajic.2017.01.035. - DOI - PubMed
1. White DR, Hamilton KW, Pegues DA, Hanish A, Umscheid CA. The Impact of a Computerized Clinical Decision Support Tool on Inappropriate Clostridium difficile Testing. Infect Control Hosp Epidemiol. 2017;38:1204–1208. doi: 10.1017/ice.2017.161. - DOI - PubMed
1. Madden GR, German Mesner I, Cox HL, Mathers AJ, Lyman JA, Sifri CD, Enfield KB. Reduced Clostridium difficile Tests and Laboratory-Identified Events With a Computerized Clinical Decision Support Tool and Financial Incentive. Infect Control Hosp Epidemiol. 2018;39:737–740. doi: 10.1017/ice.2018.53. - DOI - PMC - PubMed

MeSH terms

Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions

LinkOut - more resources

Full Text Sources
Other Literature Sources
- scite Smart Citations
Medical
- MedlinePlus Health Information

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

Use of Computerized Clinical Decision Support for Diagnostic Stewardship in Clostridioides difficile testing: an Academic Hospital Quasi-Experimental Study

Affiliations

Use of Computerized Clinical Decision Support for Diagnostic Stewardship in Clostridioides difficile testing: an Academic Hospital Quasi-Experimental Study

Authors

Affiliations

Conflict of interest statement

Similar articles

Cited by

References

MeSH terms

LinkOut - more resources

Full Text Sources

Other Literature Sources

Medical