Journal for healthcare quality : official publication of the National Association for Healthcare Quality · 2016
Clinical Study of an Online Tool for Standardizing Hospital Care.
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Burgess Mary J, Enzler Mark J, Kashiwagi Deanne T, Selby Andi J, Sohail M Rizwan, Daniels Paul R, Lahr Brian D, Lloyd Farrell, Baddour Larry D
Аннотация
We assessed if use of an online clinical decision support tool improved standardization and quality of care in hospitalized patients with lower extremity cellulitis (LEC). This was a 14-month preintervention and postintervention study of 85 LEC admissions. There was significantly higher usage of the online LEC care process model (CPM) in the postintervention phase (p < .001). There was a trend toward higher rates of appropriate antibiotic regimen in the postintervention group both initially and at discharge (p = .063 for both). A sensitivity analysis of CPM users versus nonusers demonstrated a significantly higher rate of appropriate initial antibiotics prescribed when the CPM was used (p < .001). Use of this online CPM was associated with improved standardization, as demonstrated by increased ordering of an appropriate initial antibiotic regimen for hospitalized patients with LEC.