Advertisement

 

 

Sustained reduction in rates of hospital-onset Clostridium difficile infection using an automated electronic health record protocol.

Sustained reduction in rates of hospital-onset Clostridium difficile infection using an automated electronic health record protocol.
Author Information (click to view)

Khoury JA, Sistrunk WW, Hixson F, Duncan M, Perry A, Varble A, Bryant AM,


Khoury JA, Sistrunk WW, Hixson F, Duncan M, Perry A, Varble A, Bryant AM, (click to view)

Khoury JA, Sistrunk WW, Hixson F, Duncan M, Perry A, Varble A, Bryant AM,

Advertisement
Share on FacebookTweet about this on TwitterShare on LinkedIn

American journal of infection control 2017 11 21() pii S0196-6553(17)31135-5
Abstract
BACKGROUND
An automated protocol was designed within our electronic medical record (EMR) to help curb the Clostridium difficile problem at our institution. The protocol will identify patients at high risk for C difficile, improve the timing of testing of patients infected on admission, and enhance the appropriateness of C difficile testing throughout the patient’s hospitalization.

METHODS
Admitted patients with 2 of the following 3 criteria were labeled as high risk for C difficile: admission to a medical institution in the preceding 90 days, administration of antibiotics in the preceding 90 days, or a history of C difficile. High-risk patients with diarrhea in the first 3 days of admission are identified in the EMR, and prompt testing for C difficile is done. After day 3, if diarrhea develops, a series of questions is presented to help test the appropriate patients for C difficile.

RESULTS
A statistically significant reduction in rates of hospital-onset C difficile was achieved after implementation of the protocol.

CONCLUSIONS
Implementation of an automated protocol for targeted testing of high-risk patients for C difficile was successful at reducing rates of hospital-onset C difficile by improving timing and appropriateness of testing.

Submit a Comment

Your email address will not be published. Required fields are marked *

7 + seventeen =

[ HIDE/SHOW ]