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Computer-Assisted Antimicrobial Recommendations for Optimal Therapy: Analysis of Prescribing Errors in an Antimicrobial Stewardship Trial

Published online by Cambridge University Press:  02 June 2017

David N. Schwartz ,
Kevin W. McConeghy ,
Rosie D. Lyles ,
Ulysses Wu ,
Robert C. Glowacki ,
Gail S. Itokazu ,
Piotr Kieszkowski ,
Yingxu Xiang ,
Bala Hota  and
Robert A. Weinstein
David N. Schwartz*
Affiliation:
Division of Infectious Diseases, Stroger Hospital of Cook County, Chicago, Illinois Rush Medical College, Chicago, Illinois
Kevin W. McConeghy
Affiliation:
Providence VA Medical Center, Providence, Rhode Island
Rosie D. Lyles
Affiliation:
Stroger Hospital of Cook County, Chicago, Illinois
Ulysses Wu
Affiliation:
St Francis Hospital and Medical Center, Hartford, Connecticut
Robert C. Glowacki
Affiliation:
Pharmacy Department, Stroger Hospital of Cook County, Chicago, Illinois College of Pharmacy, University of Illinois at Chicago, Chicago, Illinois.
Gail S. Itokazu
Affiliation:
Pharmacy Department, Stroger Hospital of Cook County, Chicago, Illinois College of Pharmacy, University of Illinois at Chicago, Chicago, Illinois.
Piotr Kieszkowski
Affiliation:
Providence VA Medical Center, Providence, Rhode Island
Yingxu Xiang
Affiliation:
Providence VA Medical Center, Providence, Rhode Island
Bala Hota
Affiliation:
College of Pharmacy, University of Illinois at Chicago, Chicago, Illinois.
Robert A. Weinstein
Affiliation:
Division of Infectious Diseases, Stroger Hospital of Cook County, Chicago, Illinois Rush Medical College, Chicago, Illinois
*
Address correspondence to David N. Schwartz, MD, Chair, Division of Infectious Diseases, John H. Stroger, Jr Hospital of Cook County, 1900 W. Polk St, Room 1236, Chicago, IL 60612 (david.schwartz@hektoen.org).
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Abstract

Clinician education and prospective audit and feedback interventions, deployed separately and concurrently, did not reduce antimicrobial use errors or rates compared to a control group of general medicine inpatients at our public hospital. Additional research is needed to define the optimal scope and intensity of hospital antimicrobial stewardship interventions.

Infect Control Hosp Epidemiol 2017;38:857–859

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 38 , Issue 7 , July 2017 , pp. 857 - 859
Copyright
© 2017 by The Society for Healthcare Epidemiology of America. All rights reserved 

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Footnotes

PREVIOUS PRESENTATION. These data were presented in part at the 16th Annual Meeting of the Society for Healthcare Epidemiology of America, Chicago, Illinois, March 16–21, 2006, (abstracts 27 and 317), and at the 17th Annual Meeting of the Society for Healthcare Epidemiology of America, Baltimore, MD, April 14–17, 2007 (abstracts 27 and 298).

References

REFERENCES

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Supplementary material: File

Schwartz supplementary material

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