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Implementation of an institution-specific antimicrobial stewardship smartphone application

Published online by Cambridge University Press:  21 June 2018

Heather L. Young*
Affiliation:
Division of Infectious Diseases and Department of Medicine, Denver Health Medical Center, Denver, Colorado University of Colorado Hospital, Denver, Colorado
Katherine C. Shihadeh
Affiliation:
University of Colorado Hospital, Denver, Colorado
Alisha A. Skinner
Affiliation:
University of Colorado Hospital, Denver, Colorado Division of Hospitalist Medicine and Department of Medicine, Denver Health Medical Center, Denver, Colorado
Bryan C. Knepper
Affiliation:
Department of Patient Safety and Quality, Denver Health Medical Center, Denver, Colorado
Jeffrey Sankoff
Affiliation:
University of Colorado Hospital, Denver, Colorado Department of Emergency Medicine, Denver Health Medical Center, Denver, Colorado
Jeremy Voros
Affiliation:
Emergency Physicians Integrated Care, Salt Lake City Utah
Timothy C. Jenkins
Affiliation:
Division of Infectious Diseases and Department of Medicine, Denver Health Medical Center, Denver, Colorado University of Colorado Hospital, Denver, Colorado
*
Author for correspondence: Heather L. Young, MD, 601 Broadway, Denver CO 80204. E-mail: heather.young2@dhha.org

Abstract

Smartphones are increasingly used to access clinical decision support, and many medical applications provide antimicrobial prescribing guidance. However, these applications do not account for local antibiotic resistance patterns and formularies. We implemented an institution-specific antimicrobial stewardship smartphone application and studied patterns of use over a 1-year period.

Type
Concise Communication
Copyright
© 2018 by The Society for Healthcare Epidemiology of America. All rights reserved. 

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References

1. National Quality Partners playbook: antibiotic stewardship in acute care. National Quality Forum webiste. http://www.qualityforum.org/Publications/2016/05/National_Quality_Partners_Playbook__Antibiotic_Stewardship_in_Acute_Care.aspx. Published 2016. Accessed February 8, 2018.Google Scholar
2. The core elements of antibiotic stewardship for nursing homes. Centers for Disease Control and Prevention website. https://www.cdc.gov/longtermcare/pdfs/core-elements-antibiotic-stewardship.pdf. Published 2015. Accessed February 8, 2018.Google Scholar
3. Sanchez, G, Fleming-Dutra, K, Roberts, R, Hicks, T. Core elements of outpatient antibiotic stewardship. MMWR 2016;65:112.Google Scholar
4. Carey, E, Payne, KF, Ahmed, N, Goodson, A. The benefit of the smartphone in oral and maxillofacial surgery: smartphone use among maxillofacial surgery trainees and iPhone apps for the maxillofacial surgeon. J Maxillofac Oral Surg 2015;14:131137.Google Scholar
5. Payne, KB, Wharrad, H, Watts, K. Smartphone and medical related app use among medical students and junior doctors in the United Kingdom (UK): a regional survey. BMC Med Inform Decis Mak 2012;12:121.Google Scholar
6. Payne, KF, Weeks, L, Dunning, P. A mixed methods pilot study to investigate the impact of a hospital-specific iPhone application (iTreat) within a British junior doctor cohort. Health Inform J 2014 Mar20:5973.Google Scholar
7. Goff, DA, Jankowski, C, Tenover, FC. Using rapid diagnostic tests to optimize antimicrobial selection in antimicrobial stewardship programs. Pharmacotherapy 2012;32:677687.Google Scholar
8. Kullar, R, Goff, DA. Transformation of antimicrobial stewardship programs through technology and informatics. Infect Dis Clin N Am 2014;28:291300.Google Scholar
9. Parfitt, EC, Valiquette, L, Laupland, KB. When it comes to stewardship, it’s time to get with the programmers. Can J Infect Dis Med Microbiol 2015;26:234236.Google Scholar
10. Moodley, A, Mangino, JE, Goff, DA. Review of infectious diseases applications for iPhone/iPad and Android: from pocket to patient. Clin Infect Dis 2013;57:11451154.Google Scholar
11. Gabow, P, Eisert, S, Wright, R. Denver Health: a model for the integration of a public hospital and community health centers. Ann Intern Med 2003;138:143149.Google Scholar
12. Crutzen, R, Roosjen, JL, Poelman, J. Using Google Analytics as a process evaluation method for Internet-delivered interventions: an example on sexual health. Health Promo Int 2013;28:3642.Google Scholar
13. Braykov, NP, Morgan, DJ, Schweizer, ML, et al. Assessment of empirical antibiotic therapy optimisation in six hospitals: an observational cohort study. Lancet 2014;14:12201227.Google Scholar
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