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Test stewardship, frequency and fidelity: Impact on reported hospital-onset Clostridioides difficile

Published online by Cambridge University Press:  22 April 2019

Michele S. Fleming Open the ORCID record for Michele S. Fleming [Opens in a new window] ,
Olivia Hess ,
Heather L. Albert ,
Emily Styslinger ,
Michelle Doll ,
Huong Jane Nguyen ,
Susan McAulay-Kidd ,
Robin R. Hemphill ,
Tara Srivastava  and
Kaila D. Cooper
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Michele S. Fleming*
Affiliation:
Healthcare Infection Prevention Program, Virginia Commonwealth University Health System, Richmond, Virginia
Olivia Hess
Affiliation:
Healthcare Infection Prevention Program, Virginia Commonwealth University Health System, Richmond, Virginia
Heather L. Albert
Affiliation:
Healthcare Infection Prevention Program, Virginia Commonwealth University Health System, Richmond, Virginia
Emily Styslinger
Affiliation:
Healthcare Infection Prevention Program, Virginia Commonwealth University Health System, Richmond, Virginia
Michelle Doll
Affiliation:
Healthcare Infection Prevention Program, Virginia Commonwealth University Health System, Richmond, Virginia
Huong Jane Nguyen
Affiliation:
Healthcare Infection Prevention Program, Virginia Commonwealth University Health System, Richmond, Virginia
Susan McAulay-Kidd
Affiliation:
Healthcare Infection Prevention Program, Virginia Commonwealth University Health System, Richmond, Virginia
Robin R. Hemphill
Affiliation:
Healthcare Infection Prevention Program, Virginia Commonwealth University Health System, Richmond, Virginia
Tara Srivastava
Affiliation:
Healthcare Infection Prevention Program, Virginia Commonwealth University Health System, Richmond, Virginia
Kaila D. Cooper
Affiliation:
Healthcare Infection Prevention Program, Virginia Commonwealth University Health System, Richmond, Virginia
Michael P. Stevens
Affiliation:
Healthcare Infection Prevention Program, Virginia Commonwealth University Health System, Richmond, Virginia
Gonzalo Bearman
Affiliation:
Healthcare Infection Prevention Program, Virginia Commonwealth University Health System, Richmond, Virginia
*
Author for correspondence: Michele S. Fleming, Email: michele.fleming@vcuhealth.org
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Abstract

We assessed the impact of an embedded electronic medical record decision-support matrix (Cerner software system) for the reduction of hospital-onset Clostridioides difficile. A critical review of 3,124 patients highlighted excessive testing frequency in an academic medical center and demonstrated the impact of decision support following a testing fidelity algorithm.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 40 , Issue 6 , June 2019 , pp. 710 - 712
Copyright
© 2019 by The Society for Healthcare Epidemiology of America. All rights reserved. 

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References

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