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Hybrid De Novo Genome Assembly for the Generation of Complete Genomes of Urinary Bacteria using Short- and Long-read Sequencing Technologies
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Optimizing Inpatient Urine Culture Ordering Practices Using the Electronic Medical Record: A Pilot Study.

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  • 11Division of Infectious Disease,Department of Medicine,University of Wisconsin School of Medicine and Public Health,Madison,Wisconsin.

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PubMed
Summary
This summary is machine-generated.

An electronic medical record intervention reduced unnecessary urine cultures in catheterized patients. This approach can help prevent catheter-associated urinary tract infections (CAUTIs).

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Area of Science:

  • Infectious Diseases
  • Healthcare Quality Improvement
  • Medical Informatics

Background:

  • Catheter-associated urinary tract infections (CAUTIs) are a significant healthcare concern.
  • Inappropriate urine culture ordering contributes to antimicrobial resistance and healthcare costs.
  • Electronic medical record (EMR) systems offer opportunities for clinical decision support.

Purpose of the Study:

  • To evaluate the impact of an EMR-anchored educational intervention on urine culture ordering practices for catheterized patients.
  • To assess the intervention's effectiveness in reducing the number of urine cultures ordered for this patient population.

Main Methods:

  • A prospective, quasi-experimental, before-and-after study design was employed.
  • An intervention involving embedded education on appropriate urine culture indications was implemented within an EMR system.
  • Data on urine culture orders for catheterized patients were collected before and after the intervention.

Main Results:

  • The intervention led to a significant reduction in the number of urine cultures ordered for catheterized patients.
  • The study demonstrated the feasibility of using EMR-embedded education to modify clinical practice.

Conclusions:

  • EMR-anchored educational interventions are effective in optimizing urine culture ordering.
  • This intervention can be a valuable component of strategies aimed at reducing CAUTIs and combating antimicrobial resistance.