Implementation of a Mobile Clinical Decision Support Application to Augment Local Antimicrobial Stewardship
Brian M Hoff1, Diana C Ford1, Dilek Ince2
1Department of Pharmaceutical Care, University of Iowa Hospitals and Clinics, Iowa City, IA, USA.
Journal of Pathology Informatics
|April 26, 2018
Summary
A mobile clinical decision support (CDS) application successfully enhanced antimicrobial stewardship by providing clinicians with critical data and guidelines. This tool expanded influence on prescribing and inspired new quality initiatives.
Area of Science:
- Medical Informatics
- Infectious Disease Management
- Antimicrobial Stewardship
Background:
- Mobile applications offer clinicians access to microbiological data and guidelines for treating infectious diseases.
- A mobile clinical decision support (CDS) application was implemented to enhance local antimicrobial stewardship efforts.
Purpose of the Study:
- To detail the 20-month implementation of a mobile CDS application.
- To evaluate the application's utilization data using descriptive statistics to quantify its impact.
Main Methods:
- Stakeholder engagement, business case development, and platform selection initiated the project.
- Content development, committee approval pathways, clinical leader engagement, and EMR integration were key implementation steps.
- Ongoing quality improvement, content revision, and staff education were conducted post-implementation.
Main Results:
- The mobile application was downloaded 3056 times and accessed 9259 times.
- A companion web viewer recorded 8214 accesses.
- The CDS tool facilitated expansion beyond microbiological data to clinical diagnosis, treatment, and antimicrobial stewardship.
Conclusions:
- A customizable mobile CDS tool successfully broadened influence on antimicrobial prescribing.
- Utilization data from the application informed new quality and safety initiatives.
- Further research is needed to assess the impact on antimicrobial use, infection control, and patient outcomes.
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