-
digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/computerized-algorithms-and
April 01, 1992 - of data capture and documentation, compliance with recommended management plans, incorrect usage of antibiotics … Healthcare Utilization: Decreased inappropriate use of antibiotics for otitis media (p<0.001) and pharyngitis
-
digital.ahrq.gov/sites/default/files/docs/SFQD_Slides%20(2).pdf
January 01, 1993 - Patients �
Patient Charts/Smart Form
ARI Quality Dashboard
Features
• Focus on total and unnecessary antibiotic … use
• Narrow vs. broad spectrum antibiotics
• Stratified by type of ARI
• Relatively static because … outside consulting firm
ARI Smart Form –
Pilot Results
Smart Form Pilot Previous Season
Visits, Antibiotic … , Visits, Antibiotic, Visits,
N
Antibiotic,
N (%)
Visits,
N
Antibiotic,
N (%)
Antibiotic Appropriate … Diagnosis
6 6 (100) 367 154 (42)
Non-Antibiotic
Appropriate Diagnosis
20 3 (15) 1027 269 (26)
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digital.ahrq.gov/ahrq-funded-projects/computer-based-provider-order-entry-cpoe-implementation-intensive-care-units
January 01, 2023 - errors, adverse drug events, infection rates, protocol compliance, length of stay, mortality rates, and antibiotic … Order Entry System Population: Adults
Impact of electronic order management on the timeliness of antibiotic … Impact of electronic order management on the timeliness of antibiotic administration in critical care … Computerized Provider Order Entry System Population: Adults , Infants , Children
Safety of the antibiotic … Safety of the antibiotic medication use process in the intensive care unit.
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digital.ahrq.gov/sites/default/files/docs/activity/using_health_information_technology_to_support_population_based_clinical_practice_2010_pdf__2.pdf
January 01, 2010 - The overuse of antibiotics for viral infections has contributed to the rapid emergence
of antimicrobial … As a result, research on
preventing the overuse of antibiotics is a national priority. … practice
2010 Grant Summary
interventions is to increase the effectiveness and appropriateness of antibiotic
-
digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/clinical-decision-support-systems-cdss/effects
August 09, 2021 - The seven studies evaluating isolated CDSSs demonstrated statistically significant improvements in antibiotic-associated
-
digital.ahrq.gov/medical-condition/bacterial-infection
January 01, 2023 - evidence-based treatment guidelines for women who are group B streptococcus positive including inappropriate antibiotic
-
digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/comparative-impact-guidelines
April 26, 2021 - allocated randomly to four different levels of computerized support: no additional information, electronic antibiotic
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/computerized-antimicrobial
June 15, 2004 - West Virginia University Hospital - a 450-bed academic tertiary care center Intervention: Compare antibiotic
-
digital.ahrq.gov/ahrq-funded-projects/improving-pediatric-safety-and-quality-healthcare-information-technology
January 01, 2023 - Provider Order Entry System Population: Infants , Children
Impact of a computerized template on antibiotic … Impact of a computerized template on antibiotic prescribing for acute respiratory infections in children
-
digital.ahrq.gov/sites/default/files/docs/cds-medication-management-slides-012814.pdf
January 28, 2014 - AOM:
► Adequate diagnostic evaluation
► Amoxicillin prescribed as first-line therapy
► Appropriate antibiotics … ear-related problem and
provided an aggregated history of previous OM encounters and the
child’s antibiotic … Care
This component displayed guidelines-based recommendations for
treatment including indicated antibiotics … Results
• Adherence to OM guidelines:
► Comprehensive care (all recommended guidelines
including antibiotic … 5% increase in use of amoxicillin as a first-line therapy
(p=0.007)
► 5% increase in appropriate antibiotic
-
digital.ahrq.gov/ahrq-funded-projects/evaluating-smart-forms-and-quality-dashboards-electronic-health-record-ehr/annual-summary/2009
January 01, 2009 - The results of the ARI study demonstrated that use of SFs decrease instances of antibiotic prescribing … for non-antibiotic-appropriate diagnoses, suggesting better adherence to clinical guidelines on the
-
digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/patient-safety/automated-surveillance-adverse
January 01, 2006 - Rates of antibiotic-associated colitis, drug-induced hypoglycemia, and anticoagulation-related ADEs were
-
digital.ahrq.gov/principal-investigator/guise-jeanne-marie
January 01, 2023 - evidence-based treatment guidelines for women who are group B streptococcus positive including inappropriate antibiotic
-
digital.ahrq.gov/sites/default/files/docs/activity/evaluating_smart_forms_and_quality_dashboards_in_an_ehr_2010_pdf__2.pdf
January 01, 2010 - The results of the ARI study demonstrated that use of SFs decrease instances of antibiotic prescribing … for
non-antibiotic-appropriate diagnoses, suggesting better adherence to clinical guidelines on the
-
digital.ahrq.gov/funding-mechanism/inter-agency-agreement
January 01, 2023 - Development and Implementation
Improving diagnostic testing and reducing overuse of antibiotics … Improving diagnostic testing and reducing overuse of antibiotics for children with pharyngitis: a useful
-
digital.ahrq.gov/principal-investigator/shiffman-richard-n
January 01, 2023 - Development and Implementation
Improving diagnostic testing and reducing overuse of antibiotics … Improving diagnostic testing and reducing overuse of antibiotics for children with pharyngitis: a useful
-
digital.ahrq.gov/sites/default/files/docs/resource/Mostashari_List_of_Measures_TCNY_AQA_eQARR_Crosswalk_1_30_08_Mostashari.pdf
May 29, 2009 - The percentage of
children 2–18 years
of age who were
diagnosed with
pharyngitis,
dispensed an
antibiotic … percentage of
children, ages two
to 18 years, who
were diagnosed
with pharyngitis,
were prescribed an
antibiotic … age who
were given a
diagnosis of upper
respiratory infection
(URI) and were not
dispensed an
antibiotic … with an
upper respiratory
infection (common
cold) and who were
not given a
prescription for an
antibiotic
-
digital.ahrq.gov/sites/default/files/docs/citation/r01hs028127-meeker-final-report-2023.pdf
January 01, 2023 - Stewardship, COVID-19, Antibiotics … Antibiotics included those from the National Committee for Quality
Assurance (NCQA) value sets for … If the index COVID-19-related
visit included diagnosis codes for which antibiotics are sometimes or … always appropriate, then
an antibiotic prescription was not classified as inappropriate. … it is treated as an inappropriate antibiotic
(steroid) prescription.
-
digital.ahrq.gov/sites/default/files/docs/page/2006StromPepper_051211comp.pdf
May 23, 2011 - related
Serious/Idiosyncratic
Mild/Dose related
Mild/Idiosyncratic
CCEB
Selected Interventions
• Antibiotics … for acute bronchitis & URI
• Antibiotic management program
• Anticoagulation management
program
-
digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/effects-computerized-physician
June 23, 2003 - Of the 7 studies evaluating isolated CDSSs, 3 demonstrated statistically significant improvement in antibiotic