Implementation hurdles of an interactive, integrated, point-of-care computerised decision support system for hospital antibiotic prescription

International Journal of Antimicrobial Agents
A L ChowD C Lye

Abstract

Antimicrobial stewardship is used to combat antimicrobial resistance. In Singapore, a tertiary hospital has integrated a computerised decision support system, called Antibiotic Resistance Utilisation and Surveillance-Control (ARUSC), into the electronic inpatient prescribing system. ARUSC is launched either by the physician to seek guidance for an infectious disease condition or via auto-trigger when restricted antibiotics are prescribed. This paper describes the implementation of ARUSC over three phases from 1 May 2011 to 30 April 2013, compared factors between ARUSC launches via auto-trigger and for guidance, examined factors associated with acceptance of ARUSC recommendations, and assessed user acceptability. During the study period, a monthly average of 9072 antibiotic prescriptions was made, of which 2370 (26.1%) involved ARUSC launches. Launches via auto-trigger comprised 48.1% of ARUSC launches. In phase 1, 23% of ARUSC launches were completed. This rose to 38% in phase 2, then 87% in phase 3, as escapes from the ARUSC programme were sequentially disabled. Amongst completed launches for guidance, 89% of ARUSC recommendations were accepted versus 40% amongst completed launches via auto-trigger. Amongst ARUSC launches for ...Continue Reading

References

Apr 1, 1997·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·D M ShlaesC Watanakunakorn
Jan 22, 1998·The New England Journal of Medicine·R S EvansJ P Burke
Oct 15, 2005·Clinical Microbiology Reviews·Conan MacDougall, Ron E Polk
Dec 16, 2005·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·L Clifford McDonald
Dec 16, 2005·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Sara E Cosgrove
Apr 20, 2006·Journal of the American Medical Informatics Association : JAMIA·Jessina C McGregorAnthony D Harris
Aug 4, 2006·The Journal of Antimicrobial Chemotherapy·Valerie De SouzaMartin Cormican
Sep 5, 2006·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Subhash C AryaShekhar Agarwal
Sep 26, 2006·The Journal of Antimicrobial Chemotherapy·Mical PaulUNKNOWN TREAT Study Group
Dec 19, 2006·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Timothy H DellitUNKNOWN Society for Healthcare Epidemiology of America
Oct 3, 2008·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·I C Gyssens
Jan 13, 2010·Journal of the American Medical Informatics Association : JAMIA·Annette MoxeySallie-Anne Pearson
Apr 16, 2011·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·UNKNOWN Infectious Diseases Society of America (IDSA)David N Gilbert
Mar 16, 2012·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·UNKNOWN Society for Healthcare Epidemiology of AmericaUNKNOWN Pediatric Infectious Diseases Society
Mar 16, 2012·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Elizabeth D HermsenMark E Rupp
Mar 31, 2012·Trends in Ecology & Evolution·Michael R Gillings, H W Stokes
Apr 25, 2012·Journal of Medical Systems·Kristof SteurbautFilip De Turck
Jul 5, 2012·Journal of the American Medical Informatics Association : JAMIA·Arch G MainousPaul J Nietert
Apr 19, 2015·Critical Care : the Official Journal of the Critical Care Forum·Kristel MarquetNeree Claes

❮ Previous
Next ❯

Citations

Jun 20, 2017·International Journal of Antimicrobial Agents·Tat Ming NgDavid C Lye
Sep 20, 2018·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Anucha ApisarnthanarakLance R Peterson
Sep 3, 2020·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Casey KimKeith W Hamilton
Oct 2, 2020·Journal of the American College of Emergency Physicians Open·Foster R GossJennifer Wiler
Sep 5, 2019·Singapore Medical Journal·Alvin Qijia ChuaLi Yang Hsu
Jul 26, 2019·Current Infectious Disease Reports·Barry Rittmann, Michael P Stevens
Mar 7, 2021·International Journal of Environmental Research and Public Health·Mah LakaTracy Merlin

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Related Papers

European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology
C-L YeoL-Y Hsu
Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology : Official Publication of the International Retrovirology Association
J SackoffE Bryan
© 2022 Meta ULC. All rights reserved