Abstract
The aims of this study are (i) to present the design of a tele-expertise system, based on the telephone and electronic patient record (EPR), which supports the counseling of the infectious diseases specialist (IDS) for appropriate antimicrobial use, in a French University hospital; and (ii) to assess the diffusion of the system, the users' adherence, and their perceived utility. A prospective observational study was conducted to measure (i) the number and patterns of telephone calls for tele-expertise council, the number of initial and secondary assessments from the IDS and multidisciplinary meetings; (ii) the clinicians' adherence rate to therapeutic proposals by the IDS and the number of clinical situations for which the IDS decided to move to bedside; and (iii) the perceived utility of the system by the medical managers of the most demanding departments. The review of patients' records for 1 year period indicates that 87 percent of the therapeutic recommendations were fully followed. The adherence was high, despite the IDS moving to the bedside only in 6 percent of cases. Medical managers of the most demanding departments considered the system to be useful. Moreover, 6,994 tele-expertise notifications have been recorded into...Continue Reading
References
Sep 1, 1996·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·B C FoxR A Weinstein
Oct 12, 2001·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·A M Yinnon
Aug 6, 2008·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Allison L AgwuChristoph U Lehmann
May 21, 2010·BMJ : British Medical Journal·Céire CostelloeAlastair D Hay
Jan 22, 2011·Pharmacoepidemiology and Drug Safety·Jean-Frederic WestphalCathy Nonnenmacher
Oct 23, 2012·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·E ForsblomA Järvinen
Mar 23, 2013·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·J M CisnerosUNKNOWN PRIOAM team
Sep 17, 2013·International Journal of Environmental Research and Public Health·Chang-Ro LeeSang Hee Lee
Jul 22, 2014·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·C PulciniS Harbarth
Sep 28, 2014·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Graeme N ForrestMichael Postelnick
Jun 19, 2016·International Journal of Medical Informatics·Melissa T BaysariJohanna I Westbrook
Mar 8, 2017·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·T M RawsonA H Holmes
Citations
Jun 8, 2019·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Brigid M WilsonRobin L P Jump
Dec 3, 2020·Antibiotics·Flavien BouchetDavid Morquin
Nov 25, 2020·International Journal of Antimicrobial Agents·Benjamin VialaDavid Morquin