title: Improvement in prescribing habits and economic outcomes associated with the introduction of a standardized approach for surgical antimicrobial prophylaxis.
abstract: A quasi-experimental before-after study was conducted to determine the impact on prescribing habits and economic outcomes of an intervention that required use of an order form for surgical antimicrobial prophylaxis. Implementation of this intervention improved compliance with guidelines for prevention of surgical site infections, particularly with respect to choice of antibiotic, duration of use, and dosage, and resulted in decreased cost of surgical prophylaxis.
authors.affiliation: Department of Pharmaceutical and Nutrition Care, Nebraska Medical Center, University of Nebraska Medical Center, Omaha, NE 68198-8485, USA. ehermsen@nebraskamed.com
authors.forename: Elizabeth D
authors.initials: ED
authors.lastname: Hermsen
authors.forename: Sara
authors.initials: S
authors.lastname: Smith Shull
authors.forename: Susan E
authors.initials: SE
authors.lastname: Puumala
authors.forename: Mark E
authors.initials: ME
authors.lastname: Rupp
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000191:economics* / Q000627:therapeutic use*; D019072:Antibiotic Prophylaxis / Q000191:economics* / Q000592:standards* / Q000706:statistics & numerical data; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D008297:Male; D008875:Middle Aged; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data; D013530:Surgical Wound Infection / Q000188:drug therapy / Q000517:prevention & control*
chemical_list: D000900:Anti-Bacterial Agents