title: Implementation of a clinical decision support system for antimicrobial stewardship.
abstract: Clinical decision support systems (CDSSs) for antimicrobial stewardship require considerable human resources and financial investments. This pre-/postimplementation study evaluated the effect of a CDSS on performance of prospective audit with intervention and feedback and demonstrated an increase in interventions and recommendation acceptance countered by a substantial number of nonactionable alerts.
authors.affiliation: Pharmacy Relations and Clinical Decision Support, Nebraska Medical Center, Omaha, Nebraska, USA. elizabeth.hermsen@cubist.com
authors.forename: Elizabeth D
authors.initials: ED
authors.lastname: Hermsen
authors.forename: Trevor C
authors.initials: TC
authors.lastname: VanSchooneveld
authors.forename: Harlan
authors.initials: H
authors.lastname: Sayles
authors.forename: Mark E
authors.initials: ME
authors.lastname: Rupp
mesh_terms: D000890:Anti-Infective Agents / Q000627:therapeutic use*; D020000:Decision Support Systems, Clinical / Q000458:organization & administration*; D017723:Drug Utilization Review / Q000458:organization & administration*; D005246:Feedback; D006801:Humans; D016730:Program Development; D017010:Reminder Systems
chemical_list: D000890:Anti-Infective Agents