title: Bringing the "power" to Cerner's PowerChart for antimicrobial stewardship.
abstract: The electronic medical record (EMR) has huge potential for facilitating antimicrobial stewardship efforts by directing providers to preferred antimicrobials. Cerner PowerChart currently holds the number 2 position in the EMR market. Although PowerChart has limited "out of the box" functionalities to optimize stewardship efforts, there are many potential utilities that can be developed to assist in stewardship practice. However, to harness the stewardship potential of the EMR system, significant hospital information technology resources are needed. Herein we describe the experiences of 3 large healthcare systems utilizing Cerner to facilitate prior authorization of antimicrobials, prospective audit and feedback of antimicrobials, and supplemental stewardship strategies.
authors.affiliation: Department of Pharmacy Services, Sinai-Grace Hospital, Detroit Medical Center Wayne State University School of Medicine, Detroit, Michigan.
authors.forename: Jason M
authors.initials: JM
authors.lastname: Pogue
authors.affiliation: Antibiotic Management Program, UPMC Presbyterian Hospital University of Pittsburgh School of Pharmacy, Pennsylvania.
authors.forename: Brian A
authors.initials: BA
authors.lastname: Potoski
authors.affiliation: Department of Pharmacy, Northwestern Memorial Hospital, Chicago, Illinois.
authors.forename: Michael
authors.initials: M
authors.lastname: Postelnick
authors.affiliation: Department of Pharmacy Services, Detroit Receiving Hospital, Detroit Medical Center.
authors.forename: Ryan P
authors.initials: RP
authors.lastname: Mynatt
authors.affiliation: Department of Pharmacy, Detroit Medical Center.
authors.forename: David P
authors.initials: DP
authors.lastname: Trupiano
authors.affiliation: University of Michigan Health System and College of Pharmacy.
authors.forename: Gregory A
authors.initials: GA
authors.lastname: Eschenauer
authors.affiliation: Infection Prevention, Epidemiology and Antimicrobial Stewardship, Detroit Medical Center and Wayne State University, Detroit, Michigan.
authors.forename: Keith S
authors.initials: KS
authors.lastname: Kaye
mesh_terms: D000890:Anti-Infective Agents / Q000627:therapeutic use*; D001424:Bacterial Infections / Q000188:drug therapy*; D003695:Delivery of Health Care; D004363:Drug Utilization / Q000592:standards*; D057286:Electronic Health Records; D006761:Hospitals; D006801:Humans
chemical_list: D000890:Anti-Infective Agents
keywords: CPOE; Cerner; EMR; PowerChart; antibiotic stewardship