title: Clinical Study of an Online Tool for Standardizing Hospital Care.
abstract: We assessed if use of an online clinical decision support tool improved standardization and quality of care in hospitalized patients with lower extremity cellulitis (LEC). This was a 14-month preintervention and postintervention study of 85 LEC admissions. There was significantly higher usage of the online LEC care process model (CPM) in the postintervention phase (p < .001). There was a trend toward higher rates of appropriate antibiotic regimen in the postintervention group both initially and at discharge (p = .063 for both). A sensitivity analysis of CPM users versus nonusers demonstrated a significantly higher rate of appropriate initial antibiotics prescribed when the CPM was used (p < .001). Use of this online CPM was associated with improved standardization, as demonstrated by increased ordering of an appropriate initial antibiotic regimen for hospitalized patients with LEC.
authors.forename: Mary J
authors.initials: MJ
authors.lastname: Burgess
authors.forename: Mark J
authors.initials: MJ
authors.lastname: Enzler
authors.forename: Deanne T
authors.initials: DT
authors.lastname: Kashiwagi
authors.forename: Andi J
authors.initials: AJ
authors.lastname: Selby
authors.forename: M Rizwan
authors.initials: MR
authors.lastname: Sohail
authors.forename: Paul R
authors.initials: PR
authors.lastname: Daniels
authors.forename: Brian D
authors.initials: BD
authors.lastname: Lahr
authors.forename: Farrell
authors.initials: F
authors.lastname: Lloyd
authors.forename: Larry D
authors.initials: LD
authors.lastname: Baddour
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D002481:Cellulitis / Q000188:drug therapy*; D020000:Decision Support Systems, Clinical; D006760:Hospitalization; D006801:Humans; D010351:Patient Discharge
chemical_list: D000900:Anti-Bacterial Agents