title: Does electronic stewardship work?
abstract: Faced with national requirements to promote antimicrobial stewardship and reduce drug-resistant infections, community hospitals are challenged to make the best use of existing resources. Eighteen months after building antibiotic decision support into our electronic order platform, high-risk antibiotic use decreased by 83% (P < .001) at our community hospital. Hospital-acquired Clostridium difficile infections declined 24% (P = .07).
authors.affiliation: North Shore Medical Center, Partners Health Care, Salem, MA, USA.
authors.forename: Barbara B
authors.initials: BB
authors.lastname: Lambl
authors.affiliation: North Shore Medical Center, Partners Health Care, Salem, MA, USA.
authors.forename: Nathan
authors.initials: N
authors.lastname: Kaufman
authors.affiliation: North Shore Medical Center, Partners Health Care, Salem, MA, USA.
authors.forename: Janice
authors.initials: J
authors.lastname: Kurowski
authors.affiliation: North Shore Medical Center, Partners Health Care, Salem, MA, USA.
authors.forename: W
authors.initials: W
authors.lastname: O'Neill
authors.affiliation: North Shore Medical Center, Partners Health Care, Salem, MA, USA.
authors.forename: Frederick
authors.initials: F
authors.lastname: Buckley
authors.affiliation: North Shore Medical Center, Partners Health Care, Salem, MA, USA.
authors.forename: Maureen
authors.initials: M
authors.lastname: Duram
authors.affiliation: North Shore Medical Center, Partners Health Care, Salem, MA, USA.
authors.forename: Barbara
authors.initials: B
authors.lastname: Swartz
authors.affiliation: North Shore Medical Center, Partners Health Care, Salem, MA, USA.
authors.forename: Duncan
authors.initials: D
authors.lastname: Phillips
authors.affiliation: North Shore Medical Center, Partners Health Care, Salem, MA, USA.
authors.forename: Mitchell
authors.initials: M
authors.lastname: Rein
authors.affiliation: North Shore Medical Center, Partners Health Care, Salem, MA, USA.
authors.forename: Marc
authors.initials: M
authors.lastname: Rubin
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D003015:Clostridium Infections / Q000517:prevention & control*; D003428:Cross Infection / Q000517:prevention & control*; D004360:Drug Therapy, Computer-Assisted; D004363:Drug Utilization / Q000592:standards*; D017723:Drug Utilization Review; D006764:Hospitals, Community; D006801:Humans; D057970:Inappropriate Prescribing; D008404:Massachusetts; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data; D058996:Quality Improvement
chemical_list: D000900:Anti-Bacterial Agents
keywords: Clostridium difficile infections; antibiotic stewardship; community hospitals; decision support