Leveraging Information Technology to Hardwire Diagnostic Stewardship
Received Date: Oct 08, 2018 / Accepted Date: Oct 31, 2018 / Published Date: Nov 07, 2018
Objective: This article reports the impact of an electronic educational tool embedded in the electronic medical record on diagnostic stewardship of procalcitonin (PCT)-A biomarker used to differentiate bacterial from viral infection. This tool specifically targets the preanalytic (ordering and collection) phase of the PCT test.
Methods: This retrospective study was conducted at a 401-bed academic medical center from February 2017- February 2018. The preintervention phase extended from February 2017-July 2017; intervention phase from August 2017- September 2017 and postintervention phase from October 2017-February 2018.
Results: A total of 567 PCT orders were evaluated. There was an overall reduction in total PCT orders and an improvement in appropriate PCT orders. Total PCT orders reduced by 54.4% (P<0.001). Appropriate ordering for PCT improved by 33.4% (P<0.001).
Conclusion: Our results further support the use of information technology to hardwire diagnostic stewardship, an important strategy to improve resource utilization and patient care.
Keywords: Diagnostic stewardship; Procalcitonin; Information technology; Electronic educational tool
Citation: Neha N, Neeti V (2018) Leveraging Information Technology to Hardwire Diagnostic Stewardship. J Med Diagn Meth 7: 279. Doi: 10.4172/2168-9784.1000279
Copyright: © 2018 Nanda N, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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