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Evaluation of an electronic antimicrobial time-out on antimicrobial utilization at a large health system

Published online by Cambridge University Press:  17 May 2019

Steven R. Richardson ,
Elizabeth A. Neuner Open the ORCID record for Elizabeth A. Neuner [Opens in a new window] ,
Vasilios Athans ,
Pavithra Srinivas ,
Jill Wesolowski ,
Steven M. Gordon  and
Thomas G. Fraser
Steven R. Richardson
Affiliation:
Department of Pharmacy, Kaweah Delta Medical Center, Visalia, California
Elizabeth A. Neuner*
Affiliation:
Department of Pharmacy, Cleveland Clinic, Cleveland, Ohio
Vasilios Athans
Affiliation:
Department of Pharmacy, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
Pavithra Srinivas
Affiliation:
Department of Pharmacy, Cleveland Clinic, Cleveland, Ohio
Jill Wesolowski
Affiliation:
Department of Pharmacy, Cleveland Clinic, Cleveland, Ohio
Steven M. Gordon
Affiliation:
Department of Infectious Diseases, Cleveland Clinic, Cleveland, Ohio
Thomas G. Fraser
Affiliation:
Department of Infectious Diseases, Cleveland Clinic, Cleveland, Ohio
*
Author for correspondence: Elizabeth A. Neuner, E-mail: [email protected]
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Abstract

We evaluated the impact of an electronic health record based 72-hour antimicrobial time-out (ATO) on antimicrobial utilization. We observed that 6 hours after the ATO, 21% of empiric antimicrobials were discontinued or de-escalated. There was a significant reduction in the duration of antimicrobial therapy but no impact on overall antimicrobial usage metrics.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 40 , Issue 7 , July 2019 , pp. 807 - 809
Copyright
© 2019 by The Society for Healthcare Epidemiology of America. All rights reserved 

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Footnotes

PREVIOUS PRESENTATION: These data were presented in part at IDWeek on October 4, 2018, in San Francisco, California.

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