From bottlenecks to better practices: systemwide electronic clinical decision support for blood culture stewardship.

IF 2.6 4区医学 Q2 INFECTIOUS DISEASES

Infection Control and Hospital Epidemiology Pub Date : 2026-09-01 Epub Date: 2026-07-27 DOI:10.1017/ice.2026.10515

Jessica Seidelman, Michael Yarrington, Stefani Dubea, Jonathon Bae

引用次数: 0

Abstract

A systemwide electronic clinical decision support (CDS) tool for blood culture ordering reduced utilization by 12% across three hospitals (IRR 0.88, P < .01), but the effect waned over time. Low-yield ordering persisted, and contamination rates increased. Sustained diagnostic stewardship likely requires multimodal strategies beyond CDS alone.

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从瓶颈到更好的实践：全系统的电子临床决策支持血液培养管理。

在三家医院中，用于血液培养订购的全系统电子临床决策支持（CDS）工具的使用率降低了12% (IRR 0.88, P < 0.01)，但效果随着时间的推移而减弱。低产量订单持续存在，污染率上升。持续的诊断管理可能需要多模式战略，而不仅仅是CDS。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Infection Control and Hospital Epidemiology 医学-传染病学

CiteScore

6.40

自引率

6.70%

发文量

289

审稿时长

3-8 weeks

期刊介绍： Infection Control and Hospital Epidemiology provides original, peer-reviewed scientific articles for anyone involved with an infection control or epidemiology program in a hospital or healthcare facility. Written by infection control practitioners and epidemiologists and guided by an editorial board composed of the nation''s leaders in the field, ICHE provides a critical forum for this vital information.