Designing a Clinical Decision Support Prototype for Urinary Tract Infection Treatment in Nursing Homes: Experiences from a Research Partnership
Abstract
The inappropriate use of antibiotics is frequent in nursing homes (NHs) putting older adults at risk of adverse events and contributing to the rise of antimicrobial resistance. Urinary tract infections (UTIs) account for 30-50% of antibiotic prescribing in NHs, but have one of the highest rates of inappropriate antibiotic use. Clinical decision support (CDS) embedded in electronic prescribing can assist in ensuring antibiotic appropriateness. In this study, we aimed to develop a CDS prototype to improve prescribing for UTIs in NHs in collaboration with an IT system provider, BESTMED. We used electronic health record data to identify CDS goals, and held design workshops with IT developers and an infectious diseases physician. Antibiotic choice and duration of treatment were identified as key areas requiring improvement, and thus the CDS goals. The final CDS prototype featured alerts when duration and antibiotic choice were not guideline concordant. A key challenge was ensuring the CDS operated within existing prescribing workflows. Plans for user testing and piloting the CDS to measure usability, acceptability and effectiveness are described.
Read the paper
Related studies
- Association of lower urinary tract symptoms and OAB severity with quality of life and mental health in China, Taiwan and South Korea: results from a cross-sectional, population-based study
- Ten-Day Quadruple Therapy Comprising Low-Dose Rabeprazole, Bismuth, Amoxicillin, and Tetracycline Is an Effective and Safe First-Line Treatment for Helicobacter pylori Infection in a Population with High Antibiotic Resistance: a Prospective, Multicenter, Randomized, Parallel-Controlled Clinical Trial in China
- The Role of the NLR and PLR in Urinary Tract Infection
- Threat of Antimicrobial Resistance among Pilgrims with Infectious Diseases during Hajj: Lessons Learnt from COVID-19 Pandemic
- Leclercia adecarboxylata urinary tract infection in a patient with bladder cancer and recurrent hematuria
- A Case Series of Staphylococcus lugdunensis Infection in Cancer Patients at an Academic Cancer Institute in the United States
Go deeper in Evidence Hub
Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.