Antibiotic stewardship is a core component of emergency department (ED) practice and impacts patient safety, clinical outcomes, and public health. The unique characteristics of ED practice, including crowding, time pressure, and diagnostic uncertainty, need to be considered when implementing antibiotic stewardship interventions in this setting. Rapid advances in pathogen detection and host response biomarkers promise to revolutionize the diagnosis of infectious diseases in the ED, but such tests are not yet considered standard of care. Presently, clinical decision support embedded in the electronic health record and pharmacist-led interventions are the most effective ways to improve antibiotic prescribing in the ED.
Keyphrases
- emergency department
- clinical decision support
- quality improvement
- electronic health record
- patient safety
- infectious diseases
- public health
- primary care
- healthcare
- adverse drug
- loop mediated isothermal amplification
- physical activity
- palliative care
- candida albicans
- big data
- machine learning
- pain management
- artificial intelligence