Utilizing a real-time discussion approach to improve the appropriateness of Clostridioides difficile testing and the potential unintended consequences of this strategy.

Lana DbeiboAllison BrinkmanCole BeelerWilliam FadelWilliam SnydermanNicole HatfieldJoshua SadowskiYun WangKristen KelleyDouglas WebbJose AzarAreeba Kara

Published in: Infection control and hospital epidemiology (2020)

We report electronic medical record interventions to reduce Clostridioides difficile testing risk 'alert fatigue.' We used a behavioral approach to diagnostic stewardship and observed a decrease in the number of tests ordered of ~4.5 per month (P < .0001). Although the number of inappropriate tests decreased during the study period, delayed testing increased.

Keyphrases

clostridium difficile
sleep quality
risk assessment
depressive symptoms
human health