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Utilizing a real-time discussion approach to improve the appropriateness of Clostridioides difficile testing and the potential unintended consequences of this strategy.
Lana Dbeibo
1
,
2
,
3 ,
Allison Brinkman
2 ,
Cole Beeler
1
,
2
,
3 ,
William Fadel
4 ,
William Snyderman
2 ,
Nicole Hatfield
2 ,
Joshua Sadowski
2 ,
Yun Wang
2 ,
Kristen Kelley
2 ,
Douglas Webb
1
,
2 ,
Jose Azar
5
,
3 ,
Areeba Kara
3
Oct 2020
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Abstract
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.