Breakpoints

#106 – Stewie Struggles: EHR Edition

13 snips
Nov 8, 2024
Dr. Ed Septimus, a board-certified physician from Texas A&M and Harvard, and Whitney Buckel, an antimicrobial stewardship expert at Intermountain Health, discuss innovative EHR tools for improving antibiotic use. They share insights on optimizing antibiotic order systems and managing penicillin allergies within EHRs. The duo emphasizes the importance of real-time alerts and collaboration for enhancing patient safety. Additionally, they reveal exciting details about the INSPIRE trials, showcasing advancements in healthcare through technology.
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ADVICE

Mandated Antibiotic Indication Questions

  • Mandate questions about antibiotic indications at order entry.
  • This data is useful for prospective audits and supports retrospective data collection.
ADVICE

Order Sentences for Dosing and Duration

  • Develop order sentences supporting institutional dosing strategies.
  • Consider linking loading doses to infusions and setting default durations for common infections.
ADVICE

Integrating Guidelines into Order Sets

  • Integrate clinical guideline recommendations into order sets.
  • This can improve antibiotic selection and dosing, but ensure they're user-friendly and promote their use.
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