利用实时讨论方法来提高检测的适当性，以及该策略的潜在意外后果。
Utilizing a real-time discussion approach to improve the appropriateness of testing and the potential unintended consequences of this strategy.
机构信息
Division of Infectious Diseases, Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana.
Department of Infection Prevention, Indiana University Health, Indianapolis, Indiana.
出版信息
Infect Control Hosp Epidemiol. 2020 Oct;41(10):1215-1218. doi: 10.1017/ice.2020.276. Epub 2020 Jun 29.
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.
我们报告了电子病历干预措施，以减少艰难梭菌检测风险的“警报疲劳”。我们使用了一种诊断管理的行为方法，观察到每月检测数量减少了约 4.5 次（P <.0001）。虽然在研究期间，不适当的检测数量有所减少，但延迟检测的数量增加了。
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