Urine test stewardship for catheterized patients in the critical care setting: Provider perceptions and impact of electronic order set interventions

Grace Lin; Shelley Knowlson; Huong Nguyen; Kaila Cooper; Rachel J Pryor; Michelle Doll; Emily J Godbout; Robin Hemphill; Michael P Stevens; Gonzalo Bearman

doi:10.1016/j.ajic.2019.04.005

Urine test stewardship for catheterized patients in the critical care setting: Provider perceptions and impact of electronic order set interventions

Am J Infect Control. 2019 Oct;47(10):1277-1279. doi: 10.1016/j.ajic.2019.04.005. Epub 2019 May 23.

Authors

Affiliations

¹ Division of Infectious Diseases, Department of Epidemiology and Infection Control, Virginia Commonwealth University, Richmond, VA. Electronic address: ling2@mymail.vcu.edu.
² Division of Infectious Diseases, Department of Epidemiology and Infection Control, Virginia Commonwealth University, Richmond, VA.
³ Division of Pediatric Infectious Diseases, Department of Pediatrics, Children's Hospital at Richmond at Virginia Commonwealth University, Richmond, VA.

PMID: 31128982
DOI: 10.1016/j.ajic.2019.04.005

Abstract

We implemented an electronic medical record (EMR) decision support tool for ordering urine cultures per evidence-based guidelines. Following the EMR change, we found a significant increase in proportion of cultures ordered for catheterized intensive care unit (ICU) patients meeting guidelines. We surveyed providers and found poor understanding of urine culture guidelines for catheterized ICU patients. EMR-based interventions and educational opportunities have potential to improve urine culture guideline adherence and reduce unnecessary testing and antibiotic use.

Keywords: Electronic medical record support tool; Intensive care unit; Urine diagnostic stewardship.

MeSH terms

Anti-Bacterial Agents / therapeutic use
Critical Care / standards*
Electronic Health Records / standards
Guideline Adherence / standards*
Humans
Urine / chemistry*

Substances

Anti-Bacterial Agents