Clinical study of an online tool for standardizing hospital care

Mary J. Burgess, Mark J. Enzler, Deanne T. Kashiwagi, Andi J. Selby, M. Rizwan Sohail, Paul R. Daniels, Brian D. Lahr, Farrell Lloyd, Larry D. Baddour

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

We assessed if use of an online clinical decision support tool improved standardization and quality of care in hospitalized patients with lower extremity cellulitis (LEC). This was a 14-month pre intervention and postintervention study of 85 LEC admissions. There was significantly higher usage of the online LEC care process model (CPM) in the postintervention phase (p <.001). There was a trend toward higher rates of appropriate antibiotic regimen in the postintervention group both initially and at discharge (p =.063 for both). A sensitivity analysis of CPM users versus nonusers demonstrated a significantly higher rate of appropriate initial antibiotics prescribed when the CPM was used (p <.001). Use of this online CPM was associated with improved standardization, as demonstrated by increased ordering of an appropriate initial antibiotic regimen for hospitalized patients with LEC.

Original languageEnglish (US)
Pages (from-to)359-369
Number of pages11
JournalJournal for Healthcare Quality
Volume38
Issue number6
DOIs
StatePublished - 2016

Keywords

  • CPM
  • Lower extremity cellulitis
  • Online Tool
  • Standardization of care

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health

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  • Cite this

    Burgess, M. J., Enzler, M. J., Kashiwagi, D. T., Selby, A. J., Sohail, M. R., Daniels, P. R., Lahr, B. D., Lloyd, F., & Baddour, L. D. (2016). Clinical study of an online tool for standardizing hospital care. Journal for Healthcare Quality, 38(6), 359-369. https://doi.org/10.1097/JHQ.0000000000000070