Information resources used in antimicrobial prescribing

Jonathan S. Sellman, Douglas Decarolis, Anne Schullo-Feulner, David B. Nelson, Gregory A. Filice

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

To describe resources clinicians use when they prescribe antimicrobials, the authors surveyed prescribers by telephone within hours (median 2.9) after they ordered one or more antimicrobials for a patient. Among 157 prescribers, 87 (55%) used one or more external resources to aid in decisions about their order. The other 70 (45%) used only their own knowledge and experience. Fifty-nine (38%) consulted another person. Fifty-four (34%) used a print, computer, or Internet resource. In multivariate analysis, use of an external resource was associated with the clinician being on the medical service (odds ratio [OR] 2.99, 95% confidence interval [CI] 1.41-6.3) or being an intern (OR 13.65, 95% CI 1.44-128). Eighty percent of providers said information about antimicrobial prescribing at the point of electronic order entry would be helpful. It was concluded that decision support at the point of electronic order entry is likely to be used and might improve antimicrobial prescribing.

Original languageEnglish (US)
Pages (from-to)281-284
Number of pages4
JournalJournal of the American Medical Informatics Association
Volume11
Issue number4
DOIs
StatePublished - Jul 2004

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