Article by Shashi N. Kapadia, MD, MS, The Joint Commission Journal

“Dedicated antimicrobial stewardship software was present at each of the programs and was used for generating alerts for stewardship personnel to identify opportunities for intervention, communication between members of the stewardship team, documentation of interventions, and data analysis. Examples of alerts included opportunities for de-escalation, patients who were receiving ineffective antibiotic therapy, positive blood cultures, and multidrug-resistant organisms. One pharmacist stated that software alerts directed at ASP personnel were “game-changing,” and found it “rewarding when you get a critically ill patient on appropriate therapy faster and improve their outcomes.” While alerts for ASP personnel to identify potential interventions were viewed as an invaluable tool, one ASP leader urged caution in using IT alerts directed at frontline providers, in view of the potential for alert fatigue, as follows:

Anything that kind of interferes with their day-to-day work flow they’re going to work around …. I think the IT systems that work best are those that are trying to deliver meaningful information that the clinicians find useful.”

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