The Effects of a Systemwide Diagnostic Stewardship Change on West Nile Virus Disease Ordering Practices-Reference-Cited by-同舟云学术

The Effects of a Systemwide Diagnostic Stewardship Change on West Nile Virus Disease Ordering Practices

Published:2019-11-14 Issue: Volume: Page:
ISSN:2328-8957
Container-title:Open Forum Infectious Diseases
language:en
Short-container-title:

Author:

Karaba Andrew H¹^ORCID,Blair Paul W¹²^ORCID,Martin Kevin³,Saheed Mustapha O⁴,Carroll Karen C⁵,Borowitz Michael J³

Affiliation:

1. Division of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD

2. Austere environments Consortium for Enhanced Sepsis Outcomes (ACESO), Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD

3. Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD

4. Department of Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore, MD

5. Division of Medical Microbiology, Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD

Abstract

Abstract We report that removing the clinically insensitive West Nile virus CSF nucleic acid amplification test (NAAT) from the electronic health record (EHR) test menu decreased costs and may have improved diagnostic yield. Removing high-cost, low yield tests from the EHR can be an effective diagnostic stewardship intervention.

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Oncology

Link

http://academic.oup.com/ofid/advance-article-pdf/doi/10.1093/ofid/ofz488/30748865/ofz488.pdf

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