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Patient and physician predictors of patient receipt of therapies recommended by a computerized decision support system when initially prescribed broad-spectrum antibiotics: a cohort study
Author(s) -
Angela Chow,
David Chien Lye,
Onyebuchi A. Arah
Publication year - 2015
Publication title -
journal of the american medical informatics association
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.614
H-Index - 150
eISSN - 1527-974X
pISSN - 1067-5027
DOI - 10.1093/jamia/ocv120
Subject(s) - medicine , antibiotics , medical prescription , medical record , odds ratio , antimicrobial stewardship , pneumonia , emergency medicine , clinical decision support system , piperacillin/tazobactam , prospective cohort study , cohort , intensive care medicine , logistic regression , piperacillin , antibiotic resistance , health care , economics , pharmacology , biology , economic growth , genetics , pseudomonas aeruginosa , bacteria , microbiology and biotechnology
Antibiotic computerized decision support systems (CDSSs) were developed to guide antibiotic decisions, yet prescriptions of CDSS-recommended antibiotics have remained low. Our aim was to identify predictors of patients' receipt of empiric antibiotic therapies recommended by a CDSS when the prescribing physician had an initial preference for using broad-spectrum antibiotics.

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