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

Andrew H. Karaba | Zendy; Paul W. Blair | Zendy; Kevin Martin | Zendy; Mustapha Saheed | Zendy; Karen C. Carroll | Zendy; Michael J. Borowitz | Zendy

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

Author(s) -

Andrew H. Karaba,

Paul W. Blair,

Kevin Martin,

Mustapha Saheed,

Karen C. Carroll,

Michael J. Borowitz

Publication year - 2019

Publication title -

open forum infectious diseases

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.546

H-Index - 35

ISSN - 2328-8957

DOI - 10.1093/ofid/ofz488

Subject(s) - west nile virus , medicine , stewardship (theology) , disease , antimicrobial stewardship , intensive care medicine , virology , virus , politics , political science , law , biology , microbiology and biotechnology , antibiotic resistance , antibiotics

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.

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