Implementation of a novel process for post-discharge microbiology results review for musculoskeletal infections in a large-volume academic healthcare system
Margaret Pertzborn, Amy L. Van Abel, Trudi Lane, Kristin Cole, Douglas Osmon, Diana J. Schreier, Hilary Teaford, Courtney M. Willis, Anna Woods, Raymund R. Razonable, Abinash Virk, Christina G. Rivera
TL;DR
A new process for reviewing microbiology results after patient discharge helps improve treatment for musculoskeletal infections.
Contribution
A novel electronic medical record-based process for post-discharge microbiology review in musculoskeletal infections is implemented and evaluated.
Findings
35.6% of patient encounters had at least one intervention, often involving therapy modification.
Multidisciplinary review improved antimicrobial optimization using post-discharge culture results.
Abstract
Awaiting final microbiology results can delay discharge in musculoskeletal (MSK) infections. We developed a novel process based on electronic medical records reviewing post-discharge results. Among 1662 encounters, 35.6 % had ≥ 1 intervention, often therapy modification. Multidisciplinary review by an orthopaedic infectious diseases team improved antimicrobial optimization through timely action on culture results after discharge.
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Taxonomy
TopicsOrthopedic Infections and Treatments · Bacterial Identification and Susceptibility Testing · Musculoskeletal Disorders and Rehabilitation