help button home button JAMIA Hate scrolling?
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
First published April 2, 2004 as JAMIA PrePrint; doi:10.1197/jamia.M1493
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
M1493v1
11/4/281    most recent
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Sellman, J. S.
Right arrow Articles by Filice, G. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Sellman, J. S.
Right arrow Articles by Filice, G. A.
J Am Med Inform Assoc. 2004;11:281-284. DOI 10.1197/jamia.M1493.
© 2004 American Medical Informatics Association

Case Report

Information Resources Used in Antimicrobial Prescribing

Jonathan S. Sellman, MD, Douglas Decarolis, PharmD, Anne Schullo-Feulner, PharmD, David B. Nelson, PhD and Gregory A. Filice, MD

Affiliations of the authors: Medicine Service (JSS, GAF), Pharmacy Service (DD, AS-F), and Center for Chronic Disease Outcomes Research (DBN), Veterans Affairs Medical Center, Minneapolis, MN; Department of Internal Medicine, School of Medicine, University of Minnesota, Minneapolis, MN (JSS, GAF).United States

Correspondence and reprints: Gregory A. Filice, MD, Infectious Disease Section (111F), Veterans Affairs Medical Center, Minneapolis, MN 55417; e-mail: <filic001{at}umn.edu>.

Received for publication: 10/31/03; accepted for publication: 03/15/04.

To describe resources clinicians use when they prescribe antimicrobials, the authors surveyed prescribers by telephone within hours (median 2.9) after they ordered one or more antimicrobials for a patient. Among 157 prescribers, 87 (55%) used one or more external resources to aid in decisions about their order. The other 70 (45%) used only their own knowledge and experience. Fifty-nine (38%) consulted another person. Fifty-four (34%) used a print, computer, or Internet resource. In multivariate analysis, use of an external resource was associated with the clinician being on the medical service (odds ratio [OR] 2.99, 95% confidence interval [CI] 1.41–6.3) or being an intern (OR 13.65, 95% CI 1.44–128). Eighty percent of providers said information about antimicrobial prescribing at the point of electronic order entry would be helpful. It was concluded that decision support at the point of electronic order entry is likely to be used and might improve antimicrobial prescribing.




This article has been cited by other articles:


Home page
 NEJMHome page
J. J. Cimino and S. Bakken
Personal Digital Educators
N. Engl. J. Med., March 3, 2005; 352(9): 860 - 862.
[Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2004 by the American Medical Informatics Association.