Impact of a computerized template on antibiotic prescribing for acute respiratory infections in children and adolescents

Fabienne C. Bourgeois, Jeffrey Linder, Sarah A. Johnson, John Patrick T Co, Julie Fiskio, Timothy G. Ferris

Research output: Contribution to journalArticle

24 Scopus citations

Abstract

Background. Computerized decision support (CDS) can potentially improve patient safety and guideline adherence. The authors developed an acute respiratory illness interactive template (ARI-IT) within an electronic health record (EHR) to manage pediatric ARIs and assessed the impact on antibiotic prescribing. Methods. They randomized 12 practices either to receive the ARI-IT or to the control group. Antibiotic rates among all eligible ARI diagnoses were compared among control and intervention ARI visits, controlling for clustering by clinician. Results. There was no difference in total antibiotic prescriptions between control and intervention clinics. Use of the ARI-IT significantly reduced antibiotic prescriptions (31.7% vs 39.9%; P =.02) and use of macrolides (6.2% vs 9.5%; P =.02) among visits compared with those eligible visits where it was not used. Conclusion. Use of the CDS reduced antibiotic prescribing and macrolide prescriptions among children with an ARI. Nonetheless, the low overall use resulted in an ineffective intervention.

Original languageEnglish (US)
Pages (from-to)976-983
Number of pages8
JournalClinical Pediatrics
Volume49
Issue number10
DOIs
StatePublished - Oct 1 2010

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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