Impact of a provider-facing best practice alert on the management of patients with Staphylococcus aureus bacteremia Jake Amerine, Sarah Green Novant Health Forsyth Medical Center - Winston-Salem, NC
Background/Purpose: Staphylococcus aureus bacteremia is the most common healthcare-associated bloodstream infection and is associated with high rates of morbidity and mortality. When implemented as a bundle, interventions including early Infectious Diseases consult, documented bacteremia clearance, early source control, and appropriate antibiotic agent, route, and duration improve patient outcomes and reduce associated mortality. This study is part 1 of a 2-year study designed to evaluate the impact of provider-facing best practice alert on the management of patients with Staphylococcus aureus bacteremia. The purpose of this study is to determine how patients with Staphylococcus aureus bacteremia were managed prior to the implementation of a provider-facing best practice alert.
Methodology: This is a retrospective, multi-center, pre- and post-intervention study that has been Institutional Review Board approved. Subjects were identified using a report from the electronic medical record of all adult patients across the healthcare system from September 1, 2016 through August 31, 2017. Eligible patients are those greater than or equal to 18 years old and inpatients at Novant Health acute care hospitals with greater than or equal to 1 documented positive Staphylococcus aureus blood culture. Patients were excluded if they transferred to an outside hospital, left the hospital against medical advice, received comfort or palliative care within two days, had positive poly-microbial blood cultures, or experienced hospital mortality within two days of admission. Data was collected via retrospective manual chart review.
Presentation Objective: Understand how patients with Staphylococcus aureus bacteremia were managed prior to the implementation of a provider-facing best practice alert.
Self-Assessment: What are the components of the evidence-based bundle intervention that is considered the standard of care for managing patients with Staphylococcus aureus bacteremia?
