The goal of this study is to assess the utility of a data visualization tool for providers' understanding patients' past microbiological culture sensitivities. Providers that are ordering antibiotics for patients with previous culture data in the medical record will be asked to answer questions regarding past sensitivity results. They will be randomized to either using the visualization tool before answering the questions or using the standard medical record tools. They will then be surveyed about their decision-making, knowledge, and the usefulness of the tool.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
273
Visual representation of past microbiological culture data
Beth Israel Deaconess Medical Center
Boston, Massachusetts, United States
Provider knowledge
Provider knowledge of patients' previous culture sensitivity results as determined by the proportion of correct answers on a questionnaire: Do you think this patient has had previous resistance to each of these antibiotics at BIDMC (Beth Israel Deaconess Medical Center)? \[List of the top 4 antibiotic classes to which resistance is seen at BIDMC that the patient has previously had tested for antibiotic sensitivities\] Yes (previous organisms resistant or with intermediate resistance) No (no previous resistance noted)
Time frame: To be assessed at the time of patient enrollment, up to one day after the initial antibiotic is ordered.
Post-intervention survey
Providers will be asked survey questions regarding their decision-making and the usability and usefulness of the tool using a 5 point Likert scale: I understand the previous culture data for this patient (Strongly disagree) 1 2 3 4 5 (Strongly agree) I feel like I made an informed antibiotic choice (Strongly disagree) 1 2 3 4 5 (Strongly agree) The tool provided new information that you were not previously aware of (Strongly disagree) 1 2 3 4 5 (Strongly agree) The tool enabled you to more quickly understand this patient's microbiological data (Strongly disagree) 1 2 3 4 5 (Strongly agree) The tool was easy to use (Strongly disagree) 1 2 3 4 5 (Strongly agree)
Time frame: To be assessed at the time of patient enrollment, up to one day after the initial antibiotic is ordered.
Antibiotic order changes
Antibiotic orders that are not complete by the time of the intervention will be monitored for any cancellation or change in orders
Time frame: To be assessed at the time of patient enrollment + 1 day
Final culture results
Final culture results drawn from that visit will be compared to antibiotic orders for effectiveness
Time frame: To be assessed at the time of patient enrollment + 1 week
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.