Infectious Disease
Conditions
Brief summary
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.
Interventions
OTHERVisualization tool
Visual representation of past microbiological culture data
Sponsors
Beth Israel Deaconess Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* provider is caring for a patient with a previous positive urine or blood cultures * provider is caring for a patient currently in a clinical location being investigated * provider is caring for a patient with orders placed for an intravenous, intramuscular, oral antibiotics
Exclusion criteria
* the patient has already received the antibiotic by the time of the intervention * the antibiotic has been cancelled by the time of intervention * the research assistant is unable to reach the ordering provider before the visit is completed * participation by the clinician in the study would impede clinical care * age \< 18
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Provider knowledge | To be assessed at the time of patient enrollment, up to one day after the initial antibiotic is ordered. | 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) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Post-intervention survey | To be assessed at the time of patient enrollment, up to one day after the initial antibiotic is ordered. | 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) |
| Antibiotic order changes | To be assessed at the time of patient enrollment + 1 day | Antibiotic orders that are not complete by the time of the intervention will be monitored for any cancellation or change in orders |
| Final culture results | To be assessed at the time of patient enrollment + 1 week | Final culture results drawn from that visit will be compared to antibiotic orders for effectiveness |
Countries
United States
Outcome results
None listed