A mixed-methods study assessing the performance of a clinical decision support tool for <i>Clostridioides difficile</i> testing for patients receiving laxatives
Testing for CDI despite patient laxative use was associated with an increased clinician concern for CDI, patient risk for CDI, and attending physician instruction for testing. Attendings frequently accepted CDS guidance while residents and APPs often reinstated CDI test orders, suggesting a need for greater empowerment and discretion when ordering tests.
Authors
- Nitu Kashyap (ORCID: https://orcid.org/0000-0001-9376-1199)
- Christina Murdzek
- Jeffrey Topal (ORCID: https://orcid.org/0000-0003-4308-2352)
- Dayna McManus (ORCID: https://orcid.org/0000-0002-8153-3284)
- Richard A. Martinello (ORCID: https://orcid.org/0000-0002-0355-9200)
- L. Scott Sussman (ORCID: https://orcid.org/0000-0001-9062-3823)
- Marwan M. Azar (ORCID: https://orcid.org/0000-0001-5498-5042)
- Eric M. Tichy (ORCID: https://orcid.org/0000-0003-1431-0416)
- Shardul N Rathod (ORCID: https://orcid.org/0000-0002-9768-4095)
- David R. Peaper (ORCID: https://orcid.org/0000-0002-9952-5012)
- Scott C. Roberts (ORCID: https://orcid.org/0000-0001-7348-6716)
Institutions
- Yale New Haven Hospital (US)
- Yale University (US)
- Northwestern Memorial Hospital (US)
- Yale New Haven Health System (US)
- Mayo Clinic in Arizona (US)
Publication Details
- Journal
- Infection Control and Hospital Epidemiology
- Published
- 2025-03-13
- DOI
- https://doi.org/10.1017/ice.2025.30
- Primary Topic
- Clostridium difficile and Clostridium perfringens research
- Type
- article
- Field-Weighted Citation Impact
- 0.00