Implementation of a hospital-wide EHR-integrated antibiotic challenge order set
We implemented an electronic health record-integrated order set to standardize direct antibiotic challenges for patients with reported antibiotic allergies across nine healthcare facilities. In the first year, 104 patients were challenged (79% oral; 39% two-step). Embedded antibiotic selection, dosage, monitoring parameters, reaction guidance, and rescue medications facilitated uptake by hospitalists and subspecialists.
Authors
- Shivani Patel (ORCID: https://orcid.org/0009-0001-6909-4071)
- Muhammad Yasser Alsafadi (ORCID: https://orcid.org/0000-0003-0276-7910)
- Sheng-Hua Tsai (ORCID: https://orcid.org/0009-0002-6222-0829)
- Natalie A. Finch (ORCID: https://orcid.org/0009-0009-0888-5943)
- Wolfgang Hoffmann (ORCID: https://orcid.org/0000-0002-1180-021X)
Institutions
- Methodist Hospital (US)
Publication Details
- Journal
- Antimicrobial Stewardship & Healthcare Epidemiology
- Published
- 2025-01-01
- DOI
- https://doi.org/10.1017/ash.2025.10215
- Primary Topic
- Drug-Induced Adverse Reactions
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Houston Methodist Research Institute