Prospective quality improvement study evaluates an algorithm-based alert to enhance urine testing in hospitalized adults, suggesting improved diagnostic stewardship.
Key Points
To evaluate the impact of an algorithm-based best practice alert on urine testing stewardship in hospitalized adults.
Prospective quality improvement study conducted at a 740-bed tertiary care hospital.
BPA triggered when urinalysis with reflex to culture was ordered for patients admitted for 48 hours or more.
Monthly rates of urine testing were compared over 12 months pre- and post-intervention using interrupted time series and Mood's median test.
Sustained lower rates of urinalysis with reflex to culture and pan-culturing observed post-intervention.
No adverse safety signals detected regarding Gram-negative rod bacteremia rates during the intervention.
Findings suggest that the algorithm-based BPA aligns with existing downward trends in urine testing.