Shows reduced blood culture utilization in hospitals, indicating the need for additional strategies.
A systemwide electronic clinical decision support (CDS) tool for blood culture ordering reduced utilization by 12% across three hospitals (IRR 0.88, P < .01), but the effect waned over time. Low-yield ordering persisted, and contamination rates increased. Sustained diagnostic stewardship likely requires multimodal strategies beyond CDS alone.
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Seidelman et al. (2026) studied this question.
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