Breakpoints #106 – Stewie Struggles: EHR Edition
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Nov 8, 2024 
Dr. Ed Septimus, a board-certified physician from Texas A&M and Harvard, and Whitney Buckel, an antimicrobial stewardship expert at Intermountain Health, discuss innovative EHR tools for improving antibiotic use. They share insights on optimizing antibiotic order systems and managing penicillin allergies within EHRs. The duo emphasizes the importance of real-time alerts and collaboration for enhancing patient safety. Additionally, they reveal exciting details about the INSPIRE trials, showcasing advancements in healthcare through technology.
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Diagnostic Stewardship
- Advocate for diagnostic stewardship alongside antimicrobial stewardship.
- Ensure cultures are taken before initial antibiotic doses, especially in sepsis cases.
Penicillin Allergy Assessment
- Implement penicillin allergy scoring systems like PENFAST in the EHR.
- Encourage history taking beyond simply accepting a reported penicillin allergy.
Integrating Allergy Questions into Nursing Workflow
- Jeanette Bouchard's previous institution integrated penicillin allergy questions into nursing workflows.
- This triggered best practice advisories (BPAs) within Epic, improving allergy documentation.