Utilizing a real-time discussion approach to improve the appropriateness of testing and the potential unintended consequences of this strategy.

We report electronic medical record interventions to reduce Clostridioides difficile testing risk 'alert fatigue.' We used a behavioral approach to diagnostic stewardship and observed a decrease in the number of tests ordered of ~4.5 per month (P < .

Why do clinicians order inappropriate Clostridium difficile testing? An exploratory study.

Background: The drivers behind Clostridium difficile testing are not well understood.

Methods: C difficile testing orders were reviewed. An algorithm that sequentially considered the presence of diarrhea, leukocytosis, fever, and laxative use was created.