Publications by authors named "Eli P Wilber"
Background: Diagnostic stewardship is the science of improving diagnostic test use. Whether electronic health record (EHR) design influences clinician diagnostic testing behavior and electronic medical record interventions can improve diagnostic stewardship outcomes are key questions. We leveraged the natural experiment of a recent change in EHR platforms to investigate if changing how 2 commonly misused tests, blood cultures for acid-fast bacilli (AFB) and fungi, are displayed affected their use.
View Article and Find Full Text PDFInitial specimen diversion devices (ISDDs) are a potential solution for reducing blood-culture contamination rates. We report the implementation of an ISDD associated with a sustained reduction in blood-culture contamination rates for >18 months after implementation. We did not observe a clinically significant reduction in inpatient vancomycin usage.
View Article and Find Full Text PDFDiagnostic stewardship for human immunodeficiency virus (HIV) testing using computerized physician order entry.
Antimicrob Steward Healthc Epidemiol
June 2023
Article Synopsis
- Changing the design of a computerized physician order entry (CPOE) system led to an 87% decrease in the incorrect use of an HIV test.
- This highlights the importance of CPOE design in effectively managing diagnostics.
- Working together with infectious disease experts, lab professionals, and IT staff can enhance the quality of care and lower expenses.