Holding firm: Use of clinical correlation to improve Clostridioides difficile testing - 26/08/20
Doi : 10.1016/j.ajic.2019.11.016
Jonathan Baghdadi, MD a, b, ⁎ 
, David A. Ganz, MD, PhD a, Maryanne Chumpia, MD, MS a, c, Evelyn T. Chang, MD d, e, f, Shelly S. de Peralta, DNP, RN, ACNP-BC a, g
, David A. Ganz, MD, PhD a, Maryanne Chumpia, MD, MS a, c, Evelyn T. Chang, MD d, e, f, Shelly S. de Peralta, DNP, RN, ACNP-BC a, g a VA Quality Scholars Program, VHA Greater Los Angeles Healthcare System, Los Angeles, CA
b Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD
c Pediatrics, UCLA-Harbor Medical Center, Los Angeles, CA, USA
d VHA Greater Los Angeles Healthcare System, Center for the Study of Healthcare Innovation, Implementation and Policy (CSHIIP), Los Angeles, CA
e VHA Greater Los Angeles Healthcare System, Division of General Internal Medicine, Los Angeles, CA
f University of California at Los Angeles, David Geffen School of Medicine, Division of General Internal Medicine, Los Angeles, CA
g Cardiology, VA Greater Los Angeles, Los Angeles, CA, USA
⁎Address correspondence to Jonathan Baghdadi, MD, Medical Student Teaching Facility, Suite 334, 10 S Pine St, Baltimore, MD 21201.Medical Student Teaching FacilitySuite 334, 10 S Pine StBaltimoreMD21201
Highlights |
• | We improved testing practices related to hospital-onset C. difficile infection. |
• | Iterative Plan-Do-Study-Act (PDSA) cycles helped us engage and align stakeholders. |
• | Tools for quality improvement can successfully be used for diagnostic stewardship. |
Résumé |
A project involving 3 Plan-Do-Study-Act cycles was undertaken to improve testing for Clostridioides difficile at a Veterans Administration medical center. The Plan-Do-Study-Act process facilitated stakeholder engagement and allowed each successive intervention to build on the prior, resulting in a decline in the rate of hospital-onset C difficile infection.
Le texte complet de cet article est disponible en PDF.Key Words : Diagnostic stewardship, Quality improvement, Clinical decision support, Stakeholder engagement
Plan
| Presentation: A portion of the data and findings from this manuscript were presented as an abstract at the VA Quality Scholars Summer Institute, a conference for faculty and fellows participating in the VA Quality Scholars program. |
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| Funding/support: J.B. was supported by the Veterans Administration Quality Scholars and the University of California, Los Angeles Specialty Training and Research program. |
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| The opinions expressed in this article represent those of the authors and do not necessarily represent the official views of the Department of Veterans Affairs or the US government. |
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| Conflicts of interest: None to report. |
© 2019
Publié par Elsevier Masson SAS.
Vol 48 - N° 9
P. 1104-1107 - septembre 2020 Retour au numéro
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