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Cracking the code(s): Optimization of encounter-level diagnosis coding to inform outpatient antimicrobial stewardship data modeling

Published online by Cambridge University Press:  18 January 2024

Ryan W. Stevens*
Affiliation:
Department of Pharmacy, Mayo Clinic, Rochester, Minnesota
James Manz
Affiliation:
Division of Spine and Neurosurgery, Mayo Clinic Health System, Eau Claire, Wisconsin
Margo Mathre
Affiliation:
Center for Digital Health, Data and Analytics, Healthcare Terminology, Mayo Clinic, Phoenix, Arizona
Natalie Bell
Affiliation:
Center for Digital Health, Data and Analytics, Healthcare Terminology, Mayo Clinic, Rochester, Minnesota
Abinash Virk
Affiliation:
Division of Public Health, Infectious Diseases, and Occupational Medicine, Mayo Clinic, Rochester, Minnesota
Paschalis Vergidis
Affiliation:
Division of Public Health, Infectious Diseases, and Occupational Medicine, Mayo Clinic, Rochester, Minnesota
Kelsey Jensen
Affiliation:
Department of Pharmacy, Mayo Clinic Health System, Austin, Minnesota
*
Corresponding author: Ryan W. Stevens; Email: [email protected]

Abstract

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Type
Research Brief
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

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References

Sanchez, GV, Fleming-Dutra, KE, Roberts, RM, Hicks, LA. Core elements of outpatient antibiotic stewardship. MMWR Recomm Rep 2016;65(6):112.10.15585/mmwr.rr6506a1CrossRefGoogle ScholarPubMed
Jensen, KL, Rivera, CG, Draper, EW, et al. From concept to reality: building an ambulatory antimicrobial stewardship program. J Am Coll Clin Pharm 2021;4:15831593.CrossRefGoogle Scholar
Cubillos, AL, Patch, ME, Chandler, EL, et al. Antimicrobial stewardship intervention bundle decreases outpatient fluoroquinolone prescribing for urinary tract infections. Infect Control Hosp Epidemiol 2023;44:488490.10.1017/ice.2021.520CrossRefGoogle ScholarPubMed
Stenehjem, E, Wallin, A, Fleming-Dutra, KE, et al. Antibiotic prescribing variability in a large urgent care network: a new target for outpatient stewardship. Clin Inf Dis 2020;70:17811787.10.1093/cid/ciz910CrossRefGoogle Scholar
King, LM, Tsay, SV, Hicks, LA, Bizune, D, Hersh, AL, Fleming-Dutra, K. Changes in outpatient antibiotic prescribing for acute respiratory illnesses, 2011 to 2018. Antimicrobial Steward Healthc Epidemiol 2021;1:e66.10.1017/ash.2021.230CrossRefGoogle ScholarPubMed
Fleming-Dutra, KE, Hersh, AL, Shapiro, DJ, et al. Prevalence of inappropriate antibiotic prescriptions among US ambulatory care visits, 2010–2011. JAMA 2016;315:18641873.10.1001/jama.2016.4151CrossRefGoogle ScholarPubMed
Goebel, MC, Trautner, BW, Grigoryan, L. The five Ds of outpatient antibiotic stewardship for urinary tract infections. Clin Microbiol Rev 2021;34:e0000320.10.1128/CMR.00003-20CrossRefGoogle ScholarPubMed
Eudaley, ST, Mihm, AE, Higdon, R, Jeter, J, Chamberlin, SM. Development and implementation of a clinical decision support tool for treatment of uncomplicated urinary tract infections in a family medicine resident clinic. J Am Pharm Assoc 2019;59:579585.10.1016/j.japh.2019.03.006CrossRefGoogle Scholar
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